Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysis
IntroductionThe campaign to encourage sexually active women to utilize family planning is one of the primary initiatives being undertaken globally to reduce unintended pregnancies and fertility rates. Evidence suggests that family planning measures can lower this maternal mortality ratio by nearly 2...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Global Women's Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fgwh.2025.1444784/full |
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| author | Ermias Bekele Enyew Abiyu Abadi Tareke Habtamu Setegn Ngusie Mulugeta Desalegn Kasaye Shimels Derso Kebede Mahider Shimelis Feyisa |
| author_facet | Ermias Bekele Enyew Abiyu Abadi Tareke Habtamu Setegn Ngusie Mulugeta Desalegn Kasaye Shimels Derso Kebede Mahider Shimelis Feyisa |
| author_sort | Ermias Bekele Enyew |
| collection | DOAJ |
| description | IntroductionThe campaign to encourage sexually active women to utilize family planning is one of the primary initiatives being undertaken globally to reduce unintended pregnancies and fertility rates. Evidence suggests that family planning measures can lower this maternal mortality ratio by nearly 25%. According to our literature search, there is no known study that has reported on the study area to assess utilization and factors associated with the use of long-acting contraceptive methods (LACMs) among women of reproductive age. Therefore, this study aimed to assess long-acting contraceptive method uptake and its associated factors among women of reproductive age in East Africa.MethodsA weighted total of 50,525 women of reproductive age were included in this study. A community-based cross-sectional study was conducted on the most recent Demographic and Health Surveys in 12 East African countries. The pooled prevalence of long-acting contraceptive uptake with a 95% confidence interval (CI) was reported and presented in a forest plot for East African countries using STATA version 14.1. Intraclass correlation coefficient, likelihood ratio (LR) test, median odds ratio, and deviance (−2 log-likelihood) values were used for model comparison and fitness. Adjusted odds ratios (AOR) with a 95% CI and p-value ≤0.05 in the multilevel logistic model were used to declare significant factors associated with long-acting contraceptive uptake.ResultsThe overall prevalence of long-acting contraceptive methods in East African countries was 19.41% (95% CI 19.07%–19.76%). In the multilevel logistic regression analysis, women in the age group of 35–49 years (AOR 1.09, 95% CI 1.06–1.17), women who were married (AOR 1.31, 95% CI 1.10–1.56), and women who were exposed to media (AOR 1.06, 95% CI 1.00–1.13) were significantly associated with LACM uptake. Moreover, living in urban areas (AOR 1.23, 95% CI 1.14–1.32) and living in the highest household wealth index (AOR 1.09, 95% CI 1.01–1.17) were also significantly associated with long-acting contraceptive uptake.ConclusionThe overall utilization of acting contraceptive methods was low. Therefore, future interventions should be planned to target women in younger age groups, with lower socioeconomic backgrounds, and those living in rural areas to improve LACM uptake. |
| format | Article |
| id | doaj-art-2d9bad07cfc54042ad1984ef9024b2af |
| institution | Kabale University |
| issn | 2673-5059 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Global Women's Health |
| spelling | doaj-art-2d9bad07cfc54042ad1984ef9024b2af2025-02-03T06:33:44ZengFrontiers Media S.A.Frontiers in Global Women's Health2673-50592025-02-01610.3389/fgwh.2025.14447841444784Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysisErmias Bekele Enyew0Abiyu Abadi Tareke1Habtamu Setegn Ngusie2Mulugeta Desalegn Kasaye3Shimels Derso Kebede4Mahider Shimelis Feyisa5Department of Health Informatics, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaAmref Health Africa in Ethiopia, West Gondar Zonal Health Department, Gondar, EthiopiaDepartment of Health Informatics, School of Public Health, College of Medicine and Health Sciences, Woldia University, Woldia, EthiopiaDepartment of Health Informatics, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaDepartment of Health Informatics, College of Medicine and Health Sciences, Wollo University, Dessie, EthiopiaDepartment of Medical Laboratory, College of Health Science, Debre Tabor University, Debre Tabor, EthiopiaIntroductionThe campaign to encourage sexually active women to utilize family planning is one of the primary initiatives being undertaken globally to reduce unintended pregnancies and fertility rates. Evidence suggests that family planning measures can lower this maternal mortality ratio by nearly 25%. According to our literature search, there is no known study that has reported on the study area to assess utilization and factors associated with the use of long-acting contraceptive methods (LACMs) among women of reproductive age. Therefore, this study aimed to assess long-acting contraceptive method uptake and its associated factors among women of reproductive age in East Africa.MethodsA weighted total of 50,525 women of reproductive age were included in this study. A community-based cross-sectional study was conducted on the most recent Demographic and Health Surveys in 12 East African countries. The pooled prevalence of long-acting contraceptive uptake with a 95% confidence interval (CI) was reported and presented in a forest plot for East African countries using STATA version 14.1. Intraclass correlation coefficient, likelihood ratio (LR) test, median odds ratio, and deviance (−2 log-likelihood) values were used for model comparison and fitness. Adjusted odds ratios (AOR) with a 95% CI and p-value ≤0.05 in the multilevel logistic model were used to declare significant factors associated with long-acting contraceptive uptake.ResultsThe overall prevalence of long-acting contraceptive methods in East African countries was 19.41% (95% CI 19.07%–19.76%). In the multilevel logistic regression analysis, women in the age group of 35–49 years (AOR 1.09, 95% CI 1.06–1.17), women who were married (AOR 1.31, 95% CI 1.10–1.56), and women who were exposed to media (AOR 1.06, 95% CI 1.00–1.13) were significantly associated with LACM uptake. Moreover, living in urban areas (AOR 1.23, 95% CI 1.14–1.32) and living in the highest household wealth index (AOR 1.09, 95% CI 1.01–1.17) were also significantly associated with long-acting contraceptive uptake.ConclusionThe overall utilization of acting contraceptive methods was low. Therefore, future interventions should be planned to target women in younger age groups, with lower socioeconomic backgrounds, and those living in rural areas to improve LACM uptake.https://www.frontiersin.org/articles/10.3389/fgwh.2025.1444784/fullprevalencelong-acting contraceptive methodmultilevel analysiseast AfricaDHS |
| spellingShingle | Ermias Bekele Enyew Abiyu Abadi Tareke Habtamu Setegn Ngusie Mulugeta Desalegn Kasaye Shimels Derso Kebede Mahider Shimelis Feyisa Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysis Frontiers in Global Women's Health prevalence long-acting contraceptive method multilevel analysis east Africa DHS |
| title | Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysis |
| title_full | Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysis |
| title_fullStr | Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysis |
| title_full_unstemmed | Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysis |
| title_short | Long-acting family planning uptake and associated factors among women in the reproductive age group in East Africa: multilevel analysis |
| title_sort | long acting family planning uptake and associated factors among women in the reproductive age group in east africa multilevel analysis |
| topic | prevalence long-acting contraceptive method multilevel analysis east Africa DHS |
| url | https://www.frontiersin.org/articles/10.3389/fgwh.2025.1444784/full |
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