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istory of abortion (AOR = 0.56, 95% CI 0.39-0.8, and living in the pastoralist community (AOR = 0.22, 95% CI 0.14-0.35) reduced the odds of LACs utilization in Ethiopia CONCLUSIONS Significant geographic variation of LACs utilization was observed in Ethiopia. Spots with Low LACs utilization were found in the eastern, north eastern and western part of the country. Socio-demographic and pregnancy related factors were significant determinants of LACs utilization. Designing intervention programs targeting the identified hot spot clusters,