Long acting reversible contraceptives utilization and associated factors among women of reproductive age in Arsi Negele town, Southeastern Ethiopia

BACKGROUND: Ethiopia is the second populous country in Africa with a total fertility rate of 4.6 and contraceptive prevalence of 35%, where implant and intrauterine contraceptive devices account for 8 and 2% respectively. The aim of this study was to determine the magnitude of long acting reversible contraceptives utilization and its associated factors among women of reproductive age in Arsi Negele town, Southeastern Ethiopia. METHODS: Facility-based cross-sectional study was conducted from April 01–May 30, 2017. A total of 361 women using modern contraceptives were selected by a systematic random sampling technique. Pre-tested and interviewer administered structured questionnaire was used to collect quantitative data. Bivariate and multivariate logistic regressions were performed using SPSS version 20.0 software. RESULT: The magnitude of long acting reversible contraceptives (LARCs) utilization was 33.5% [95% CI, 28.5–38.8]. Husband with no formal education [AOR = 0.41, CI: 0.16, 0.78] and unemployed women [AOR = 0.35, CI: 0.42, 0.65] were negative predictors while having media exposure [AOR = 7.14, CI: 3.85, 13.25], women who desired only one child [AOR = 3.28, CI; 1.28, 8.39] and husband support [AOR = 7.33, CI: 3.48, 15.43] were positive predictors of LARCs utilization. CONCLUSION: The overall utilization of LARCs is 33.5%. Creating employment opportunities, male involvement, advertisement and advocacy activities through mass media need to be considered to improve utilization of LARCs.