Ethiopia faces a significant challenge in promoting the use of long-acting reversible contraceptives (LARCs). These methods, which include implants and intrauterine devices (IUDs), are crucial for preventing unwanted pregnancies. They also give women more control over their reproductive health and family planning. However, many women in Ethiopia do not use these contraceptives. This is due to a mix of personal, social, and systemic issues.

The Capability, Opportunity, Motivation, and Behaviour (COM-B) model was used to study the factors affecting the use of LARCs in Ethiopia. This model helps to understand why people do or do not adopt certain behaviors. The study looked at data from women, teenagers, and healthcare providers. It aimed to identify what makes LARCs acceptable and accessible to Ethiopian women.

One major barrier is the lack of knowledge about LARCs. Many women do not understand how these contraceptives work or their benefits. This lack of information makes it hard for women to make informed choices about their reproductive health. Another issue is the cost. LARCs can be expensive, and not all women can afford them. This financial barrier limits access to these effective contraceptives.

Social and cultural beliefs also play a significant role. In some communities, there is a stigma attached to using contraceptives. This stigma can make women hesitant to use LARCs, even if they want to. Additionally, healthcare providers may not always recommend LARCs. They might lack training or have their own biases, which can influence their advice.

The study also found that healthcare services are not always reliable. Women may face long waits or poor treatment when seeking contraceptive services. This can discourage them from using LARCs. Moreover, the quality of care can vary widely, affecting women's trust in these methods.

To improve the uptake of LARCs, it is essential to address these barriers. Education is key. Women need accurate information about LARCs to make informed decisions. Making LARCs more affordable can also help. This might involve subsidies or insurance coverage. Changing social attitudes and improving healthcare services are also crucial. Healthcare providers need better training and support to recommend LARCs effectively.

Ethiopia has made progress in family planning, but there is still much work to do. By understanding the barriers to LARC use, policymakers and healthcare providers can take steps to overcome them. This will help more women access reliable contraception and take control of their reproductive health.

Ethiopia's Struggle with Long-Term Birth Control

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