Prevalence of Early Removal of Long-Acting Contraceptive Methods and Its Associated Factors in Sidama Regional State, Ethiopia

Figures & data

Table 1 Socio-Demographic Characteristics of Women Who Received LRCMs in Sidama Regional State, Southern Ethiopia, 2019

Characteristics		Frequency	Percent
Age group	≤24	55	11.6
	25–29	203	42.7
	30–34	112	23.6
	35–39	73	15.4
	≥40	32	6.7
Residence	Urban	408	85.9
	Rural	67	14.6
Religion	Protestant	237	49.9
	Orthodox	203	42.7
	Other	35	7.3
Marital status	Single	22	4.6
	Married	443	93.3
	Others	10	2.2
Education	No formal education	32	6.7
	<8 years	149	31.4
	9–12 years	199	41.9
	>12 years	95	20
Occupation	Student	11	2.3
	Merchant	41	8.6
	Government worker	124	26.1
	House wife	286	60.2
	Others	13	2.7
Monthly income	Do not know	37	7.8
	≤1000 birr	32	6.7
	1001–2000 birr	89	18.7
	2001–3000 birr	105	22.1
	3001–4000 birr	66	13.9
	4001–5000 birr	65	13.7
	>5000 birr	81	17.7

Table 2 Maternal and Reproductive Characteristics of Women Who Received LRCMs in Sidama Regional State, Southern Ethiopia, 2019

Characteristics	Frequency	Percent
Children before utilization
No children	31	6.5
1 child	65	13.7
2 children	120	25.3
3 children	97	20.4
4 children	71	14.9
≥ 5 children	91	19.2
Current children
No children	26	5.5
1 child	52	10.9
2 children	110	23.2
3 children	100	21.1
≥ 4 children	187	39.4
Intention to have more children
No intention	127	26.7
1 child	61	12.8
2 children	211	44.1
≥ 3 children	76	16
Abortion history
Yes	79	16.6
No	396	83.4

Table 3 Information on FPM Among Women Who Used LRCMs in Sidama Regional State, 2019

Characteristics	Frequency	Percent
Has information about
Pills	387	81.5
Injectables	467	98.3
Lactation amenorrhea	61	12.8
Female condom	40	8.4
Male condom	327	68.8
Implanon	416	87.6
Jadelle	383	80.6
IUD	306	64.4
Female Sterilization	49	10.3
Male Sterilization	29	6.1
Information about intradermal methods
Effectiveness	375	78.9
Side effects	63	13.3
Duration of pregnancy prevention	412	86.7
Benefit	263	55.4
Information about IUD
Effectiveness	332	69.9
Side effects	262	55.2
Duration of pregnancy prevention	392	82.5
Benefit	280	58.9
Source of information
Health professional	412	86.7
HEW	193	40.6
Friends or families	108	22.7
Radio/ television	197	41.5
News paper/ magazine	36	7.6
Other printed materials	2	0.4

Table 4 Family Planning Services Provided for LRCMs Users in Sidam Regional State, 2019

Characteristics	Frequency	Percent
Place of insertion
Health center	354	74.5
Health post	8	1.7
Hospital	75	15.8
NGO health facility	29	6.1
Private health facility	9	1.9
Time to reach the source
≤30 minutes	423	89.1
>30 minutes	52	10.9
Get counseling before insertion
Yes	471	99.2
No	4	0.8
Type of counseling
Individual counseling	364	76.6
Mass counseling	81	17.1
With husband counseling	30	6.3
Duration of counseling
≤15 minutes	281	59.2
15–30 minutes	189	39.8
>30 minutes	5	1.1
Duration before insertion
<30 minutes	343	72.2
30 minutes- 1 day	44	9.3
>1 day	88	18.5
Service satisfaction
Satisfied	349	73.5
Unsatisfied	126	26.5

Figure 1 Distribution of counseling information given for LRCMs utilizers in Sidama Regional State, Ethiopia, 2019.

Figure 2 Distribution of ever used family planning methods and current LRCMs use among women who received LRCMs in Sidama Regional State, Southern Ethiopia, 2019.

Figure 3 Distribution of early LRCMs removal and Duration for removal among women who received LRCMs in Sidama Regional State, Southern Ethiopia, 2019.

Figure 4 Reasons for removal of LRCMs mentioned by women who removed the methods in Sidama Regional State, Southern Ethiopia, 2019.

Table 5 Factors Associated with Early Removal of LRCMs Among Women Who Used These Methods in Sidam Regional State, 2019

Variables (n=475)	LRCM Early Removal		COR (95% CI)	AOR (95% CI)
	Yes	No
	No(%)	No(%)
Age group
≤24	3 (5.5)	52 (94.5)	1.96 (0.38–10.05)	2.37 (0.37–14.93)
25–29	26 (12.8)	177 (87.2)	4.99 (1.47–16.91)*	9.86 (2.22–43.74)**
30–34	17 (15.2)	95 (84.8)	6.08 (1.72–21.42)*	11.5 (2.67–49.56)**
≥35	3 (2.9)	102 (97.1)	1	1
Educational status
No formal education	9 (28.1)	23 (71.9)	1	1
≤8 years	18 (12.1)	131 (87.9)	0.35 (0.14–0.87)*	0.32 (0.11–0.93)**
9–12 years	16 (8.0)	183 (92.0)	0.22 (0.08–0.56)*	0.19 (0.06–0.58)**
>12 years	6 (6.3)	89 (93.7)	0.17 (0.05–0.533)*	0.26 (0.06–0.98)**
Intention for more children
No intention	9 (7.1)	118 (92.9)	0.40 (0.16–1.07)	0.51 (0.15–1.70)
1–2 children	28 (10.3)	244 (89.7)	0.61 (0.29–1.27)	0.52 (0.21–1.27)
≥ 3 children	12 (15.8)	64 (84.2)	1	1
Counseled about advantage
Yes	31 (7.8)	369 (92.2)	1	1
No	18 (24.0)	57 (76.0)	3.75 (1.97–7.16)*	2.81 (1.23–6.40)**
Counseled about side effects
Yes	6 (19.4)	25 (80.6)	2.23 (0.87–5.75)	2.08 (0.57–7.58)
No	43 (9.7)	401 (90.3)	1	1
Counseled about effectiveness
Yes	14 (5.8)	226 (94.2)	1	1
No	35 (14.9)	200 (85.1)	2.82 (1.47–5.40)*	2.70 (1.30–5.60)**
Service satisfaction
Satisfied	26 (7.4)	323 (92.3)	1	1
Unsatisfied	23 (18.3)	103 (82.4)	2.77 (1.51–5.07)*	2.24 (1.10–4.57)**

Note: *P-value<0.05 on COR, **P-value<0.05 on AOR.