Abstract:
Backgrounds: Informed choice and client satisfaction are crucial indicators that measure the
extent to which a client is comfortable with the services received from healthcare providers.
Despite their significance, there is currently little research regarding the levels of informed
choice and the level of satisfaction with the use of long-acting reversible contraceptive methods
in the study context.
Objective: To determine the level and factors associated with informed choice and satisfaction
towards the use of LARCMs among women attending health centers in Kersa District, Jimma
Zone, South West Ethiopia.
Methods and Materials: A facility-based cross-sectional study design was conducted among
390 women who were using LARCMs from June 05 to July 05/ 2022 in Kersa District health
centers. Data were collected using semi-structured questionnaire of Afan Oromo version through
face-to-face exit interviews. The data were cleaned and coded and then entered into Epi-data
manager version 4.6.0.6 and exported to SPSS version 22 for analysis. The bivariate and
multivariable analyses were employed. Associations of dependent and independent variables
were reported by AOR and a 95% confidence level. Statistical significance was declared at a p value ≤ 0.05.
Results: A total of 390 participants were included in this study, giving a response rate of 98%.
About 59.9% (95%CI: 55.01, 64.89) of study participants made informed choices LARCMs.
Previously used injectable and implant (AOR=2.18; 95%CI: 1.12, 4.21) and 3.6 (AOR=3.57;
95%CI: 1.61, 7.91) and positive attitude towards the use LARCMs (AOR=1.52; 95%CI: 1.29,
1.92) showed statistical association with informed choice. The level of satisfaction towards the
use of LARCMs was 44% (95%CI: 43.26, 45.18). Previous use of implants (AOR=3.19; 95%CI:
1.26, 8.09), perceived good or moderate level of health care Providers caring behaviors
(AOR=4.45; 95%CI: 2.19, 9.06) and (AOR=2.29; 95%CI: 1.01, 5.17) showed statistical
association with satisfaction towards the use of LARCMs.
Conclusion and Recommendation: The magnitude of informed choice and satisfaction with the
use of LARCMs was found to be low. Health professions should be offer adequate information
all about LARC.
