Knowledge, Attitude, Practice, and Associated Factors of Implant Use in Women, Ethiopia

Abstract

Background. The world is in a dramatic expansion of population that resulted from the continued high birth rates in developing countries. At present, only a handful of countries have reduced fertility rates. That is enough to make gains as a result of reduced fertility or to ensure that their population will stabilize unforeseeable future. Ethiopia is the second largest country by population in Africa, but contraceptive use in Ethiopia is still low. Objective. The main objective of the study was to assess knowledge, attitude, and practice and associated factors towards implant use among married reproductive age group women. Method. An institutional-based cross-sectional study design was used to collect the data from 272 married reproductive age group women attending the family planning clinic at Ejere Health Center from October 9, 2021 to November 24, 2021. A systematic random sampling technique was used to select and approach the study subjects. The collected data was analyzed using SPSS window version 21, and bi variable, multivariable logistic regression was used to test the association between independent and dependent variables. A $P$ value of less than 0.05 and 95% CI was considered to be statistically significant. Finally, the result was presented using tables and graphs. Result. The finding shows that most of the respondents know implant (87.6%). Concerning the practice of implants, the overall prevalence of implants was 51 (20.6%), and in attitude towards implant utilization among study clients, most of them wrongly believed that using implant can result in irregular uterine bleeding and cause pain during insertion and removal. Mothers who attended primary school 2.580 times ($\text{AOR}=2.580$, 95% CI: 1.255-5.305, $P$ value =0.01) had more positive attitudes than those who could not read and write. Mothers having positive attitude were 2.066 times ($\text{AOR}=2.066$, 95% CI: 1.185-3.600, $P$ value =0.01) knowledgeable about implant than those with negative attitudes. Conclusion. Even if most of the respondents were knowledgeable, practice and attitude towards implant utilization were low. To overcome this gap, we recommended adequate early counseling, on possible side effects, and creating awareness on implant contraceptive services and refresher courses for health workers regarding implant contraception should be given regularly regarding reproductive issues.