Background: High fertility and rapid population growth have an impact on the overall socio- economicrndevelopment of the country in general and maternal and child health in particular. Maternal and childrnmortality are two of the major health problems challenging health care organizations, especially inrndeveloping countries. The major role of family planning is reduction of maternal morbidity and mortalityrnby reducing the number of unwanted pregnancies that might otherwise end in abortion.rnObjective: To asses determinants of modern contraceptive utilization among currently married women ofrnage between 15 to 49 years in Hadiya zone Misha woreda, SNNPR, EthiopiarnMethods: A community based cross-sectional survey was conducted from April 1-30/2014. MultistagernStratified sampling technique was employed for the study. Simple random sampling was used to selectrnkebeles and households were selected by systematic sampling techniques. The collected data was enteredrnand analyzed using SPSS version 16.0 statistical packages. Crude and adjusted odds ratios from bivariantrnrnand multi-variant analyses were used to measure association between modern contraceptive usernand independent variables. P-value less 0.05 and 95% confidence interval was used to identify potentialrnassociated factors.rnResults: - In this study 591(98.8%) currently married women of reproductive age group werernparticipated. Almost all of the women who participated in the study 576(97.5%) heard of about modernrncontraceptive (MC). The current contraceptive prevalence rate in the woreda was found to bern208(23.8%). Among background characteristics, those positively associated with MC utilization duringrnmultivariate logistic analysis were urban residents 1.967 times more likely to utilize MC than theirrncounter part [AOR: 1.967 with 95% CI: (1.028, 3.763)]; Women of primary education were 5.139 timesrnmore likely to utilize MC compared to illiterate [AOR: 5.139 with 95% CI: (1.07, 21.885)] and havingrngood knowledge of MC 3.685 times more likely to use compared to poor knowledge of MC [AOR: 3.685rnwith 95% CI: (2.396-5.670)].rnConclusions and Recommendations: It is concluded from this study that MC utilization isrnpositively associated with urban residence, primary and secondary school achievement of women, havingrnradio, family income of 381-520 birr, and good knowledge of contraceptive methods were significantlyrnassociated with contraceptive utilization. The fear of side effects was one of the major reasons for therndiscontinuation and non-use of contraception among the study participants. Based on these findings,rnempowering and encouraging women education, Improve household economic activities, furtherrnqualitative and analytic study were recommended.