PREVALENCE AND ASSOCIATED FACTOR OF IMPLANON UTILIZATION AMONG WOMEN OF FAMILY PLANNING USERS IN DEBRE BIRHAN CITY ADMINSTRATION NORTH SHEWA ZONE , AMHARA REGION, ETHIOPIA

Abstract

Background- Family planning is central to gender equality and women’s empowerment and it is a key factor in reducing poverty. Implanon is one of Long acting family planning methods provide uninterrupted protection to women for 3 years and by far the most effective and very safe. When it was removed, return to fertility is prompt. Objective- To assess the prevalence and associated factor of Implanon utilization among women of family planning users in Debre Birhan city administration, North Shewa, Amhara region, Ethiopia 2020. Method- A community based cross sectional study design was conducted by multi stage sampling technique with sample size of 542. Study subjects selected by systematic random sampling. In the data collection process ten data collectors and two supervisors were recruited The data was entered using Epidata version 3.1 and analysis was done by using SPSS version 25. Coding, entry and statistical analysis were done. Strength of association was measured using odds ratio and 95% CI. Variables that have a significant association at p-value ≤0.25 in the bivariate logistic regression model were fitted to a multivariate logistic regression model. Result-Of all of women, 121 (22.3%) utilize Implanon. Family was the primary source of information on Implanon as mentioned by 163 (30.1%) of the respondents. Age of the women, marital status, education status, occupation and monthly income were associated with current use of Implanon. Based on the result of multivariable analysis those were married [AOR: 20.19(6.38, 63.86)], occupation being housewife [AOR: 13.83(1.28, 48.7)], education status of the women elementary school [AOR: 0.10(0.012, 0.85)], those who discussed with their partner [AOR: 3.29(1.45, 7.46)], have one to two children [AOR: 3.72(0.98, 14.16)] had significant association with utilization of Implanon. Conclusion and recommendation- In this study, the magnitude of the utilization of Implanon among women of family planning users was 22.3%. Based on the results there is a need to intervene the low utilizations of Implanon family planning methods to increase the coverage