Geographic distribution and demographic factors associated with use of a long-acting reversible contraceptive (LARC) in Ethiopia
Background: Increasing access to and utilization of long-acting reversible contraceptives (LARC) can prevent unintended pregnancies and reduce unmet need for family planning in Ethiopia However, LARC uptake lags behind less effective contraceptive methods. This study aimed to analyze the geographic...
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PAGEPress Publications
2025-01-01
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| Series: | Geospatial Health |
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| Online Access: | https://www.geospatialhealth.net/gh/article/view/1302 |
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| author | Mintesnot Tenkir Teni Travis Loux Ness Sandoval Anne Sebert Kuhlmann |
| author_facet | Mintesnot Tenkir Teni Travis Loux Ness Sandoval Anne Sebert Kuhlmann |
| author_sort | Mintesnot Tenkir Teni |
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Background: Increasing access to and utilization of long-acting reversible contraceptives (LARC) can prevent unintended pregnancies and reduce unmet need for family planning in Ethiopia However, LARC uptake lags behind less effective contraceptive methods. This study aimed to analyze the geographical distribution and demographic factors associated to LARC uptake.
Methods: The 2019 Performance Monitoring For Action Ethiopia (PMA Ethiopia) survey data was used. Spatial autocorrelation was examined using Global Moran's I and Local Indicators of Spatial Association (LISA). Bivariate Moran's I and bivariate LISA (BiLISA), Spatial lag, and spatial error regression analyses were performed to assess the spatial correlation and association between LARC uptake and demographic factors.
Results: LARC uptake was 8% among the study population, with Afar and Somali regions having the lowest uptake. There was a statistically significant positive spatial autocorrelation for LARC uptake (Moran’s I= 0.308, p<0.001). Additionally, an inverse correlation was observed between LARC uptake and the percentage of Muslims, rural population, no formal education, and low wealth quantile. The spatial lag model indicated that zones with higher Muslim populations and those with higher percentages of population with no formal education had lower LARC uptake.
Conclusions: To expand access to LARC, the Ethiopian government, policymakers, and non-governmental organizations might implement programs targeting low-uptake areas (Afar and Somali regions). Muslim religious leaders could play an important role in promoting acceptance of LARC among their members. Tailored health education programs should be developed for Muslim populations and those with no formal education to enhance awareness and acceptance of LARC.
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| format | Article |
| id | doaj-art-ba4b238d3a154d96b8694ff152a0b67e |
| institution | Kabale University |
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| language | English |
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| spelling | doaj-art-ba4b238d3a154d96b8694ff152a0b67e2025-01-24T02:38:13ZengPAGEPress PublicationsGeospatial Health1827-19871970-70962025-01-0120110.4081/gh.2025.1302Geographic distribution and demographic factors associated with use of a long-acting reversible contraceptive (LARC) in EthiopiaMintesnot Tenkir Teni0https://orcid.org/0000-0002-8300-1281Travis Loux1https://orcid.org/0000-0002-9215-0617Ness Sandoval2https://orcid.org/0000-0002-2004-4663Anne Sebert Kuhlmann3https://orcid.org/0000-0001-7350-0186College for Public Health and Social Justice, Saint Louis University, MissouriCollege for Public Health and Social Justice, Saint Louis University, MissouriCollege of Arts and Sciences, Saint Louis University, MissouriCollege for Public Health and Social Justice, Saint Louis University, Missouri Background: Increasing access to and utilization of long-acting reversible contraceptives (LARC) can prevent unintended pregnancies and reduce unmet need for family planning in Ethiopia However, LARC uptake lags behind less effective contraceptive methods. This study aimed to analyze the geographical distribution and demographic factors associated to LARC uptake. Methods: The 2019 Performance Monitoring For Action Ethiopia (PMA Ethiopia) survey data was used. Spatial autocorrelation was examined using Global Moran's I and Local Indicators of Spatial Association (LISA). Bivariate Moran's I and bivariate LISA (BiLISA), Spatial lag, and spatial error regression analyses were performed to assess the spatial correlation and association between LARC uptake and demographic factors. Results: LARC uptake was 8% among the study population, with Afar and Somali regions having the lowest uptake. There was a statistically significant positive spatial autocorrelation for LARC uptake (Moran’s I= 0.308, p<0.001). Additionally, an inverse correlation was observed between LARC uptake and the percentage of Muslims, rural population, no formal education, and low wealth quantile. The spatial lag model indicated that zones with higher Muslim populations and those with higher percentages of population with no formal education had lower LARC uptake. Conclusions: To expand access to LARC, the Ethiopian government, policymakers, and non-governmental organizations might implement programs targeting low-uptake areas (Afar and Somali regions). Muslim religious leaders could play an important role in promoting acceptance of LARC among their members. Tailored health education programs should be developed for Muslim populations and those with no formal education to enhance awareness and acceptance of LARC. https://www.geospatialhealth.net/gh/article/view/1302Long-acting reversible contraceptivesgeospatialEthiopia |
| spellingShingle | Mintesnot Tenkir Teni Travis Loux Ness Sandoval Anne Sebert Kuhlmann Geographic distribution and demographic factors associated with use of a long-acting reversible contraceptive (LARC) in Ethiopia Geospatial Health Long-acting reversible contraceptives geospatial Ethiopia |
| title | Geographic distribution and demographic factors associated with use of a long-acting reversible contraceptive (LARC) in Ethiopia |
| title_full | Geographic distribution and demographic factors associated with use of a long-acting reversible contraceptive (LARC) in Ethiopia |
| title_fullStr | Geographic distribution and demographic factors associated with use of a long-acting reversible contraceptive (LARC) in Ethiopia |
| title_full_unstemmed | Geographic distribution and demographic factors associated with use of a long-acting reversible contraceptive (LARC) in Ethiopia |
| title_short | Geographic distribution and demographic factors associated with use of a long-acting reversible contraceptive (LARC) in Ethiopia |
| title_sort | geographic distribution and demographic factors associated with use of a long acting reversible contraceptive larc in ethiopia |
| topic | Long-acting reversible contraceptives geospatial Ethiopia |
| url | https://www.geospatialhealth.net/gh/article/view/1302 |
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