Factors Influencing Intention to Use Intrauterine Device Among Family Planning Clients in Southwestern Ethiopia

Abstract Background: Intrauterine devices are the second most widely used modern family planning methods in the world. In Ethiopia, only 2% of married women use intrauterine device. Therefore, the aim of this study is to determine factors associated with the intention to use the intrauterine device in southwest, Ethiopia.Methods: A facility-based cross-sectional design was employed to collect data from 784 women using a structured questionnaire. Data were collected from October-November,2020. Data were managed using Kobo Collect v1.25.1 and Stata version 16.0 was used for analysis. A multivariable logistic regression was employed.Results: The prevalence of intention to use intrauterine device in this study was 30%. Having an intrauterine devices information (AOR=2.28(1.63-3.20)), being highest wealth status 1.76 (AOR=1.76(1.07-2.95)), and being able to read and write (AOR = 3.60; 95% CI: 1.59-7.89) were found to be significant factors influencing women’s intention to use an intrauterine device. The most common reasons for not having an intention to use were fear of side effects, lack of knowledge, and husband disapproval.Conclusion: An intention to use an intrauterine device was low. Public health interventions should provide an information focusing on the cited resaons reaching all the community in need, and give priority for women who unable read and write, and lowest wealth status. Further interventional studies were recommended to determine effective interventions to increase women’s intention to use intrauterine device.