title: Differentials of modern contraceptive methods use by food security status among married women of reproductive age in Wolaita Zone, South Ethiopia.
abstract: BACKGROUND
  In spite of the massive spending and extensive family-planning promotion, many poor people in the third world remain reluctant to use modern contraceptive method. Mostly when they use modern contraceptives, their continuation rates are often low. Reproductive health can improve women's nutrition; in return better nutrition can improve reproductive health. Thus addressing the connection between nutrition and reproductive health is critical to ensure population growth that does not overwhelm world resources.
  
  
  METHODS
  A community based cross-sectional study was conducted from March 15-30, 2014 in Soddo Zuria Woreda, Southern Ethiopia. A total of 651 currently married women of reproductive age group were selected using multistage sampling. Probability proportional to the size allocation method was employed to determine the number of households. Multivariable logistic regression was used to assess the association between family planning use and food security status after adjusting for other covariates.
  
  
  RESULTS
  Use of modern contraceptive method was significantly low among food insecure women (29.7 %) compared to those who were food secure (52.0 %), (P < 0.001). Women from food secure households were nearly twice likely to use modern contraceptive methods (AOR: 1.69 (CI: 1.03, 2.66)). Similarly, those who had antenatal care (ANC) visit (AOR: 4.56 (CI: 2.45, 7.05)); exposure to media (AOR: 4.92 (CI: 1.84, 13.79)) and those who discussed about contraceptive methods with their partner (AOR: 3.07 (CI: 1.86, 5.22)) were more likely to use modern contraceptive methods. Conversely, women who delivered their last child at home were less likely to use modern contraceptive methods (AOR: 0.08 (CI: 0.03, 0.13)).
  
  
  CONCLUSIONS
  Food insecurity is negatively associated with modern contraceptive method use. Thus food insecurity should be considered as one of the barriers in designing family planning services and needs special arrangement.
authors.affiliation: Department of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Feyisso
authors.affiliation: Department of Population and Family Health, Jimma University, Jimma, Ethiopia.
authors.forename: Tefera
authors.initials: T
authors.lastname: Belachew
authors.affiliation: Department of Population and Family Health, Jimma University, Jimma, Ethiopia.
authors.forename: Amanuel
authors.initials: A
authors.lastname: Tesfay
authors.affiliation: Department of Public Health, College of Health Sciences and Medicine, Dilla University, Dilla, Ethiopia.
authors.forename: Yohannes
authors.initials: Y
authors.lastname: Addisu
keywords: Currently married women; Food insecurity; Modern family planning; Soddo Zuria woreda