Utilization of Long Acting Reversible Contraceptive Methods and Associated Factor among Women who came for Family Planning Service in Bahir Dar City Public Health Facility, North West, Ethiopia, Institutional Based Cross Sectional Study

Introduction: Long acting reversible contraceptive method provides uninterrupted protection to women for 3 to12 years. By far the most effective and very safe methods, when removed, return to fertility is prompt. Utilization of family planning method is a human right, central to gender equality and women’s empowerment which is a key factor for reducing poverty, for the health of child and women and for the development of the country, but utilization is still slanted to short acting methods. Objective: The aim of this study was to determine Utilization of Long-Acting Reversible Contraceptive methods and associated Factors among women who came for family planning Service in Bahir Dar City public health facility, North West, Ethiopia, 2018. Methods: Institutional based cross-sectional study was conducted from public health facility in Bahir Dar City from April 1 to 30th April, 2018. Systematic sampling technique was used to select study participants and allocated to each public health institution proportionally. Data entry and analysis was made by using Epi info version 7 and SPSS versions 23 respectively. The association between the independent and outcome variables was first computed using bivariate analysis and p-value ≤ 0.25 was included into multivariable analysis. Finally, multivariable analyses were carried out with p-value ≤ 0.05. Result: The overall utilization of long acting reversible contraception was 18.4%. Having good knowledge (AOR=3:95% CI:1.52-5.9), desired number of children (AOR=2.4:95% CI:1.22-4.8) and having favourable attitude (AOR=4.9:95% CI:2.26-10.6) were predictors of long acting reversible family planning method utilization. Conclusion: In this study utilization of long acting reversible contraception is found to be low. Desired number of children, knowledge and attitude were found to be the predictors of utilization of long acting reversible contraceptive methods. To scale up the utilization health education, adequate counselling, and mass education should be considered to increase level of awareness, changing the attitude of the reproductive age women and to minimize myth and misconception to enhance the uptake.