Utilization of modern contraceptive methods and associated factors among postpartum women in Ambo rural district, Ethiopia, 2021: A cross-sectional study

Background: The first year after a woman has given birth is crucial for use of contraceptives even though many women do not realize that they are at a risk for pregnancy and contraceptive use is low during this period. This study was conducted to assess the utilization of modern contraceptives and associated factors among postpartum women in Ambo rural district, central Ethiopia. Methods A community-based cross-sectional study involving randomly selected 394 postpartum women was conducted from May 20, 2021 to June 10, 2021. Data were collected through interview, entered into EPI Data version 3.1, and analyzed by SPSS version 25.0. Adjusted odds ratios with 95% confidence intervals were computed using multivariable binary logistic regression and p < 0.05 was used to declare statistical significance. Results The prevalence of postpartum modern family planning was 72.5% (95% CI: 68%, 77%). It was significantly associated with women's self-decision making (AOR = 6.43, 95% CI: 1.98, 20.90), counseling on family planning during antenatal (AOR = 9.71, 95% CI: 3.83, 24.61), visiting health facility after delivery (AOR = 5.24, 95% CI: 2.32, 11.84), ever heard modern contraceptives (AOR = 5.17, 95% CI: 1.88, 14.23), perceived partner approval (AOR = 4.31, 95% CI: 1.62, 11.47), and the lowest income (AOR = 0.12, 95% CI: 0.02, 0.68). Conclusions The utilization of modern postpartum family planning in Ambo rural was promising. Therefore, family planning providers should strengthen making awareness of the women and counseling of their partners integrated with other services at a continuum of points of contact.