Abstract:
Background: The 2011 Ethiopia Demographic and Health survey shows that 25.3% of
women had unmet need for family planning, 16.3% for spacing and 9% for limiting. About
30% of currently married women living in the Oromia region have unmet need for modern
family planning. Compared to other regions, Oromia is at a stage where unmet need arises
because the change in attitudes is faster than the change in use of contraceptives. But the
prevalence as well as reason for unmet need for family planning, little is known, particularly
in Ginir woreda.
Objectives: The objective of the study was to assess the prevalence and associated factors of
unmet need for modern family planning among currently married women of reproductive age
group in Ginir woreda, Bale zone, Oromia regional state, southeast Ethiopia.
Methods: A community-based cross-sectional study design was employed using multistage
stratified sampling technique. Data were collected through face to face interviewing of 678,
currently married women in reproductive age group using structured questionnaire. The data
were entered, processed and analyzed using SPSS version 20.0.logistic regression analysis
were used to identify factors independently associated with unmet need for modern family
planning
Result: A total of 658 of currently married women of reproductive age group were included
in the analysis. Among them 216(32.8%) have unmet need for modern family planning.
Women who were resided in rural: AOR=3.8,95%CI, (1.183-11.276),who were not visited by
community based health worker: AOR=,2.3,95%CI, (1.045-5.288), women who had married
at age less than eighteen, AOR=3.3,95%CI,(1.072-6.228),women whose partner disapprove
family planning use AOR=2.3,95%CI,(1.055-5.056)were more likely to have unmet need for
family planning .Whereas, women who had discussed about family planning issues with their
husbands, AOR= 0.013; 95%CI, (0.001-0.176), who had favourable attitude towards family
planning, AOR=0.052; 95%CI, (0.020-0.132) were less likely to have unmet need for modern
family planning.
Conclusion: The overall unmet need for family planning was high. Place of residence, age at
first marriage, visited by health extension worker in the last 12 months, discussion about
family planning among couples, husband approved of family planning use and attitude toward
family planning were factors independently associated with unmet need for modern family
planning. Emphasis should be given to rural communities, empowering women and health
care providers visit should be strengthened.
