Factors affecting the knowledge and attitudes of pastoralist women toward long-acting reversible contraceptives utilization in Southern Ethiopia, 2024

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Introduction Many Ethiopian women, especially those who live in rural and pastoral areas, have little knowledge and a negative attitude toward long-acting reversible family planning. Therefore, this study investigated the factors that affect the knowledge and attitudes of women toward long-acting reversible contraceptives among pastoral women in southern Ethiopia. Methods A community-based cross-sectional study was conducted among 376 women of reproductive age who were randomly selected from three pastoral districts in the West Guji Zone. The data were collected by using a pretested interviewer-administered questionnaire. Ordinary logistic regression analyses with a p value < 0.05 were used to determine statistical significance. Results Less than half, 118 (31.40%), of the study participants had good knowledge, and 88 (23.40%) had a positive attitude toward long-acting reversible contraceptives. The negative predictors of good knowledge and positive attitudes were never attending school (OR: 0.31; 95% CI: 0.10, 0.96), not having a job (OR: 0.39; 95% CI: 0.19, 0.79), having an unplanned pregnancy (OR: 0.41; 95% CI: 0.24, 0.63) and not having a history of abortion (OR: 0.41; 95% CI: 0.21, 0.78). Conclusions Having maternal education, being employed, having a planned pregnancy, having partner support for family planning and having a history of abortion were predictors for good knowledge and positive attitudes. Thus, this study recommends collaborative efforts between the health sector and other stakeholders to support women’s employment and education, as well as developing a program to spread family planning-related messaging to enhance women’s attitudes and understanding.

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