Determinants of modern contraceptive use among married women of reproductive age in ethiopia: a cross-sectional analysis of the 2019 Ethiopian mini demographic and health survey

Abstract

Abstract In Ethiopia, despite efforts to increase modern contraceptive use, prevalence remains relatively low. This study aimed to identify factors associated with modern contraceptive use among married women of reproductive age in Ethiopia. We performed a cross-sectional study analyzing 5,684 weighted samples using SPSS version 20. We employed logistic regression model to examine the association between sociodemographic factors and modern contraceptive use. The adjusted odds ratios and 95% confidence intervals (CI) were calculated. Among currently married women, 38.2% were using modern contraceptives. Injectable contraceptives were the most popular method (60.1%), followed by implants (23%), pills (6.7%), IUDs (5.4%), LAM (2.8%), and others (2.0%). Logistic regression analysis revealed that, women age 20–24 (AOR = 4.044, 95% CI: 2.883–5.674), urban residence (AOR = 1.32, 95% CI: 1.09–1.59), no education (AOR = 0.548, 95% CI: 0.419–0.718), no knowledge of modern contraceptive (AOR = 0.039, 95% CI: 0.014–0.107), and poor wealth index (AOR = 0.45, 95% CI: 0.38–0.53) were significant associated with modern contraceptive use. To enhance family planning in Ethiopia, interventions should increase access to diverse contraceptive methods, especially in rural areas. Community awareness initiatives and government programs can help individuals make informed reproductive health choices. Public education through media, community-based efforts, and effective counseling is also essential.