Determinants of long acting reversible contraceptive Utilization in Bahir Dar city, Ethiopia-results from institutional based cross sectional study.

Abstract Background: Ethiopia is the second most populous country in Africa. Now a day, Adolescent sexual activity, unintended pregnancy, unsafe abortion, high maternal mortality and poverty has become a major issue in Ethiopia. The prevalence of contraceptive utilization is slanted to short acting. Methods: Institutional based cross-sectional study was conducted from public health facility in Bahir Dar City from April 1 to 30/2018. 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, 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%. Among the variables, desired number of children, women wish to have 0-3 number of children were 2.4times more likely to use long acting reversible contraceptives compared to those who want to have more than 4 children with (AOR=2.4:95%CI:1.22-4.8). Similarly, having good knowledge were found positively associated with long acting reversible contraceptive those who had good knowledge were 3 times (AOR=3:95%CI:1.52-5.9) more likely to utilize than those who had poor knowledge and also , favourable attitude were found to be positively associated with long acting reversible contraceptive methods utilization, women who had favourable attitude were 4.9 times more likely to utilize (AOR=4.9:95%CI:2.26-10.6) than those women’s who had unfavourable attitude. Conclusion: Utilization of long acting reversible contraceptive is low. Desired number of children, knowledge and attitude were determinant factors identified. So, Health education on long acting reversible contraceptives focusing on increasing women’s knowledge and attitude directed to women of reproductive age