This study aimed to identify the priorities of the factors affecting family planning practices in Ethiopia, with the ultimate aim of providing evidence to the Ethiopian government and international organizations for establishing family planning policies or family planning-related project plans. Multi-stage, clustered, stratified random sampling was performed on a total of 35,479 men aged above 15 years and women of childbearing age (15–49 years) in two metropolitan cities and five regions of Ethiopia. The survey was conducted by face-to-face interview using Tablet PC, and 25,972 responses, excluding censored data were included in the final analysis. The collected data were first analyzed using the Pearson chi-square test, independent sample t-test, and F-test with the Tukey HSD method as a post-hoc. Second, a decision-making tree analysis was conducted to identify priority factors affecting the decision to implement family planning The primary factor affecting the family planning practice was 'spouse or sexual partner's support for family planning (P<.001)'. 'Region (p<.001)' was the second priority factor for both the group receiving 'support for family planning by spouse or partner' and the group not receiving it. The third priority factors appeared differed by region in both groups. It is necessary to establish family planning policy and program plans targeting both men and women, and participation of religious and community leaders is considered important in the establishment process. In addition, it is considered necessary to enhance the professionalism by dividing the education and evaluation process for HEW to provide high-quality counseling, education, and services on family planning at the community level. (Afr J Reprod Health 2023; 27 [5s]: 46-57).

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United Nations Department of Economic and Social Affairs,

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prospects 2022: Summary of results.

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(4), 59–74. doi: 10.1353/jda.2018.0064

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https://www.imf.org/external/datamapper/NGDPDP

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security in Ethiopia: A review. Journal of Food

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Security, 2021, 9(2), 30–41.

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Asfaw AA and Sime AT. Urbanization and environmental

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degradation in Ethiopia: Challenges and prospects.

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Journal of Environmental and Public Health, 2020,

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Article ID 7467958.

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https://doi.org/10.1155/2020/7467958

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Gebremedhin M, Tsegay G, Haile T and Gebreslassie M.

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Healthcare access and maternal and child health

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outcomes in Ethiopia: A systematic review and metaanalysis. International Journal of Healthcare

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Management, 2020, 13(3), 209–220.

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https://doi.org/10.1080/20479700.2018.1532051

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Federal Ministry of Health. (2021). Health Sector

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Transformation Plan (HSTP) II: 2020/21-2024/25.

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, 2023, from

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https://ethiopia.unfpa.org/en/topics/family-planning 10. United States Agency for International Development.

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(2014). USAID Forward: Progress on

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implementation.

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https://pdf.usaid.gov/pdf_docs/PA00Z64W.pdf

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Transparency portal. Retrieved from

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https://www.unfpa.org/data/transparencyportal/unfpa-ethiopia

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https://ethiopia.unfpa.org/en/topics/familyplanning-19

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https://data.worldbank.org/indicator/SP.DYN.TFRT

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.IN?locations=ET

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factors of modern contraceptive use in Ethiopia: a

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spatial and multilevel analysis. BMJ Open, 10, 2020

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e037532. doi: 10.1136/bmjopen-2020-037532.

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Ababa, Ethiopia and Calverton, MD: Central

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Statistical Agency and ICF International.

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Asresie MB, Fekadu GA and Dagnew GW. Contraceptive

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use among women with no fertility intention in

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United Nations, Department of Economic and Social

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Affairs, Population Division (2017). World

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Population Prospects: The 2017 Revision. New

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https://population.un.org/wpp/

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City Population. (n.d.). Ethiopia: Cities and Urban Centers.

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Retrieved March 24, 2023, from

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https://www.citypopulation.de/en/ethiopia/cities/

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Ahmed S, Li Q, Liu L and Tsui A. Maternal deaths averted

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by contraceptive use: An analysis of 172 countries.

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The Lancet, 380(9837), 2012, 111–125. doi:

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1016/S0140-6736(12)60478-4

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Fantaye AW and Yeneabat T. Family planning utilization

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and its association with religion among married

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women in Ethiopia. BMC Women’s Health, 2021,

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(1), 234. doi: 10.1186/s12905-021-01374-2

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Smith DA, Tadesse HA, Lulu K and Santillán D.

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Understanding barriers to men's support for family

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planning in rural Ethiopia-findings from the USAID

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Transform: Primary Health Care Project Gender

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Analysis. Reproductive Health, 2022, 19(Suppl 1),

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https://doi.org/10.1186/s12978-022-01384-z

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Central Statistical Agency (Ethiopia). (2017). Population

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projection of Ethiopia for all regions at wereda level

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from 2014–2017. Retrieved from

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https://www.statsethiopia.gov.et/populationprojection/

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Azanaw MM, Fentie DT, Bukayaw YA, Lakew AM and

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Sisay MM. Spatial distribution and determinant

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factors of unmet need for family planning among all

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reproductive-age women in Ethiopia: A multi-level

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logistic regression modeling approach.

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Contraception and Reproductive Medicine, 2022,

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(1), 1–14. https://doi.org/10.1186/s40834-021-

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-6

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World Health Organization. (2021). Aging and health.

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Retrieved from https://www.who.int/newsroom/fact-sheets/detail/ageing-and-health

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Medhanyie A, Spigt M, Kifle Y, Schaay N, Sanders D,

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Blanco R and Berhane Y. The role of health

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extension workers in improving utilization of

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maternal health services in rural areas in Ethiopia: a

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cross-sectional study. BMC Health Services

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Research, 2012, 12(1), 1–9.

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Sobhani Z, Behzadifar M, Martini M, Bragazzi NL and

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Behzadifar M. Critical appraisal of published

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systematic reviews concerning factors associated

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with colorectal cancer screening uptake. PloS one,

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, 15(2), e0228714.

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https://doi.org/10.1371/journal.pone.0228714

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Olu O, Muneene D, Bataringaya JE, Nahimana M-R, Ba

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H, Turgeon Y and Gathu B. How Can Digital Health

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Technologies Contribute to Sustainable Attainment

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of Universal Health Coverage in Africa? A

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Perspective. Frontiers in Public Health, 2019, 7, 341.

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doi: 10.3389/fpubh.2019.00341. PMID: 31803706

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Mamuye AL, Yilma TM, Abdulwahab A, Broomhead S,

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Zondo P, Kyeng M, Maeda J, Abdulaziz M, Wuhib

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T and Tilahun BC. Health information exchange

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policy and standards for digital health systems in

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Africa: A systematic review. PLOS Digital Health

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