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. 2024 May 7:5:1269302.
doi: 10.3389/fgwh.2024.1269302. eCollection 2024.

Discontinuation of long-acting reversible contraceptive methods and associated factors among reproductive-age women in Shashemene town, Oromia, Ethiopia

Fikru Letose  1 , Alemtsehay Tusa  2 , Degemu Sahlu  3 , Yohannis Miherite  3
Affiliations

Discontinuation of long-acting reversible contraceptive methods and associated factors among reproductive-age women in Shashemene town, Oromia, Ethiopia

Fikru Letose et al. Front Glob Womens Health. .

Abstract

Background: The early termination of long-acting reversible contraceptives (LARCs) raises issues for the healthcare system and has the potential to affect public health. Long-acting reversible contraception has now become more widely available and used, although a sizable percentage of women still do not use it. Therefore, this study aims to assess the factors associated with the discontinuation of the LARC method among female users of health facilities in Shashemene town in Oromia, Ethiopia.

Methods: A facility-based cross-sectional study was conducted in Shashemene town involving 410 study participants from nine facilities. The study participants were selected by using a systematic sampling method. The data were collected by using structured interviewer-administered questionnaires, entered into EpiData version 4.6.0.2, and exported to SPSS version 25 for analysis. Bivariate and multivariable logistic regressions were used to examine the association between independent variables and LARC discontinuation. The results were presented using the odds ratio at 95% CI. p < 0.05 was used to indicate statistical significance.

Result: The overall prevalence of women who discontinued the LARC method before the due date was 57.2%. Having an occupation as a housewife, desire for pregnancy, unwarned side effects, effectiveness, and dissatisfaction with the service provided were the factors positively associated with the discontinuation of the contraception.

Conclusion: The prevalence of the discontinuation of LARCs was high. Pre-insertion, effective counseling about the benefits, follow-up care, management of side effects, and client reassurance are recommended.

Keywords: Shashemene town; contraceptive; discontinuation; long-acting contraceptives; reproductive-age women.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Six months’ enrolment in health institutions of Shashemene town administration in two public hospitals, five HCs, and two NGO clinics from family planning registration book for sample selection.
Figure 2
Figure 2
Proportion of the LARC discontinuation rate among LARC users in Shashemene town, Southern Ethiopia in 2022.
Figure 3
Figure 3
LARC discontinuation of <2 years by method.
Figure 4
Figure 4
(A) Duration of LARC utilization before discontinuation. (B) Reason for discontinuation among women who ever used LARC in 2021/2022 in Shashemene town, Southern Ethiopia (n = 230).
Figure 5
Figure 5
Side effects reported by women.
See this image and copyright information in PMC

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