Prevalence and Associated Factors of Modern Contraceptive Utilization among Married Women in Reproductive Age Group in Misha Woreda Hadiya Zone, South Ethiopia

Background: The continuing growth of the world population has become an urgent global problem. Ethiopia, like most countries in sub-Saharan Africa, is experiencing rapid population growth at a rate of 2.6%. Promotion of family planning in countries with high birth rates has the potential to reduce poverty and hunger and avert 32% of all maternal deaths and nearly 10% of childhood death. Objective: To estimate prevalence and associated factors of modern contraceptive utilization among married women in reproductive age group in Misha Woreda Hadiya Zone, South Ethiopia. Methods: A community based cross-sectional survey was conducted from May to June 2013. Multistage Stratified sampling technique was employed for the study. I interviewed 581 currently married women of reproductive age group (15-49) years. The collected data was entered and analyzed using EPI-INFO version 3.5 and SPSS version 16.0 statistical program. Crude and adjusted odds ratios from bi-variant and multi-variant analyses were used to measure association between modern contraceptive use and independent variables. Results: The prevalence of modern contraceptive method was 23.924% with 95% CI (0.205%,0.273%). Final multiple logistic regression analysis showed that residence [(OR 2.86 with 95% CI (1.13,7.28)], possession of radio [(OR 3.43 with 95% CI (2.07,5.68)], income [(OR 5.00 with 95% CI (2.11,11.85)], knowledge [(OR 4.92 with 95% CI (3.05,7.93)] and communication with their partners [OR 3.3 with 95% CI (1.36,9.66)] were found significantly associated with utilization of family planning methods. Conclusion: The utilization of modern contraceptive method was low. Contraceptive utilization was associated with some socio-economic, socio-demographic and socio-psychological factors like age, residence, family monthly income, knowledge and spousal communication. It is also associated with different sources of information. Recommendation: One to five health development armies should be strengthen by Woreda health office, health facilities and health posts to improve modern contraceptive use to achieve Millennium development goals.