Abstract

Ethiopia is one of the most populous countries in Africa with high fertility and fast growth rate. Still, Modern contraceptive use persists to be low in most African countries where fertility, population growth, and unmet need for family planning are high. In Ethiopia, though there is an evidence of increased overall contraceptive prevalence, a substantial effort remains behind. The aim of this study was to assess the prevalence of modern contraceptives method utilization and its associated factors among women of reproductive age groups at Boditi town, Wolayita zone, SNNPR, Ethiopia. A Community based cross sectional study designs were employed on 388 sampled women of reproductive age groups in Boditi town in 2017. From the 9 kebeles, four kebeles were randomly selected using simple random sampling method. Data were collected by face to face interview by using semi-structured. Data-entry, cleaning and statistical analysis was done using Version 21 SPSS software. Multivariable logistic regression analysis was performed to identify the factors which affect the dependent variable. In this study a total of 388 reproductive age women were participated with response rate of 92%. The mean age of the study participants were 27 years (±SD 7.46). The majority of respondents (63.7%) were married. Almost all, 99% of the respondents have ever heard about modern contraceptives at least one method. Among these, the most commonly used modern contraceptive method was injectable (84.3%), and followed by pills (80.2%). The majority of the respondents (62.4%) have ever used a method. Currently use of modern contraceptive was 48.2%; among these the injectable was the most commonly used method. Multivariable logistic regression analysis showed that women who are attended primary school (AOR=8.95, 95%CI (3.64-22.03)) and attended tertiary school (AOR=5.11, 95%CI (1.04-25.02)), Women with three up to five children (AOR=8.95, 95%CI (3.64-22.03)), Women with six up to seven children were 8 times (AOR=7.51, 95%CI (2.58-21.87)) and Women who have eight and above children (AOR=5.11, 95%CI (1.04-25.02)) were the factors associated with modern contraceptives utilization. The study showed that forty eight percent of reproductive age women were currently used modern contraceptive. Education and number of children were statistically significant with modern contraceptives utilization. Promoting women education and limiting number of children are very important in the community at large.

Highlights

  • Contraception is defined as the intentional prevention of conception through the use of various devices, sexual practices, chemicals, drugs, or surgical procedures

  • In this study 388 Reproductive age group women were participated with response rate 92%

  • This study was identified the prevalence and factors associated with modern contraceptives utilization among Reproductive age group in Boditi town

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Summary

Introduction

Contraception is defined as the intentional prevention of conception through the use of various devices, sexual practices, chemicals, drugs, or surgical procedures. Planning includes both fertility inhibition and fertility stimulation. Any device or act whose purpose is to prevent a woman from becoming pregnant can be considered as a contraceptive. The United Nations Population Fund (UNFPA) says that modern contraceptives prevent unintended pregnancies, reduce the number of abortions, and lower the incidence of death and disability related to complications of pregnancy and childbirth [3]. Contraceptive methods classified into traditional and modern traditional method includes Coitus Interrupts or withdrawal which involves withdrawal of penis from the vagina just before ejaculation, lactational amenorrhea method, rhythm method, and etc.

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