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Intention to conceive is an integral part of\u00a0the reproductive health (RH) right and can be considered as decision making on fertility, family wellbeing and the country\u2019s population demographic dividend and composition. However, in low and middle income countries including Ethiopia where males dominance is culturally constructed and socially accepted, males took the lead in every decision making process. In the aforementioned context, women are less likely for their voices to be heard, hence, this study aimed at determining the level of womens\u00b4 emotional fertility readiness and its correlates. The finding provided actionable evidence for the ministry and developmental\u00a0partners working on\u00a0reproductive and womens\u00b4 health so as to be used as an action point to empower women in terms of their reproductive health right to have\u00a0control\u00a0over their fertility.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Linked community and facility data with nationally representation from Performance Monitoring for Action (PMA\u00a0Ethiopia) 2020 Survey Ethiopia except Tigray Region were used for this study. A total of 2,069 current and\/or recent contraceptive user women of child bearing age who are currently\u00a0married\/living together as a partner were included in this analysis. Frequency was computed to describe the study participant\u2019s characteristics. Generalized Ordered logistics regression modeling\u00a0was employed to identify correlates of the hierarchical variation in women fertility intention if they became pregnant. Results were presented in the form\u00a0of percentages and odds ratio with 95% Confidence Intervals. Candidate variables were selected using <jats:italic>p<\/jats:italic>-value of 0.25. Statistical significance was declared at <jats:italic>p<\/jats:italic>-value of 0.05.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The proportion of womens\u00b4 emotional fertility intention of feeling unhappiness was 48.73% (95%CI:\u00a046.21%, 51.23%). On the\u00a0contrary, 22.88%, 11.36% and 17.03% of them\u00a0reported that they felt sort of happy, very happy and mixed feeling. An increase in age,10 and above years marriage duration, the type of decision maker for contraceptive use were found to increase the odds of women emotional fertility intention across the higher level categories by (AOR: 95% CI: 6.75 (3.11, 14.62) times higher among elder women aged 35 to 49\u00a0years, (AOR: 95% CI: 3.79 (1.72, 8.31)\u00a0times higher\u00a0for women with a 10 or more years of\u00a0marriage duration;\u00a0and 1.83 (1.03,3.24) times higher for women whose contraceptive use was decided by the health care provide alone. A\u00a0higher birth order lowered the cumulative odds of womens\u00b4 emotional fertility intention symmetrically across the higher level categories by 86% (AOR: 95% CI: 0.14 (0.07, 0.29). Women who wanted to have additional child and whose nearest facility provided 5 or\u00a0more methods had an increased odds of\u00a0being in the higher level categories of women emotional fertility intention with disproportional association across the cumulative logit. Accordingly, women whose nearest health facility provided 5 or more methods had an 49% (AOR: 95%CI:1.49 (1.01, 2.19) increased likelihood of being in the mixed or happy\u00a0category than being\u00a0very\/sort of unhappy category of the emotional fertility intention while the number of methods had no significant association with emotional fertility intention at higher cumulative logit: 1.34 (0.87,2.10). Those who wanted to have an additional child had a 3.16 (2.28, 4.36) higher odds to be in the mixed or happy category than being in unhappy\u00a0category. Further, this tendency was even stronger at higher categories of emotional fertility intention: 4.83 (3.23, 7.23).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Nearly one in two women reported being\u00a0unhappy while 17.03% felt\u00a0mixed emotion calling up on intended and spaced pregnancies by ensuring women reproductive and economic empowerment to empower women to have control\u00a0over their fertility. Activities and efforts that promote intended\u00a0and spaced pregnancies; and diversifying access to contraceptive methods in the nearest health facilities are likely to improve women emotional fertility intention; and activities that enable women to decide their contraceptive as well. The finding that health care provider decides on\u00a0women current\/recent contraceptive use calls for activities to improve quality of contraceptive use counseling to enable women to\u00a0decide their contraceptive use\u00a0by the themselves while the access of diversified methods in the nearby health facility create an opportunity for women to obtain\u00a0the method they preferred to use and make them emotionally well. These activities are hoped to enable women to plan their fertility thereby increasing their emotional well-being. These activities and interventions need to be tailored across regions and need to be age sensitive.\n<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12889-024-19416-7","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T18:03:05Z","timestamp":1722362585000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Emotional Fertility Intention and its correlates in Ethiopia among married contraceptive user women: using linked community and health facility data from performance monitoring for action; a generalized ordered logistics regression modeling"],"prefix":"10.1186","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0758-7348","authenticated-orcid":false,"given":"Solomon Abrha","family":"Damtew","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6507-4428","authenticated-orcid":false,"given":"Mahari Yihdego","family":"Gidey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1790-7269","authenticated-orcid":false,"given":"Fitsum Tariku","family":"Fantaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3765-3617","authenticated-orcid":false,"given":"Niguse Tadele","family":"Atnafu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bezawork Ayele","family":"Kassa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hailay Gebremichael","family":"Gebrekidan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariku Tesfaye","family":"Bekuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aynaw","family":"Amogne","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelemua Mengesha","family":"Sene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8626-1305","authenticated-orcid":false,"given":"Tariku Dejene","family":"Demissie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"19416_CR1","doi-asserted-by":"crossref","unstructured":"Elizabeth K.Stierman P, Linnea A. 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