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
. 2022 Jun 2;7(1):8.
doi: 10.1186/s40834-022-00170-3.

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Louis Kobina Dadzie #  1 , Abdul-Aziz Seidu #  2   3   4 , Bright Opoku Ahinkorah #  5 , Justice Kanor Tetteh  6 , Tarif Salihu  1 , Joshua Okyere  1 , Sanni Yaya  7   8
Affiliations

Contraceptive discontinuation among women of reproductive age in Papua New Guinea

Louis Kobina Dadzie et al. Contracept Reprod Med. .

Abstract

Background: Papua New Guinea has one of the lowest contraceptive prevalence rates among women of reproductive age in the Western Pacific Region and this makes contraceptive discontinuation in this country a critical public health issue worth studying. This study sought to assess the factors associated with contraceptive discontinuation among women of reproductive age in Papua New Guinea.

Methods: The data used for the analysis were obtained from the Papua New Guinea Demographic and Health Survey which was conducted in 2016-2018. The outcome variable for this study was contraceptive discontinuation among women of reproductive age. Crude odds ratios and adjusted odds ratios with 95% confidence intervals were estimated using binary logistic regression.

Results: About 33.26% of the women discontinued injectables, 19.15% discontinued pills and 3.77% discontinued other contraception methods. Women aged 20-24 [aOR = 2.12, CI = [= [1.04,4.31] through to those aged 30-34 [aOR = 1.98, CI = 1.03,3.79] had higher odds to discontinue contraceptive usage compared to those aged 45-49. Women with no information on choice of contraception [aOR = 2.85, CI = 2.31,3.51], those with two or more births in the last five years [aOR = 2.35, CI = 1.65,3.35] and those living in the Highland region [aOR = 1.71, CI = 1.28,2.29] were more likely to discontinue contraceptive usage compared with those with information on contraceptive choices, those with no births and those living in the Island region respectively. However, women in the rural areas [aOR = 0.78, CI = 0.61,0.99], women using LARC [aOR = 0.10, CI = 0.06,0.15], injectables [aOR = 0.43, CI = 0.30,0.63] and other modern contraception methods including condom [aOR = 0.22, CI = 0.15,0.34] were less likely to discontinue contraceptive usage.

Conclusion: A nationwide mass education on the benefits of contraception is recommended for the Papua New Guinea National Department of Health to tackle the key findings of this study which were high contraceptive discontinuation prevalence with lack of information on choice, disproportionately high contraceptive discontinuation rate in the Highland Region and the desire to give birth to more than two children as some factors associated with contraceptive discontinuation in Papua New Guinea.

Keywords: Contraceptive Discontinuation; Family Planning; Global Health; Papua New Guinea.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Discontinuation of contraception by method in PNG
Fig. 2
Fig. 2
Reasons for contraception discontinuation in PNG
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Starbird E, Norton M, Marcus R. Investing in family planning: key to achieving the sustainable development goals. Glob Health Sci Pract. 2016;4(2):191–210. doi: 10.9745/GHSP-D-15-00374. - DOI - PMC - PubMed
    1. New JR, Cahill N, Stover J, Gupta YP, Alkema L. Levels and trends in contraceptive prevalence, unmet need, and demand for family planning for 29 states and union territories in India: a modelling study using the family planning estimation tool. Lancet Glob Health. 2017;5:e350–e358. doi: 10.1016/S2214-109X(17)30033-5. - DOI - PubMed
    1. Kaye K, Gootman JA, Ng AS, Finley C. The benefits of birth control in America: getting the facts straight. The National Campaign to prevent teen and unplanned Pregnanc. Washington, DC: The National Campaign to Prevent Teen and Unplanned Pregnancy; 2014.
    1. Belete N, Zemene A, Hagos H, et al. Prevalence and factors associated with modern contraceptive discontinuation among reproductive age group women, a community based cross-sectional study in Humera town, northern Ethiopia. BMC Womens Health. 2018;18:190. doi: 10.1186/s12905-018-0663-4. - DOI - PMC - PubMed
    1. Ali MM, Cleland J, Shah IH. Causes and Consequences of Contraceptive Discontinuation: Evidence from 60 Demographic and Health Surveys. Geneva: World Health Organization; 2012. http://www.who.int/reproductivehealth/publications/family_planning/97892....

LinkOut - more resources