Magnitude of intrauterine contraceptive use and its associated factor among women attending family planning service, Cross sectional study

Background: From the different Family planning methods available an intrauterine contraceptive device, IUCD is widely available and is highly effective in terms of safety and effectiveness. Despite this fact, there is low utilization of IUCD in Ethiopia. Objectives: The aim of this study was to determine the magnitude of intrauterine contraceptive device use and associated factors among women attending family planning services in selected public health centers in Kolfe Keraniyo Sub-City, Addis Ababa, Ethiopia 2021. Method: This facility based cross- sectional study was conducted among 399 women attending the FP clinics of randomly selected health centers in Kolfe Keraniyo Sub City, from June 15 to July 20, 2021.The data were collected with pretested questionnaire and entered to Epi-info version 7.2 and analyzed by using SPSS statistical software version 25. Descriptive analysis was done to describe the variables in frequencies, percentages, and mean with the standard deviation. Logistic regression analysis was also used to identify the presence of association between dependent and independent variables. 95% CI and P-value <0.05 were used to indicate the significance level. Result: A total of 399 women were included in the study (with response rate of 100%). The mean age of the participants was 29.8(SD±8.2). This study determined IUCD utilization among participants to be 14.8%. Factors associated with IUCD utilization among women attending family planning service were: Maternal age (AOR=3.1; 95%CI(2.07-7.36), Educational status of no formal education (AOR=0.35; 95%CI (0.01-0.40), future plan of fertility to limit birth (AOR=5.87, 95% CI :2.33-14.87), monthly income ≤600ETB (AOR=0.06; 95%CI(0.01-0.25), number of children alive (AOR=0.13; 95%CI(0.03-0.52) and wanting any more children (AOR=0.10; 95%CI(0.01-0.70) were significantly associated with IUCD utilization. Conclusion and recommendation: Age of the women, income and educational status were identified as factors increasing the likelihood of IUCD utilization. Therefore, to scale up the utilization of IUCD, empowering women, FP counseling and expanding female education should be undertaken.