Discontinuation of Reversible Long-Acting Contraceptive and Associated Factors among Female Users in Health Facilities of Hawassa City, Southern Ethiopia: Cross-Sectional Study.
discontinuation
factors
reversible long-acting contraceptives
Journal
Open access journal of contraception
ISSN: 1179-1527
Titre abrégé: Open Access J Contracept
Pays: New Zealand
ID NLM: 101700100
Informations de publication
Date de publication:
2020
2020
Historique:
received:
02
05
2020
accepted:
05
08
2020
entrez:
18
9
2020
pubmed:
19
9
2020
medline:
19
9
2020
Statut:
epublish
Résumé
Despite improvement in the availability and use of reversible long-acting contraception, discontinuation is becoming a public health concern. A significant proportion of women discontinuing the service before its due date, which is of concern in the health system with regard to its consequences, may lead to a program failure. In addition, there is a paucity of information on discontinuation of reversible long-acting contraceptives and associated factors in the study area. Therefore, this study aimed to assess discontinuation of reversible long-acting contraceptives and associated factors among female users in health facilities of Hawassa city, southern Ethiopia, 2019. Institution-based cross-sectional design was used. Systematic sampling was used to select study participants. Women who were users of long-acting contraceptives and had come to selected health facilities for method-related reasons were included in the study. Data collectors approached and recruited participants before they contacted their care providers. Data were collected from study subjects using a pretested, structured questionnaire through face-to-face interviews after participants had contacted care providers. Results are presented using the crude and adjusted ORs with corresponding 95% CIs. The overall proportion of reversible long-acting contraceptive discontinuation was 56.6% (95% CI 52.30%, 61.10%). Maternal education at primary level (AOR 2.33, 95% CI 1.15-4.74), lack of counseling (AOR 2.50, 95% CI 1.01-6.18), side effects (AOR 2.10, 95% CI 1.31-3.34), and desire to be pregnant (AOR 2.22; 95CI 1.50-3.30) were the major factors in discontinuation. In this study, the overall proportion of discontinuation of reversible long-acting contraceptives was high. Maternal education at primary level, lack of counseling, side effects, and desire to be pregnant were the key factors associated with discontinuation of the contraceptives. Health professionals should provide counseling on the side effects before insertion.
Sections du résumé
BACKGROUND
BACKGROUND
Despite improvement in the availability and use of reversible long-acting contraception, discontinuation is becoming a public health concern. A significant proportion of women discontinuing the service before its due date, which is of concern in the health system with regard to its consequences, may lead to a program failure. In addition, there is a paucity of information on discontinuation of reversible long-acting contraceptives and associated factors in the study area. Therefore, this study aimed to assess discontinuation of reversible long-acting contraceptives and associated factors among female users in health facilities of Hawassa city, southern Ethiopia, 2019.
METHODS
METHODS
Institution-based cross-sectional design was used. Systematic sampling was used to select study participants. Women who were users of long-acting contraceptives and had come to selected health facilities for method-related reasons were included in the study. Data collectors approached and recruited participants before they contacted their care providers. Data were collected from study subjects using a pretested, structured questionnaire through face-to-face interviews after participants had contacted care providers. Results are presented using the crude and adjusted ORs with corresponding 95% CIs.
RESULTS
RESULTS
The overall proportion of reversible long-acting contraceptive discontinuation was 56.6% (95% CI 52.30%, 61.10%). Maternal education at primary level (AOR 2.33, 95% CI 1.15-4.74), lack of counseling (AOR 2.50, 95% CI 1.01-6.18), side effects (AOR 2.10, 95% CI 1.31-3.34), and desire to be pregnant (AOR 2.22; 95CI 1.50-3.30) were the major factors in discontinuation.
CONCLUSION
CONCLUSIONS
In this study, the overall proportion of discontinuation of reversible long-acting contraceptives was high. Maternal education at primary level, lack of counseling, side effects, and desire to be pregnant were the key factors associated with discontinuation of the contraceptives. Health professionals should provide counseling on the side effects before insertion.
Identifiants
pubmed: 32943951
doi: 10.2147/OAJC.S259978
pii: 259978
pmc: PMC7480761
doi:
Types de publication
Journal Article
Langues
eng
Pagination
113-123Informations de copyright
© 2020 Abebe et al.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest in this work.
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