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. 2018 Nov 22;18(1):190.
doi: 10.1186/s12905-018-0663-4.

Prevalence and factors associated with modern contraceptive discontinuation among reproductive age group women, a community based cross-sectional study in Humera town, northern Ethiopia

Nigisti Belete  1 , Ayalnesh Zemene  2 , Hadgay Hagos  3 , Abere Yekoye  4
Affiliations

Prevalence and factors associated with modern contraceptive discontinuation among reproductive age group women, a community based cross-sectional study in Humera town, northern Ethiopia

Nigisti Belete et al. BMC Womens Health. .

Abstract

Background: Contraceptive prevalence rate (CPR) for married women aged 15-49 in Ethiopia is 36%, with 35% using modern methods and 1% using traditional methods. However, the discontinuation rate is fairly high. Women usually discontinue contraception use for fertility and method related reasons without adopting an alternate method which in turn leads to many health risks such as unwanted pregnancy, unplanned childbearing, miscarriage, abortion, leads to morbidity and mortality among mothers and newborns. The purpose of this study was to determine the prevalence of modern contraceptive discontinuation and to identify predicting factors.

Methods: A community- based cross- sectional study was conducted in Humera town among 321 married women of reproductive age (15-49 yrs.) who had a history of modern contraceptive use. Systematic sampling technique was employed to select study participants and data was collected by BSc health extension workers using interviewer -administered questionnaire. EPI-INFO (V-7) and SPSS (V-23) software were used for entry and analysis respectively. Descriptive statistics and logistic regression analysis were used to present results accordingly. P- Value < 0.05 was used as a cut point for statistical significance.

Results: The magnitude of modern contraceptive discontinuation was 27.1%. Number of desired children (AOR = 2.83 95% CI = 1.16, 6.89), experience of side effects (AOR = 3 95% CI = 1.2, 7.58), discussion with female friend (AOR = 3.26 95% CI = 1.27, 8.36), counseled on side effects (AOR = 6.55 95% CI = 2.21, 19.39), number of male children (AOR = 2.51 95% CI = 1.06, 5.96), absence of husband support (AOR = 12.99 95% CI = 4.59, 36.78) and presence of community prohibition (AOR = 6.88 95% CI = 3.05, 15.51) were identified as predicting factors for modern contraceptive discontinuation.

Conclusion: Magnitude of modern contraceptive discontinuation among reproductive age group women in Humera was relatively high. Increasing community awareness, involving partners and pre dispensation counseling might help to reduce discontinuation and its consequences. Various targeted messages are also needed to dispel misconception at community level.

Keywords: Discontinuation; Humera; Modern contraceptive; Reproductive age women.

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Conflict of interest statement

Ethics approval and consent to participate

Permission to conduct the study obtained from Institutional Ethics Review Board (IERB) of College of Health Sciences, Mekelle University. Official cooperation letter was obtained from Tigray regional health bureau. Moreover, prior to conducting the study, purpose and objective of the study was described to the study participants and a written informed consent was obtained.

Consent for publication

Not applicable

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
MC side effects experienced by participants in Humera town, 2017 (n = 234). Types of side effects (%) reported by women who experienced side effects of modern contraceptive method (234) analyzed using multiple response sets
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