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Utilization of Long-Acting Reversible Contraceptive (LARC) Methods in a tertiary hospital in southwestern Nigeria: A Mixed Methods Study

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Abstract

Background/Purpose

There is an increasing trend in the utilization of long-acting reversible contraceptive (LARC) methods globally. The study assessed the utilization of LARC methods and its determinants in a tertiary hospital, southwestern Nigeria using a mixed method study.

Methods

A cross-sectional study of women attending the Family Planning Clinic of the tertiary hospital was conducted between November 1, 2018 and October 31, 2019 using both quantitative and qualitative methods. Quantitative data was collected using structured questionnaire while in-depth interviewer topic guide was used to obtain qualitative data from the respondents. The quantitative and qualitative data obtained from the respondents were analyzed using SPSS version 22 and open code version 3.6.2, respectively, and the determinants of utilization of LARC methods were identified using multivariate regression model.

Results

The current utilization rate of LARC methods was 65.6% and implants accounted for 75% of LARC used. Higher education (p = 0.035), more than 3 living children (p = 0.030), previous use of LARC (p = 0.028), good knowledge (p = 0.025) and positive attitude of the women about LARC (p = 0.026) were significant determinants of utilization among the women. Limiting size of family was the commonest reason among LARC users, while partner disapproval, fear of procedure and side effects were reasons given by non-users.

Conclusions

The utilization rate of LARC methods are high, and this should be sustained through improved information dissemination, education of women and involvement of male partners in reproductive health matters including family planning.

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Acknowledgement

The authors wish to acknowledge all the women who consented to participate in this study, the specialist registrars and the nursing staff of the family planning clinic involved in the administration of questionnaires and conducting the in-depth interview. The authors did not receive any grant or fund from any organization or company for this study.

Funding

The authors did not receive any grant or fund from any organization or company for this study. We do not have any commercial or industrial affiliation or link and no conflicts of interest.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Ekiti State University, P.M.B. 5363, Ado-Ekiti, Nigeria

    Olusola P. Aduloju (MBBS, MPH, FWACS), Akinyemi A. Akintayo MBBS, FWACS & Adeyemi S. Adefisan MBChB, FMCOG, FWACS

  2. Department of Medical Social Services, Ekiti State University Teaching Hospital, P.M.B. 5355, Ado-Ekiti, Nigeria

    Tolulope Aduloju RNRM, B.Ed, MSW

Authors
  1. Olusola P. Aduloju (MBBS, MPH, FWACS)
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  2. Akinyemi A. Akintayo MBBS, FWACS
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  3. Adeyemi S. Adefisan MBChB, FMCOG, FWACS
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  4. Tolulope Aduloju RNRM, B.Ed, MSW
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Contributions

AOP: Project/protocol development, data collection and manuscript writing and editing. AAA: Protocol development, data analysis and manuscript writing and editing. AAS: Data collection and manuscript writing and editing. AT: Data collection, data analysis and manuscript writing and editing.

Corresponding author

Correspondence to Olusola P. Aduloju (MBBS, MPH, FWACS).

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Conflict of interests

The authors declared that they have no conflicts of interest.

Ethical Approval

Ethical approval and clearance for the study were obtained from the Institution’s Ethics and Research Committee (EKSUTH/A295/2018/09/010). All the procedures performed in this study were done in accordance with the ethical standards of our Institution’s Ethics and Research Committee and with the 1964 Declaration of Helsinki and its later amendments. The women who participated in the study were adequately informed about the study. Written informed consents were obtained from them before enrollment into the study. The women were at liberty to withdraw from the study without negatively affecting the continuation of their care in the hospital.

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Dr. Aduloju Olusola Peter is a Senior Lecturer in the Department of Obstetrics and Gynaecology, College of Medicine, Ekiti State University, Ado-Ekiti, Nigeria.

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Aduloju, O.P., Akintayo, A.A., Adefisan, A.S. et al. Utilization of Long-Acting Reversible Contraceptive (LARC) Methods in a tertiary hospital in southwestern Nigeria: A Mixed Methods Study. J Obstet Gynecol India 71, 173–180 (2021). https://doi.org/10.1007/s13224-020-01386-6

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