Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Meta-Analysis
. 2016 Jun 21;13(1):78.
doi: 10.1186/s12978-016-0194-0.

Practice and Intention to use long acting and permanent contraceptive methods among married women in Ethiopia: Systematic meta-analysis

Yonatan Moges Mesfin  1 , Kelemu Tilahun Kibret  2
Affiliations
Meta-Analysis

Practice and Intention to use long acting and permanent contraceptive methods among married women in Ethiopia: Systematic meta-analysis

Yonatan Moges Mesfin et al. Reprod Health. .

Abstract

Background: The long acting and permanent contraceptive methods (LAPCMs) has not used unlike that of short-acting methods in Ethiopia. Ethiopia is the second most populous country in Sub Saharan Africa with a high total fertility rate, and high maternal and child mortality rates. This study summarized the evidence of practice and intention to use long acting and permanent family planning methods among women in Ethiopia using systemic review and meta-analysis.

Methods: A systematic review and meta-analysis of the published and unpublished observational studies were conducted. Original studies were identified using databases of Medline/Pubmed, and Google Scholar. Heterogeneity across studies was checked using Cochrane Q test statistic and I(2)test. The pooled proportion of intention to use and the practice of long acting and permanent contraceptive methods were computed using a/the random effect model.

Results: Based on the ten observational studies included in the meta-analysis, the pooled prevalence of intention to use long acting and permanent contraceptive methods among married women according to the random effect model was 42.98 % (95 % CI 32.53, 53.27 %). On the other hand, the pooled practice of long acting and permanent methods of contraceptive among the study participants was 16.64 % (95 % CI 12.4 to 20.87 %).

Conclusion: This meta-analysis revealed that women's intention to use LAPCMs is generally good but their utilization is low. It is recommended, therefore, that LAPMCs must be made more readily available and accessible to women at the lower level of health service delivery who are in need of it.

Keywords: Ethiopia; Intention; LAPCMs; Meta-analysis; Practice; Systematic review.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Flow chart diagram describing selection of studies for the systematic review and meta-analysis (identification, screening, eligible and included studies). Articles may have been excluded for more than one reason, 2015
Fig. 2
Fig. 2
Forest Plot of the 10 Cross-Sectional Studies that quantitatively assessed the magnitude of intention to use long acting and permanent family planning methods among married women in the reproductive age group, 2015
Fig. 3
Fig. 3
Forest Plot of the 8 Cross-Sectional Studies that quantitatively assessed the prevalence rate of long acting and permanent family planning methods practice among married women, 2015
See this image and copyright information in PMC

References

    1. Bekele D, Fantahun M, Gutema K, Getachew H, Lambiyo T, Yitayal M. Family Planning Module, Ethiopian Health Center Team Hawassa University, USAID. 2003.
    1. Creanga AA, Gillespie D, Karklins S, Tsui AO. Low use of contraception among poor women in Africa: an equity issue. Bull World Health Organ. 2011;89(4):258–266. doi: 10.2471/BLT.10.083329. - DOI - PMC - PubMed
    1. Contraceptive security brief hormonal implants. Availableat: URL: http://deliver.jsi.com/dlvr_content/.../logisticsbriefs/CSBrie_HormImpl.pdf. Accessed 20 Sept 2014.
    1. Peterson HB, Curtis KM. Long acting methods of contraception. N Engl J Med 2005;353:2169-75. - PubMed
    1. Bradley S, Croft T, Rutstein S. The Impact of Contraceptive Failure on Unintended Births and Induced Abortions: Estimates and Strategies for Reduction. DHS Analytical Studies No. 22. Calverton: ICF Macro; 2011.