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首页> 外文期刊>Reproductive Health >Prevalence and predictors of implanon utilization among women of reproductive age group in Tigray Region, Northern Ethiopia
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Prevalence and predictors of implanon utilization among women of reproductive age group in Tigray Region, Northern Ethiopia

机译：埃塞俄比亚北部提格雷地区育龄妇女中黑lan利用的发生率和预测因素

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Background The Ethiopian Federal Ministry of Health introduced provision of the contraceptive Implanon at community level by trained health extension workers in 2009. However, little is known regarding the utilization and factors associated with Implanon use among rural women since the introduction of the community based intervention. Thus, this study assessed the utilization of Implanon and associated factors among reproductive aged women in rural areas of Saesie-Tsaeda Emba and Ofla districts in Tigray, Northern Ethiopia. Methods A cross sectional community based survey was conducted in May and June 2014. A multistage sampling technique was used to randomly select 524 reproductive aged women (15–49 years). Data was collected through interview using a pre-tested and structured questionnaire. Univariate analysis was done to determine the prevalence for Implanon use, to assess general characteristics of respondents, and to produce summaries. Bivariate analysis was conducted to examine the relationship between each independent variable with the dependent variable. Multivariate logistic regression was conducted to identify factors influencing Implanon use by controlling effect of confounding variables. Results Of all the women, 444 (84.7%) had heard of Implanon. Health extension workers were the primary source of information on Implanon as mentioned by 376 (71.8%) of the respondents. Little more than seven women in every ten, 319 (71.8%), had good knowledge of Implanon and 248 (55.5%) of the women had supportive attitudes towards Implanon use. Among our sample, 10.1% women were using Implanon, 33 (62.3%) reported having received their Implanon at a health post from health extension worker. Women’s employment (AOR: 2.73, 95% CI: 1.20–6.21), the number of modern contraceptive methods known (AOR: 2.24, 95% CI: 1.09–4.62), and the number of contraceptive methods ever used (AOR: 11.0, 95% CI: 5.06–23.90) were positively associated with Implanon use. Conclusion Trained health extension workers played a major role in information and service provision of Implanon. However, this study revealed that a significant number of women had incorrect information regarding Implanon. Hence, health extension workers and other health professionals should provide appropriate counseling and education regarding Implanon and other contraceptives.
机译：背景技术埃塞俄比亚联邦卫生部于2009年由受过训练的卫生推广人员在社区一级提供避孕药。但是，自从引入基于社区的干预措施以来，农村妇女对避孕药的使用及其相关因素知之甚少。因此，本研究评估了埃塞俄比亚北部提格里地区Saesie-Tsaeda Emba和Ofla地区农村育龄妇女中Implanon的利用情况及其相关因素。方法2014年5月和2014年6月进行了一项基于社区的横断面调查。采用多阶段抽样技术随机选择了524名15岁至49岁的育龄妇女。使用预先测试的结构化问卷通过访谈收集数据。进行了单因素分析，以确定使用Implanon的患病率，评估受访者的一般特征，并得出摘要。进行双变量分析以检查每个自变量与因变量之间的关系。通过控制混杂变量的影响，进行了多因素logistic回归以识别影响Implanon使用的因素。结果在所有女性中，有444名（84.7％）听说过Implanon。 376名（71.8％）受访者提到，健康推广人员是有关Implanon的主要信息来源。每十名妇女中只有略多于七名的女性中，有319名（71.8％）对Implanon有良好的了解，其中248名（55.5％）的女性对使用Implanon有支持态度。在我们的样本中，有10.1％的妇女在使用Implanon，其中33名（62.3％）报告说在健康扩展员的卫生岗位上收到过Implanon。妇女的就业（AOR：2.73，95％CI：1.20–6.21），已知的现代避孕方法的数量（AOR：2.24、95％CI：1.09–4.62）以及曾经使用过的避孕方法的数量（AOR：11.0， 95％CI：5.06–23.90）与Implanon的使用呈正相关。结论受过培训的健康推广人员在Implanon的信息和服务提供中发挥了重要作用。但是，这项研究表明，许多女性对Implanon的信息不正确。因此，保健推广人员和其他保健专业人员应提供有关Implanon和其他避孕药具的适当咨询和教育。

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