Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Oct 23;20(1):239.
doi: 10.1186/s12905-020-01096-1.

Prevalence and factors associated with early discontinuation rate of Implanon utilization among women who ever used Implanon in Kucha District Gamo Gofa Zone, Southern Ethiopia

Mamecha Mesha  1 , Akalewold Alemayehu  1 , Deresse Daka  2
Affiliations

Prevalence and factors associated with early discontinuation rate of Implanon utilization among women who ever used Implanon in Kucha District Gamo Gofa Zone, Southern Ethiopia

Mamecha Mesha et al. BMC Womens Health. .

Abstract

Background: The promotion of contraception in countries with high birth rates has the potential to reduce poverty, hunger, maternal, and childhood deaths. Every year in sub-Saharan Africa approximately 14 million unintended pregnancies occurred and a sizeable proportion was due to poor use of short-term hormonal methods. Contraceptive hormonal implants are highly effective and suitable for almost all women at any stage of their reproductive lives. On the other hand, early discontinuation of the Implanon contraceptive method utilization is one of the foremost problems amid the family planning program. Early discontinuation of the Implanon contraceptive method and reasons for such discontinuation lingers the most significant anxiety for family planning programs. In unindustrialized countries, contraceptive discontinuation due to health concerns is generally higher; these complaints are often related to service quality. Hence, this study aimed to assess the prevalence and factors associated with early discontinuation of Implanon among women who ever used Implanon in Kucha district, Gamo Gofa Zone, Southern Ethiopia.

Methods: Implanon contraceptive device users were selected from the Kucha district using a cross-sectional community-based survey from January to March 2018. A total of 430 women were selected and data were collected through face-to-face interviews by using a pre-tested structured questionnaire. Data were cleaned, coded, and entered into Epi-Info version 7statistical software. Factors that showed association in a bivariate analysis that has a p value of less than 0.25 were entered into multiple logistic regression models for controlling confounding factors. The strength of statistical association was measured by adjusted odds ratio, at 95% confidence intervals, and p value < 0.05 were considered as statistically significant variables.

Result: The result of this study revealed that the overall discontinuation rate of Implanon in the study was 34%. Variables having statistically significant association with Implanon discontinuation were women who never use a contraceptive method other than Implanon (AOR = 2.96, 95% CI 1.53-5.74), women who didn't make discussion with a partner (AOR = 3.32, 95% CI 1.57-7.04), poor counseling and follow up (AOR = 9.23, 95% CI 4.7-18.13), fear of side effects (AOR = 0.12, 95% CI 0.058- 0.24) and poor satisfaction of service (AOR = 5.2, 95% CI 2.77- 9.76) CONCLUSION: The overall early discontinuation rate of Implanon in the study area was high. The main factors associated with early discontinuation of Implanon were contraceptive ever use, discussion with partner, poor follow-up of counseling, fear of side effects, and un-satisfaction by the services given during the insertion rate of Implanon.

Keywords: Discontinuation rate; Ethiopia; Implanon; Kucha.

PubMed Disclaimer

Conflict of interest statement

The authors declare that we have no conflict of interests.

Figures

Fig. 1
Fig. 1
Early Implanon discontinuation rate and duration of use in Kucha District Gamo Gofa Zone, Southern Ethiopia March 2018
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. DaVanzo J, Hale L, Razzaque A, Rahman M. Effects of inter pregnancy interval and outcome of the preceding pregnancy on pregnancy outcomes in Matlab, Bangladesh. Int J Obstet Gynecol. 2007;114(9):1079–1087. - PMC - PubMed
    1. Harvey C, Charrlotte S, Lucke J. Continuation rates and reasons for removal among Implanon® users accessing two family planning clinics in Queensland, Australia. Contraception. 2009;80(6):527–532. doi: 10.1016/j.contraception.2009.05.132. - DOI - PubMed
    1. Cleland J, Bernstein S, Ezeh A, Faundes A, Glasier A, Innis J. Family planning: the unfinished Agenda. Lancet. 2006;368(9549):1810–1827. doi: 10.1016/S0140-6736(06)69480-4. - DOI - PubMed
    1. David H, Iphigeneia M, Erin M. Unintended pregnancy in sub-Saharan Africa: magnitude of the problem and potential role of contraceptive implants to alleviate it. Contraception. 2008;78(1):73–78. doi: 10.1016/j.contraception.2008.03.002. - DOI - PubMed
    1. Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat . World contraceptive patterns. New York: Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat, United Nations; 2013.

Publication types

MeSH terms