Utilization of long –acting contraceptive methods and associated factors among female health-care providers in South Wollo Zone hospitals, North East, Ethiopia. A cross sectional multicenter study

Abstract Back ground: - Long-acting contraception method utilization was found low (22.7%) among female health care providers. However, to the best of our knowledge no study has been conducted on utilization long-acting contraception methods among female healthcare providers in the study area. These studies addressed important variable such as socio-demography and individual factors that might affect the use of long-acting contraceptive methods among female healthcare providers, but, limited studies have been in Ethiopia. Objective: - To assess the utilization of long-acting contraceptive methods and associated factors among healthcare providers in South Wollo Zone public hospitals, Amhara Region, Ethiopia 2021.Methods: An institutional-based cross-sectional study was conducted among 354 female healthcare workers in hospitals in the South Wollo Zone from March to April 22, 2021. The participants were selected using systematic random sampling technique. The data were collected using self-administered questionnaires. The data were entered Epi-data version 4.1 and export to SPSS versions 25 for analysis. Bivariable and multivariable logistic regression analyses were also performed. The Adjusted odds Ratio (AOR) along with a 95% confidence interval (CI) were estimated to measure the association and level of significance was declared at a P- value of less than 0.05.Result: -The current utilization of long-acting contraceptive methods among female health care providers was found to be 33.6% [95%, CI 29-39)], discuss with partner [AOR= 2.277,95% CI, (1.026-5.055)], method shift/switched [AOR=4.302,95% CI, (2.285-8.102)], knowledge of respondent [AOR= 1.887,95% CI, (1.020-3.491)], ever birth [AOR=15.670,95% CI, (5.065-48.49)] were significant factors towards the utilization of long-acting contraceptive methods. Conclusion and recommendation: -The current utilization of long-acting contraceptive methods was found low. Discus with partner, methods shift/switching, ever birth and knowledge of respondents were identified as significant factor. Therefore, encouraging partner discussion targeted Information Education Communication Intervention should be intensified to improve long-acting contraceptive methods utilization.