Unmet need for modern family planning methods and Associated factors among currently married women Of reproductive age group in ginir woreda,southeast Ethiopia

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.