Demand for Long-Acting Family Planning Methods and Associated Factors Among Family Planning Service Users in Public Health Centers, Debre Birhan, Ethiopia

Abstract

Background: Long-acting family planning methods are in high demand in order to improve reproductive health and lower the number of unwanted pregnancies. Even though long-acting family planning methods are quite effective, they are still not widely used, especially in low- and middle-income nations. Evidence indicates that the majority of women were dependent on short-acting contraceptive methods, despite the fact that long-acting methods are safer, more effective, and offer protection against unplanned pregnancy.

Objectives: The objectives of this study are to assess the demand of long-acting family planning methods and identify associated factors among family planning service users in Debre Birhane public health centers of Amhara region, Ethiopia.2025

Methods: An institutional-based cross-sectional quantitative approach was conducted from February 1st to March 30th 2025. A sample size is 394 and systematic random sampling was employed for selecting study units. A pretested structured questionnaire was used to collected data from the study participants. For data entry KOBO tool box was used and transferred to SPSS version 27.0.1 for data process and analysis. Descriptive statistics used to describe study variables. Bivariate and multivariable regression analysis done with 95% confidence intervals and a p-value <0.05 considered to declare statistically significant associations lastly result presented using a text and table.

Result The study included 390 respondents with 99% respondent rate. The demand for Long-acting family planning method was 100 (25.6%). Marital status, Multigravida, Information from mass media, good attitude on Long-acting family planning method, Age 35-49, education No formal education, age at marriage 25-35 and being student at high school and above and reproductive age group. Affect the demand for Long-acting family planning method in this study.

Conclusion: the demand for Long-acting family planning method according to this study was low and the unmet need for Long-acting family planning method also high. Marital status, Multigravida, Information from mass media, good attitude on Long-acting family planning method, Age 35-49, education No formal education, age at marriage 25-35 and being student at high school and above and reproductive age group. Affect the demand for Long-acting family planning method in this study.

Recommendation: - Based on this study the demand for long acting family planning method is low and unmet need for Long-acting family planning method was found high so it is better to utilize the opportunity to provide the service to meet.