Abstract:
Background. Studies conducted to date in Ethiopia did not explore the spatial distribution, individual-level, and community-level
factors affecting women’s nonautonomy on decision to use contraceptives. Hence, this study aimed to assess the spatial distribution of women’s nonautonomy on decision regarding contraceptive utilization and its determinants in Ethiopia. Methods.
Data were accessed from the Demographic Health Survey program official database website (https://dhsprogram.com). A
weighted sample of 3,668 married reproductive-age women currently using contraceptives was included in this analysis. Bayesian
multilevel logistic regression models were fitted to identify the determinants of women’s nonautonomy on contraceptive utilization. Adjusted odds ratio with 95% credible interval was used to select variables that have a significant effect on nonautonomy
on contraceptive utilization. Results. A high proportion of women with nonautonomy on decision regarding contraceptive
utilization was found in northern parts of Southern Nations, Nationalities, and People’s Region, Southern parts of Oromia, and
Benishangul-Gumuz regions of the country. Overall, 2876 (78.40% (95% CI: 77.0%, 79.7%)) women were nonautonomous on
decision regarding contraceptive utilization. In the final model, age from 35–49 (AOR (95% CI) � 0.63 (0.54, 0.72)), living in the
richer households (AOR (95% CI) � 0.12 (0.03, 0.26)), being married at 18 years or above (AOR (95% CI) � 0.33 (0.19, 0.57)), and
residing in an rural areas (AOR (95% CI) � 1.34 (1.01, 1.71)) and metropolitan regions (AOR (95% CI) � 0.71(0.54, 0.91)) were
associated with women’s nonautonomy on decision regarding contraceptive utilization. Conclusions. In Ethiopia, the spatial
distribution of women’s nonautonomy on decision about contraceptive utilization was nonrandom. More than three-fourths of
married reproductive-age women in Ethiopia are nonautonomous on decision regarding contraceptive utilization. Region,
residence, current age, age at marriage, and wealth index were statistically associated with women’s nonautonomy on decision
regarding contraceptive utilization
