Abstract
Background: The high fertility rate leading to the rapid growth of country’s population is a major hindrance towards the development of a nation. Sub-Saharan Africa has the highest fertility rate in the world, which is further promoted by the low utilization of contraceptive methods. Yet, many communities claim to have natural methods of family planning that pre-date the introduction of modern contraceptives, implying that contraception is a culturally acceptable norm.
 Objective: To Evaluate the Knowledge, Attitude and Practice towards Natural family planning among reproductive age women of Jimma town, Oromia, Ethiopia.
 Methods: Across sectional community based quantitative study was done in Jimma town, among reproductive age group women from February to March; 2020. A total of3 99 sample size is calculated using single population proportion formula with a proportion (P) of 50 %.Systematic random sampling technique issued to draw the study participants among the target population. The data was collected using structured questionnaire adapted from similar and the tools modified to fit the local context. The collected data was tallied and analyzed by using scientific calculator.
 Results: From the total of 399 respondents who responded the questionnaire Majority, 90% of women in Jimma town had a good level of knowledge of natural family planning methods. A positive attitude towards natural family planning methods was seen in (68%) of the respondents.
 Conclusion: A fair level of knowledge of natural family planning methods is seen among reproductive women in Jimma town, yet differences in knowledge of specific natural family planning methods exist. Therefore, physicians and other health care providers‟ limited knowledge of and experience with Natural family planning methods inhibits broader use as reproductive age women reported getting information about NFFP methods from health providers and friends, therefore, their level of knowledge will depend largely on the information received.
Highlights
Planning is the means by which individuals space the process of conception, pregnancy and childbirth at intervals mutually determined by both husband and wife in other to have the desired number of children that they can conveniently maintain
Our result shows that majority, 90% of women in Jimma town had a good level of knowledge of natural family planning methods which is contradicted with study stating that majority, 63% of respondents had a moderate level of knowledge of natural family planning methods study stating low level of awareness and low utilization of natural family planning methods among the African population [5,14,15]
In line with findings of this study was a research conducted by Ikechebeluet al. [19] in Maiduguri, Nigeria which shows a high level of knowledge among (80%) among study participants, contradicting this study Wilcox A Jet al reported a high level (95.8%) of awareness of family planning methods among the respondents but a lower knowledge of natural family planning methods by the few who practice family planning [20]
Summary
Planning is the means by which individuals space the process of conception, pregnancy and childbirth at intervals mutually determined by both husband and wife in other to have the desired number of children that they can conveniently maintain. Research studies show that only 20% of the world populations are using modern family planning methods about 96.5% have knowledge on family planning, indicating that the remaining population practice NFP methods or none at all. Objective: To Evaluate the Knowledge, Attitude and Practice towards Natural family planning among reproductive age women of Jimma town, Oromia, Ethiopia. Methods: Across sectional community based quantitative study was done in Jimma town, among reproductive age group women from February to March; 2020. Results: From the total of 399 respondents who responded the questionnaire Majority, 90% of women in Jimma town had a good level of knowledge of natural family planning methods. Conclusion: A fair level of knowledge of natural family planning methods is seen among reproductive women in Jimma town, yet differences in knowledge of specific natural family planning methods exist. Physicians and other health care providers‟ limited knowledge of and experience with Natural family planning methods inhibits broader use as reproductive age women reported getting information about NFFP methods from health providers and friends, their level of knowledge will depend largely on the information received
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