Introduction: Despite increase in trend of modern contraceptive use in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study showsvaration in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia.Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods:In this study cross-sectional study design was conducted using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years.Geographical variation assessed by Spatial analysis using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization among young married women. Determinant factor for modern contraceptive use were analyzed using a two level-mixed-effects logistic regression model which include both the individual and community level factors.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group between 15-24 years was 36.7 %. Geographical varaition asessed by spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand,Gettis-OrdGi* analysisindicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalencespot region. In this study religion, respondent working status, number of living children, husband desire more children, region, community mas media exposure and community educational level were statically significant variables for modern contraceptive utilization among young married women.Conclusions: There is low prevalence of modern contraceptive utilization among young married women and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategythat focus particularly for young population segment. Therefore, exerting much effort on all of this area is supreme important as it has significant public health contributions.

Background In Ethiopia high population growth and unintended pregnancies are posing pressures where the economy is incapable of holding overpopulation. Despite this problem, utilization of modern contraception is low in rural areas of the country, especially in the areas where polygamy is common. Therefore, this study was conducted to assess contraceptive utilization and associated factors among polygamous and monogamous women in, Ethiopia. Method A community-based comparative cross-sectional and phenomenological study design was employed from July 1 to September 30, 2021, on the total sample size of 774 selected married women of the reproductive age group by using a multistage sampling method and a purposive sampling method were used for the qualitative part of the study. A pre-tested interview with a structured questionnaire was used to collect data and key informants were interviewed using semi-structured questionnaire. Associated factors were analyzed by using bivariable and multivariable binary logistic regression models. The odds ratio, with a 95% confidence level, was used to declare a statistically significant association. Result A total of 703 married women of the reproductive age groups were interviewed, yielding a 90.89% response rate; among these married women, 352 and 351 were in monogamous and polygamous relationships. The proportion of women who use modern contraceptives was 161 (45.7%) in monogamous relationship, and 151 (43.0%) in polygamous relationships. Overall, utilization of modern contraceptives was significantly associated with educational status (AOR = 2.143, CI:1.428–3.216), religion (AOR = 1.704, CI: 1.144—2.539), undesired fertility (AOR = 3.17,CI:1.939–5.183), who decides on the number of children (AOR = 3.054, CI:1.93–4.832), getting clear information by Health care provider (AOR = 4.624, CI:3.132–6.828), family pressure (AOR = 1.855, CI:1.351–2.75), fear of social stigma (AOR = 2.482, CI:1.666–3.699), and accepts myths about contraceptives (AOR = 1.878, CI:1.278–2.761). Conclusion This study identified that utilization of modern contraception was low in the study area. The district health office and concerned stakeholders should implement interventions that scale up contraceptive use, need family involvement in decision making, addressing myths around contraceptives, helping women to get education, and training of health care providers.

Background: - Ethiopia is one of the most populated countries in Africa with a high fertility rate. High population growth and unintended pregnancies are posing pressures where the economy is incapable of holding overpopulation. Despite this problem, utilization of modern contraception is low in rural areas of the country where most of the population resides, especially in the areas where polygamy is common. Understanding modern contraceptive use and the unmet need for family planning is important to changes in fertility and improving reproductive health worldwide. Therefore, this study was conducted to assess contraceptive utilization and associated factors among polygamous and monogamous women in worebabo woreda, South Wollo Zone, Ethiopia. Method: - A community-based comparative cross-sectional study design was conducted on the total sample size of 774 selected married women of the reproductive age group by using a multistage sampling method. A pre-tested interview with a structured questionnaire was used to collect data. Determinant factors were analyzed by using bivariable and multivariable binary logistic regression models. The odds ratio, with a 95% confidence level, was used to declare a statistically significant association. A phenomenological study design and a purposive sampling method were used for the qualitative part of the study. Result: - A total of 703 married women of the reproductive age group were interviewed, among these married women, 352 and 351 were in monogamous and polygamous relationships. The proportion of women who use modern contraceptives was 161 (45.7%) in monogamous relationship, and 151 (43.0%) in polygamous relationships. Overall, utilization of modern contraceptives was significantly associated with the educational status of the respondent, respondent type of religion, desire time for other children, who decides on the number of children, getting clear information by Health care provider, family pressure to use of modern contraceptive, fear of social stigma, and accept myths about contraceptives. Conclusion: - This study identified that utilization of modern contraception is low in the study area. Healthcare programmers at federal, regional, zonal, and woreda levels by collaborating with other partners should initiate new initiatives or interventions that target cultural and social relationships to encourage the utilization of modern contraceptive methods.

Introduction: Despite increase in trend of contraceptive utilization in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study shows varation in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia. Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods: Cross-sectional study design was applied using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years. Spatial analysis was done using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization. The data were analyzed using a two level-mixed-effects logistic regression model to determine the individual and community level factors associated with modern contraceptive utilization.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group 15-24 years was 36.7 %. Spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand, Gettis-OrdGi* analysis indicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalence spot region. In this study religion, respondent working status, partner occupation, number of living children, husband desire more children, region, community mas media exposure and community educational level were statically significant variables for modern contraceptive utilization among young married women.Conclusions: There is low prevalence of modern contraceptive utilization and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategy. Therefore, exerting much effort on this area is supreme important as it has significant public health contributions.

Introduction: Despite increase in trend of contraceptive utilization in worldwide it was still low in developing country. In Ethiopia modern contraceptive utilization among young married women was low which shows gaps between women reproductive desire to avoid pregnancy and contraceptive behavior. This study shows varation in modern contraceptive utilization and factor associated with it among young merried age group between 15-24 years in Ethiopia. Objective: The aim of the study was to assess the geographical varation of modern contraceptive utilization and associated factor among young married women aged between 15- 24 year in Ethiopia. Methods: Cross-sectional study design was applied using Ethiopia demographic and health survey 2016 data. The sample size was 2298 young married women aged between 15-24 years. Spatial analysis was done using spatial autocorrelation Moran’s I, Gettis-OrdGi* and spatial scan statics to identify significant clusters of modern contraceptive utilization. The data were analyzed using a two level-mixed-effects logistic regression model to determine the individual and community level factors associated with modern contraceptive utilization.Result: In Ethiopia, prevalence of modern contraceptive utilization among young married women age group 15-24 years was 36.7 %. Spatial scan statistics identified primary clusters of modern contraceptive utilization were all zone of Amhara, Addis Ababa and Shewa. In other hand, Gettis-OrdGi* analysis indicated zone 1 of Afar region, Borena zone of Oromia region and all zone of Somalia regions were low prevalence spot region. In this study religion, wealth index, religious, health facility visits within 12 months, husband desire more children, perception of distance from health facility, region, Community access to health services and community educational level were statically significant variables for modern contraceptive utilization.Conclusions: There is low prevalence of modern contraceptive utilization and it was varied across zone of Ethiopia. High and low prevalence spot area, most likely cluster, community and individual level factor associated with modern contraceptive utilization is identified which is important to prioritize family planning strategy. Therefore, exerting much effort on this area is supreme important as it has significant public health contributions.