Abstract:
Background: According to the 2007 census, Ethiopia’s population is increasing by (2.6%) about
two million each year and if this rate of growth continues, it is estimated that the population of the
country will double every 27 years. Even though efforts are under way to expand reproductive
health services including family planning, still (25%) of currently married women have an unmet
need for family planning. In Oromiya region the unmet need for family planning is (30%) which is
in line with high total fertility rate (5.6) and low modern family planning coverage (24.9%). After
the government has introduced health extension program which focus on model family training, the
outcome of this program in utilization of modern family planning is not assessed.
Objective:The study was aimed to assess utilization of modern family planning and factors affecting
its use among model and non-model family women of reproductive age in Shashamane town.
Methods: A community based comparative cross-sectional study involving quantitative data
collection was employed from February to March, 2013. Data were collected using a pre-tested
structured questionnaire by diploma nurses from a sample of 672 (337 model and 335 non model
family women) which was selected by simple random sampling. The collected data were entered to
Epi Data and exported to SPSS version 20 for analysis. Descriptive statics, bivariate and
multivariate analysis was performed .The results were presented in texts, tables and figures.
Results: Current modern family planning practice was 71.8% and 61.8% among model and nonmodel family women respectively. Model family women were 1.8 times more likely than nonmodel
family women to utilize modern family planning method (AOR=1.77,95%CI=1.017,3.085).Among
model family women independent predictors of modern family planning use were age (AOR=2.9,
95%CI=1.199, 6.947) and discussion with husband (AOR=4.4, 95%CI = 1.708, 11.076). Age range
of26-34(AOR=3.3,95%CI=1.867,8.971), discussion with husband (AOR=2.8, 95%CI=1.479 ,5.454)
,approval of family planning use by relative(AOR=1.6 ,95 % CI=1.070 ,2.548)and husband (AOR=
4.2 ,95%CI=1.415, 12.497) were independent predictors of modern family planning method
utilization among non-model family women.
Conclusion: There is relatively high level of modern family planning utilization in the study area,
with differences between model and non-model family women. Model family women were better in
utilization of modern family planning than non-model family women and factors affecting the
utilization of modern family planning were different among model and non-model family women.
