Abstract
Background: Family planning services are an essential part of reproductive health care and it is among the top internationally agreed interventions of safe motherhood that enable developing countries achieving millennium development goals through increasing its use thereby decreasing maternal and child mortality and morbidity. Family planning service enables couples to decide the number and spacing of their children which is crucial to safe motherhood and healthy families. While the use of modern contraceptive methods has increased globally to 55%, many of the developing countries are still experienced with low utilization of modern contraceptives. Sub-Saharan African countries have the lowest contraceptive use in which only 17% of women in reproductive age group use modern contraceptives methods. Studies were also conducted elsewhere in different countries to identify factors influencing the utilization of family planning services and have identified socio cultural, socio economic, reproductive and facility related factors affecting the utilization. Despite these efforts made, still the utilization of modern family planning is very low in developing world and sub-Saharan countries particularly in Ethiopia. So that conducting this study in Alle, Darimu, Hurumu, Didessa districts and Bedelle town, Ilu Aba Bora Zone is mandatory to get factors affecting modern contraceptive use since no study was conducted on similar topic. Methods:- A community based cross-sectional study design was conducted in Ilu Aba Bora Zone, Oromiya region, south-West Ethiopia from February to March 2014. Reproductive age women (15-49 years), currently married were participated in the study. Structured interviewer administered questionnaire were used to collect the data which is developed after reviewing different relevant literatures and similar studies. Data were entered, cleaned (explored) for outliers, missed values and missed variables were analyzed using SPSS version 20. Different frequency tables, graphs and descriptive summaries were used to describe the study variables. Bivariate analyses were performed to see the existence of association between dependent and independent variables. Results: - Six hundred fifteen married women were included in the study with a response rate of 92.2%. Majority of the women 467(79%) are using modern family planning. From this more than half of the women 392 (84.3%) are Depo-Provera users whereas 50(10.8%), 18(3.9%) and 4(1%) are Norplant, pills and IUCD users respectively. Multiple logistic regression analysis shows that modern family planning was significantly associated with residence of the respondents in which those who live in urban has 29% more likely to have history of using (AOR/95%CI =0.29/ .150-.54/0.001) than who live in rural area. Conclusion and recommendations:- in the zone modern contraceptive methods use among currently married women of reproductive age group is high. However, women’s demand for more children has a negative effect on the use of modern contraceptive methods.so community awareness about modern contraceptive family planning methods and family size is important.
