Informed choice and its associated factors among women received immediate postpartum long-acting reversible contraceptives at public hospitals in Sidama regional state, Ethiopia, 2022

Abstract

Abstract Introduction: It is crucial to ensure the quality of family planning (FP) services through women's informed choice during the provision of long-acting reversible contraceptives. In Ethiopia, previous studies have focused on the quality of family planning services. However, much emphasis was not given to the informed choice of immediate postpartum long-acting reversible contraceptives (LARCs), particularly in the study area. Method: An institution-based cross-sectional study was conducted from June 1–July 31, 2022, among 373 immediate postpartum women who received long-acting reversible contraceptives at public hospitals in the Sidama region, Ethiopia. Women were selected and interviewed using a systematic random sampling technique and via a structured interviewer-administered questionnaire respectively. Data was collected using Kobo Toolbox software and then exported to the Statistical Package for Social science (SPSS) version 25 for analysis. A logistic regression model was used to identify the predictor variables. Results: The magnitude of informed choice of long-acting reversible contraceptives was 23.5% (95%CI (19.6% − 27.7%)). The messages through posters about long-acting reversible contraceptives at the facility (AOR 3.6, 95%CI (1.92,6.79), postpartum family planning counseling during antenatal care (AOR 2.8, 95%CI (1.2,6.4), previous contraceptive use(AOR 3.23, 95%CI (1.12–9.33), and women's with secondary and higher education (AOR 2.92, 95%CI (1.27,6.73) and (AOR 5.7, CI 95% (2.267,14.669) respectively were factors significantly associated with informed choice during immediate postpartum family planning service. Conclusion and recommendation: In the current study, nearly one-fourth of women had made Informed about immediate postpartum LARCs. Socio-demographic factors, exposure to prior use of contraception, and posters that have messages about long-acting reversible contraceptives are factors that vary the woman's ability to make an informed choice. Thus, efforts are needed to ensure that all women using immediate postpartum LARCS can make an informed choice.