Abstract

This study examined and identified the determinants of modern contraceptive use among fertile women in Debark district. In order to meet the objective descriptive, multiple logistic regression and multilevel logistic regression statistical techniques were used for data analysis. The results of multiple logistic regressions showed that health center, place of residence, marital status, access to media, environmental condition, frequency of modern contraceptive use, type of modern contraceptive and HIV test are significant determinant factors of modern contraceptive use in Debark districts. The results of multilevel logistic regression analysis showed that the random intercept and the fixed coefficient model provided the best fit for the data under consideration. The variance of the random component related to the intercept term was found to be statistically significant, implying differences in the distribution of modern contraceptive use in the health center. It also found that place of residence, marital status, environmental conditions, access of media, frequency of modern contraceptive use, type of modern contraceptive and HIV test were significant determinant factors of distribution of modern contraceptive among health center.

Key words: Determinants, modern contraceptive use, debark.

Abbreviation

AIC/BIC, Akaike/Bayesian information criterion; ACSA, Central Statistical Agency; E/DHS, Ethiopian/ Demographic and Health Survey; FGAE, Family Guidance Association of Ethiopia; FHD, Family Health Department, HIV/AIDS, human immune virus/acquired immune deficiency syndrome; ICC, intra class correlation coefficient; MDGs, millennium development goals; NGO, non-governmental organizations; SPSS, Statistical Package for Social Science; SSA, Sub-Saharan Africa; UNICEF, United Nation Children’s Fund; USAID, United States Agency for International Development; WHR, World Health Report; LAPMCs, long acting and permanent method   contraceptive; DHS, Demographic Health Survey Agency; UNFPA,  United Nations Family Planning Agency; DEPO, Depo-Provera; POP, progesterone only pill; COC, combined oral contraceptive.