MODERN CONTRACEPTIVE USE AND ASSOCIATED FACTORS AMONG MARRIED ADOLESCENTS IN GORO DISTRICT SOUTHWEST SHEWA ZONE, ETHIOPIA

Abstract

Background: Modern contraceptives are a key intervention to improve the health of both the mother and children by preventing unintended pregnancy. Despite low use of modern contraceptive and its consequence among married adolescent girls in Ethiopia, the studies conducted on prevalence and associated factors of modern contraceptive use among married adolescent girls were limited. No study was conducted on the prevalence and associated factors of modern contraceptive use in the study area. Thus, this study aimed to assess family planning utilization and associated factors among married adolescents. Objective: The study aimed to assess prevalence of modern contraceptive use and its associated factors among married adolescents in Goro district, southwest Shewa zone, Oromia, Ethiopia, from March 15 - 30, 2023. Method: A community based cross-sectional study design was employed among randomly selected 421 married adolescents in Goro district. Data was collected using a structured interviewer administered pretested questionnaire. Descriptive statistics was done to characterize the study population using different variables. Binary and multi-variable logistic regression models used to determine factors associated. Result: A total of 414 married adolescents were involved, making a response rate of 98.3%. The prevalence of modern contraceptive use among married adolescents in the study area was 126 (30.4%) (95%CI: 25.8%, 34.5%). Desire to have a child after two years (AOR=5.45, 95%CI: 1.43, 20.73), husband support to use contraceptive methods (AOR=3.20, 95%CI: 1.65, 6.23) and receiving advice on family planning during health facility visit in the last 12 months (AOR=7.03, 95%CI: 3.19, 15.53) were significantly associated with modern contraceptive use. Conclusion: This study revealed that the prevalence of modern contraceptive use among married adolescents in the study area was relatively lower. The factors that were significantly associated with modern contraceptive use among married adolescents were desired to have child after 2 years, having husband support to use contraceptive methods and receiving advice on family planning during health facility visit in the last 12 months. Therefore, it is important to focus on these factors to increase modern contraceptive use among married adolescents