Abstract

This study examined and identified the determinants of modern contraceptive use among fertile women in Debark district. In order to meet the objective descriptive, multiple logistic regression and multilevel logistic regression statistical techniques were used for data analysis. The results of multiple logistic regressions showed that health center, place of residence, marital status, access to media, environmental condition, frequency of modern contraceptive use, type of modern contraceptive and HIV test are significant determinant factors of modern contraceptive use in Debark districts. The results of multilevel logistic regression analysis showed that the random intercept and the fixed coefficient model provided the best fit for the data under consideration. The variance of the random component related to the intercept term was found to be statistically significant, implying differences in the distribution of modern contraceptive use in the health center. It also found that place of residence, marital status, environmental conditions, access of media, frequency of modern contraceptive use, type of modern contraceptive and HIV test were significant determinant factors of distribution of modern contraceptive among health center. Key words: Determinants, modern contraceptive use, debark.

Highlights

  • In Eastern and Southern Africa, injections and implants are the most popular methods, accounting for over 40% of contraceptive (Giusti and Vignoli, 2016)

  • Higher short-term modern contraceptive use occurred in a woman who resides in an urban area (53.3%) as compared to women who reside in rural areas (38.6%)

  • The study identified that demographic, socioeconomic, environmental and health-related variables have an important effect on determinants of modern contraceptive use in Debark district

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Summary

Introduction

In Eastern and Southern Africa, injections and implants are the most popular methods, accounting for over 40% of contraceptive (Giusti and Vignoli, 2016). Variable Place of residence Marital status Environmental condition HIV test. Representation of variables x1 X 2 x4. Categories 0=Urban, 1=Rural 0=Married, 1= Unmarried 0=Cool, 1= Tropical 0=No, 1=Yes. Frequency of modern contraceptive use x5. Access of media x6 0=No, 1=Yes. Health center name 0=Dibbahir, 1=Adigagira, 2=Dawe, 3=Abayseqar, x7

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