Addressing Unmet Need for Long Acting Family Planning in Ethiopia - Uptake of Implanon and Characteristics of Users
Objective: To describe women who accept Implanon from community health workers in Ethiopia and to assess whether community-based provision addresses unmet need for contraception.
Methods: Women who accepted Implanon during Implanon training in 4 regions of Ethiopia were asked about their characteristics and use of family planning. They were compared with clients accepting other methods and with women with unmet need nationally. Differences between groups were tested with chi-square, Fischer’s Exact, and t-tests as appropriate.
Results: Implanon acceptors were older (28.3 vs. 26.7 years) and less educated (1.7 vs. 2.3 years) than clients who selected other methods. Almost one quarter (22.9%) of all clients had never used contraception before and this was higher among clients who chose Implanon (23.1% vs. 16.4%, p=0.04). Acceptors were also less likely to be using contraception (70.8% vs. 77.3%, p<0.05) but all clients interviewed were more likely to be using contraception than the rural population (17%). Clients who accepted Implanon were younger (1.5 years) but more educated (29.3% vs 16.5% completed primary education) than women with unmet need for contraception nationally.
Conclusion: Provision of Implanon through community-health workers at the community-level is effective in reaching those women who have greatest need for contraception.
More In This Series
The purpose of the Working Paper Series is to disseminate work in progress by Pathfinder International staff on critical issues of population, reproductive health, and development.
This technical brief explores the process through which Pathfinder’s Integrated Family Health Program (IFHP+) has expanded availability of postpartum family planning, including the postpartum IUD, in Ethiopia.
Expanding Access to the Intrauterine Device in Public Health Facilities in Ethiopia: A Mixed-Methods Study
Following the introduction of IUDs into the Ethiopian public health sector, use increased from <1% in 2011 to 6% in 2014 in a sample of 40 health facilities. The IUD was acceptable to a diverse range of clients, including new contraceptive users, those with little to no education, those from rural areas, and younger women.