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 Nov 14:10:20503121221136763.
doi: 10.1177/20503121221136763. eCollection 2022.

Determinants of early discontinuation of long-acting and reversible contraceptive methods among women within childbearing age attending health facilities in Ethiopia, 2019

Dejene Edosa Dirirsa  1 , Mukemil Awol Salo  1 , Mogos Beya Gudeta  1 , Merga Eticha Kelbessa  2 , Mengistu Bekele Lammi  2
Affiliations

Determinants of early discontinuation of long-acting and reversible contraceptive methods among women within childbearing age attending health facilities in Ethiopia, 2019

Dejene Edosa Dirirsa et al. SAGE Open Med. .

Abstract

Objective: This study aimed to identify the determinants of early discontinuation of long-acting and reversible contraceptive methods among women within childbearing age in Ethiopia, 2019.

Methods: The institutional-based case-control study design was implemented from June to August 2019. Eligible study participants were sampled using systematic random sampling technique. Data were collected using structured and pre-tested questionnaire and entered into Epi Info and exported to SPSS version 20 for further analysis. All variables with a p value of <0.05 at odds ratio of 95% confidence interval in multivariable logistic regression analysis were considered as determinants of early discontinuation of long-acting and reversible contraceptive methods.

Results: A total of 825 study participants (206 cases and 619 controls) were included in the study. Decision-making on the use of contraception (adjusted odds ratio: 4.8, 95% confidence interval: 1.4-16.8 and adjusted odds ratio: 5.6, 95% confidence interval: 1.7-18.8), the women who got counseled about side effects of contraceptive methods being 84% less likely to discontinue long-acting and reversible contraceptive methods compared to the women of their counterpart (adjusted odds ratio: 0.16, 95% confidence interval: 0.15-0.4), having two or more children (adjusted odds ratio: 10, 95% confidence interval: 3.7-28), and desire to be pregnant (adjusted odds ratio = 0.15 95% confidence interval: 0.06-0.4) were determinants of early discontinuation of long-acting and reversible contraceptive methods.

Conclusion: According to the findings of this study, decision-maker on utilization of contraceptive methods, being counseled on side effects of contraception, number of children, and desire of woman to be pregnant were found to be determinants of discontinuation of long-acting and reversible contraceptive methods. Health care providers should strengthen providing pre-insertion counseling in accordance with the national guideline for family planning services, with an emphasis on potential contraceptive side effects and consideration of counseling on decision-making.

Keywords: Counseling; decision-making; discontinuation; long-acting contraceptives; side effects.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flowchart of materials and methods.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Zeleke LB, Gella MM, Derseh HA, et al.. Utilization of long-acting contraceptive methods and associated factors among female health care providers in East Gojjam Zone, Northwest Ethiopia, in 2018. BioMed Res Int 2019; 2019: 5850629. - PMC - PubMed
    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. - PMC - PubMed
    1. Tulu AS, Gebremariam T. Utilization of reversible long acting contraceptive methods and associated factors among women getting family planning service in governmental health institutions of Gondar City Administration, northwest Ethiopia. Int J Med Sci Public Health 2018; 8(2): 178–187.
    1. Gultie T, Hailu D, Workineh Y. Predictors of long acting contraceptives utilization among reproductive age women in Arba Minch Zuria district, Ethiopia. Qual Prim Care 2016; 24(1): 17–22.
    1. Tesfaye H, Negara E, Bayisa K. Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021. Reprod Health 2021; 18: 176. - PMC - PubMed

LinkOut - more resources