Current Status and Correlates of Modern Family Planning Utilization in Hard to Reach Ethnic Minorities: The Case of Gumuz, Northwest Ethiopia

Abstract

Cognizant of multifaceted challenge of unwanted pregnancy, Ethiopia strives to increase utilization of modern family planning across the nation. Therefore, update on the current status of family planning utilization especially in hard to reach ethnic minorities is critical. The objective of this study was to assess level, and correlates of modern contraceptive utilization in a hard to reach ethnic minorities. A community based study was conducted in Dangur District, Beneshangul Gumuz Regional State July, 2013. A total of 530 married women were included in the study. Structured questionnaire was data collection tool. Data was analysed using SPSS version 20 for windows. Possible association and their strength were measured using odds ratio at 95% CI. Family planning utilization was 18.7% while nearly 27% of study participants had ever used family planning methods. The following variables were predictors of family planning utilization: number of alive children [AOR: 3.31, 95% CI (1.41-7.20)], good knowledge [AOR: 2.18, 95% CI (1.35-3.52)] and positive attitude [AOR: 1.58, 95% CI (1.03-2.50)]. The most outstanding finding of this study was that more than 80% of study participants still believe that many children means high income, and nearly 60% of them believe that family planning utilization decreases confidence among couples. This study witnessed how successful Ethiopia is in addressing reproductive health service inequalities in hard to reach communities. However, misconceptions surrounding family planning, and culture associated desire to have large family size should be addressed in a culture sensitive manner so that this success would further bear fruits.