Abstract:
Background: Demand for long acting and permanent contraceptive method is one of the key factors that determine the fertility and the reproductive health of the women. These demand for x LAPM was not consistent with and the utilization of LAPM. Objective: - to assess demand for LAPM and associated factors among married women visiting Assosa governmental health institution for family planning service. Method: - institutional based cross sectional study were conducted to assess demand for LAPM and its associated factor from April 12-May 10/2019 for total of 251 sample size. For the qualitative study, in-depth interview was conducted on purposively selected key informant. The collected data were entered into Epi info- 7 and the data were cleaned and analyzed by SPSS 24. Bivariate and multivariable analysis was used to identify the association between dependent and independent variable. The variable having p value=<0.2 were entered in to multivariate regression and selected variable in multivariate at p<0.05 were declared as having significant association and AOR with 95% CI was used to measure the degree of association. RESULT: - the demand for LAPM at the study area was 158 (62.9 %). Awareness about LAPM (AOR=2.503 95%CI =1.188-5.2274), knowledge of LAPM (AOR=2.62, 95%CI =1.295-5.299), previous utilization of LAPM (AOR= 3.369, 95%CI =1.805-5.291) and couple discussion about any LAPM (AOR=2.067, 95% CI =1.027-4.163) were associated with demand for LAPM. Fear of the side effect was the main reason for non-utilization of LAPM. Conclusion: - demand for LAPM was not consistent with the utilization. The finding shows that, 62.9% of the respondent had demand for LAPM. Recommendation: It needs to do more on the limiting factors to utilize LAPM.so MOH, RHB, the institution manager together with health care provider and different NGO work more to meet the increasing demand for LAPM.