Aregay et al. BMC Res Notes (2018) 11:862
https://doi.org/10.1186/s13104-018-3971-8
RESEARCH NOTE
Utilization of long acting reversible
contraceptive methods and associated factors
among female college students in Gondar town,
northwest Ethiopia, 2018: institutional based
cross-sectional study
Woldegebrieal Aregay
1
, Telake Azale
2
, Mekonnen Sisay
1*
and Kedir Abdela Gonete
1
Abstract
Objectives: Family planning is achieved through use of different contraceptive methods among which the most
effective methods are modern family planning methods like long acting reversible contraceptive which includes
intra-uterine contraceptive device and Implants. The objective of this primary study was to assess utilization of long
acting reversible contraceptive methods among female college students in Gondar town, northwest Ethiopia.
Results: The overall utilization of long acting reversible contraceptive methods among students was 20.4% (95% CI
18.1, 22.7) and the most commonly utilized long acting reversible contraceptive method was Implants 96.5% (95% CI
95.50, 97.50) followed by intra-uterine contraceptive device 3.5% (95% CI 2.97, 4.00). Marital status of the respondents
[AOR = 3.97 (95% CI 2.05, 7.67)], discussion about long acting reversible contraceptive methods utilization with hus-
bands or boyfriends [AOR = 2.20 (95% CI 1.19–4.06)] and attitude towards implants [AOR = 0.365 (95% CI 0.14, 0.93)]
were found to be significantly associated with utilization of long acting reversible contraceptive among students.
Keywords: Utilization, Long acting reversible contraceptive, Female college students, Gondar, Ethiopia
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Introduction
Family planning enables individuals and couples to antic-
ipate and attain their desired number of children and
spacing and timing of their births [1]. It is part of a strat-
egy to reduce poverty, maternal, infant and child mortal-
ity and empowers women [2] and is achieved through use
of diferent modern contraceptive methods among which
long acting reversible contraceptives (LARCs) like intra-
uterine contraceptive device (IUCD) and implants are the
most efective family planning methods [3]. By using con-
traceptives, women can avoid unplanned or unwanted
pregnancies, prevent unsafe abortions and spacing the
births of their children which in turn benefts the health
of mothers and their child [4].
If contraceptives were used efectively, most of the esti-
mated 46 million induced abortions each year would not
be occurred and 78,000 maternal deaths that occur due
to unsafe abortion could be avoided globally [5]. In sub
Saharan Africa, at least 30 women die from complica-
tions of pregnancy and childbirth every day and an esti-
mated 4.7 million abortions occur each year, of these,
98% are unsafe which accounts for 17% of all maternal
deaths in Eastern Africa [6].
In low income countries there is a high proportion of
unmet need for contraception and is estimated to be 222
million [7].
Among unmarried sexually active Ethiopian women,
26% have an unmet need for family planning and 58%
are currently using contraceptive methods [4]. Around
Open Access
BMC Research Notes
*Correspondence: mekudesu@gmail.com
1
Department of Human Nutrition, Institute of Public Health, College
of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
Full list of author information is available at the end of the article