Prevalence of modern family planning service utilization and factors associate among model and non-model marred women in Chencha Zuria District, Southern Ethiopia, 2020: A community-based analytic cross-sectional study

Abstract

BACK GROUND: -The family planning coverage of Ethiopia is lower as compared most other countries in Sub-Saharan Africa. One of the strategies to improve the family planning utilization is the implementation of the health extension program particularly through training model families who are the most accepted and having credibility in the community. However, studies investigating whether the model families are performing well or not in comparison with non-model families are limited in the country. OBJECTIVE: -To Assess the prevalence of modern family planning services utilization and associated factors among married women from model and non-model families in Chencha Zuria Woreda, Gamo Zone, Southern Ethiopia, 2020 METHODS: -A community based comparative cross sectional was conducted from July 29 to August 18, 2020. By using systematic random sampling method a total of 480 sampled (240 Model family‟s and 240 Non-Model family‟s) married women were selected for face to face interview about modern family planning utilization. Before data collection, pre-testing was carried out outside the study area. Data were cleaned, coded and collected by using ODK version 1.26.2 then exported to (SPSS) version 21software for analysis. Bivariate and multivariable logistic regression was carried. Significance was declared by using p value of<0.05 and AOR with 95% confidence intervals. RESULT: - A total of 480 (240 from both model and non-model women) were participants in this study with the response rate 100%. The overall prevalence of modern current family planning utilization was 64% (95% CI (59.4, 68.3)) which was 79.8 %( 95% CI (74.2, 84.2)) in model family and 48.2% (95% CI (42.5, 55.4)) in non-model family. The prevalence of family planning use has significant difference between the model and non-model women with chi-square 50.83 with p-value 0.001.Good knowledge about modern family planning among model and non-model women [AOR:2.6, 95%CI (1.04, 4.4)] and [AOR:2.4, 95%CI (1.2, 4.8)] respectively, OPD waiting time less than 30 minute among model and non-model women[AOR; 3.4, 95% CI (1.6, 7.1 )] and[AOR; 2.6, 95% CI (1.3, 5.5 )] respectively, whereas women desired zero to two children among model women (AOR=8.2, 95%CI :2.9,23.4) and house hold who has high wealth index among non-model women[AOR: 3.9, 95% CI (1.2, 12)], were more likely use modern contraceptive. Conclusion: -The prevalence of modern family planning use among model families was higher than non-model families. Knowledge about modern family planning and OPD waiting time are associated factors among both group and desire number of children and wealth index are also factor associated among model and non-model women respectively. The district health office in general and the health extension workers, in particular, need to focus on model family training to make the most of the families model, improve the knowledge of the women on modern family planning by providing of health information dissemination on modern family planning, strengthen the provision of modern family planning service withhousehold visit to overcome the long waiting time at OPD.