Utilization and determinants of modern family planning among women of reproductive age group in Ethiopia: results from Integrated Family Health Program.

Abstract

Background: Family planning improves community health and wellbeing by helping women to space and/or limit the number of children they want until they are physically and financially prepared.
Objective: The aim of this study was to assess utilization and determinants of modern family planning among women of reproductive age in Ethiopia.
Methods: A cross-sectional household survey was conducted in four major regions of Ethiopia (Tigray, Amhara, Oromia and Southern Nations, Nationalities and Peoples (SNNP)) from April 28 to May 30, 2013. 2,404 women of reproductive age were interviewed Samples were selected using a two-stage stratified sampling process. Descriptive and logistic regression methods of analysis were used to analyze utilization of modern family planning and the factors associated with it.
Result: The mean age of respondents’ was 28.6 years (S.D=8.67). The most commonly used methods of family planning are injectable. Multivariable analysis showed that discussion with partner/husband about family planning practice in the last 6 months (AOR=6.1, 95%CI=4.73-7.81) and respondents knew health extension workers providing family planning services (AOR=1.57, 95% CI=1.23-2.01) were significantly associated with the use of modern family planning methods.
Conclusion: Results of this study revealed that the number of respondents who have discussed with husband/partner about family planning and respondents who knew the family planning service providers were high utilizers of modern family planning methods. Our findings also indicated that current use of modern family planning increases with women’s education, and creating a conductive environment for women’s education is critical. Additional efforts are required to promote modern family planning utilization, partner participation, and couple counselling for join to decision making to improve modern family planning use. 

Key words: Family planning, Modern methods, Utilization, Reproductive age, Partner discussion