Contraceptive Discontinuation, Method Switching and Associated Factors among Reproductive Age Women in Jimma Town, Southwest Ethiopia, 2013

Abstract

Background: Although there has been an increase in preference for modern methods in Ethiopia in recent years, high method discontinuation and switching are also common. Apparently, there is a lot of study on the prevalence rate of contraceptive among couples, but not sufficient knowledge about the reasons switches the method used and why they give up the contraceptives after using for some time. This implies that the study of discontinuation of contraceptive use, along with the associated factors for such discontinuation, becomes important that would have further implications for continuing the success of family planning programs in Ethiopia.

Spatial and Multilevel Analysis of Unscheduled Contraceptive Discontinuation in Ethiopia: Further analysis of 2005 and 2016 Ethiopia Demography and Health Surveys

“…The predicted high prevalence of unscheduled discontinuation of contraceptives was also observed in the majority of the Somali and Tigray regions and some parts of the Oromia and Amhara regions. This finding was consistent with the previous study findings in Ethiopia ( 3 , 15 , 16 ). In addition, these geographical variations could be attributed to sociodemographic, cultural taboos, and healthcare accessibility problems.…”

“…Women who reside in urban areas tend to use short-term methods such as emergency contraceptives (22). However, the advantage in urban areas is the availability of health services that help in switching and shifting of methods more frequently than in rural areas (3). This study has implications for reproductive-age women, policymakers, and healthcare administrators to unfold the reasons for unscheduled discontinuation of contraceptive methods.…”

“…More specifically, increased coverage of family planning services has contributed to the reduction of maternal mortality rates in Ethiopia and the achievement of the United Nations Millennium Development Goal ( 2 ). Furthermore, increased contraceptive use among women of reproductive age has a positive impact on women’s social and economic participation, engagement, and empowerment ( 3 ).…”

“…Unscheduled discontinuation of contraceptives is one of the public health problems among reproductive-age women. Discontinuation of contraceptives is associated with unbearable maternal and child health, morbidity, and mortality through increased unwanted pregnancies ( 3 , 5 , 6 ). A study in Thailand showed that the incidence of contraceptive discontinuation ranged from 21.3 per person years of combined oral contraceptive pills (COCs) to 2.3 per person years of implants, and approximately 83.3% of women discontinued contraceptive use because of side effects ( 7 ).…”

Predictors of contraceptive discontinuation among postpartum women in Arusha region, Tanzania

“…Previous studies from developing countries showed that, on average, 19-64% of women discontinued using reversible contraceptive methods by the 12th month of use [4,11]; [12][13][14][15]. The discontinuation rate for condoms within the first 12 months is higher than intrauterine devices (50% vs 13%, respectively), and up to 40% higher for other methods such as pill, injectable, periodic abstinence and withdrawal [3,4,16]. Contraceptive discontinuation among women with no desire to get pregnant increases the risk for unwanted pregnancies [8].…”