Utilization of long-acting and permanent contraceptive methods and associated factors among married women in Adama town, Central Ethiopia: community based cross-sectional study

BACKGROUND: Long-acting and permanent contraceptive methods have clear advantages over short-acting methods of contraception that benefit both clients and health systems. Despite this importance, studies show that the proportion of women currently using long acting and permanent contraceptive methods are significantly lower than the proportion using short-acting methods. OBJECTIVE: The main aim of the study was to assess the level of utilization of long acting and permanent contraceptive methods and associated factors among married women in Adama town. METHODOLOGY: Community Based Cross-Sectional Study was conducted in four kebeles of Adama town from April 15–30, 2015. Multistage sampling technique was used to select the study participants. The collected data was cleaned and entered using Epi info 3.5.3 and analyzed using statistical package for social science version 20.0. Factors associated with utilization of long acting and permanent contraceptive methods were identified using logistic regression model. RESULT: In this study, the magnitude of long acting and permanent contraceptive methods was 20.9%. Implant, Intra-Uterine devices (IUDs) and tubal ligation accounted for 16.1, 4.6, and 0.2% respectively. Current use of long acting and permanent contraceptive methods was higher among women who had high knowledge (AOR = 5.26, 95% CI = 1.90–14.69), positive attitude (AOR = 3.25, 95% CI = 1.60–6.58) and women who had 3–4 children (AOR [95%CI] =2.3[1.14–4.63]) compared to those who had no child. CONCLUSION: Current use of long acting and permanent contraceptive methods in Adama town was low. Level of knowledge, attitude about the methods, and number of children were factors affecting utilization of long acting and permanent contraceptive methods. Targeted Information Education Communication Intervention should be intensified to improve the utilization of these methods.