Implanon Discontinuation Rate and Associated Factors among Women who ever Used Implanon in the Last Three Years in Debre Markos Town, Northwest Ethiopia, 2016, Cross Sectional Study

Siyoum, Melese; Mulaw, Zerfu; Abuhay, Mulunesh; Kebebe, Habtamu

doi:10.20431/2456-0596.0201003

Cited by 13 publications

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“…Both community and institutional studies were equally represented (10 studies in each). Nine studies conducted in Southern Nations Nationalists and Peoples Region ( 23 , 27 , 31 , 32 , 34 – 37 , 39 ), five in Amhara ( 26 , 28 – 30 , 41 ), three in Tigray ( 40 , 42 , 43 ), and three in Oromia ( 33 , 38 , 44 ). The sample sizes ranged from 222 to 1050.…”

Section: Resultsmentioning

confidence: 99%

Discontinuation of long acting reversible contraceptive use and its determinants among women in Ethiopia: Systematic review and meta-analysis

Gebeyehu

Tegegne

Biset

et al. 2022

Front. Public Health

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IntroductionContraception discontinuation is a major public health issue that leads to unwanted pregnancies and unsafe abortions. Therefore, this systematic review and meta-analysis aimed to estimate discontinuation of contraceptives and its determinants in Ethiopia.MethodsPubMed, Google Scholar, Scopus, Science Direct, and Addis Ababa University online library were searched. Data were extracted using Microsoft Excel and analyzed using STATA statistical software (v. 14). Publication bias was checked by forest plot, Begg's rank test, and Egger's regression test. To look for heterogeneity, I2 was computed, and an overall estimated analysis was carried out. Subgroup analysis was done by region, study setting, and publication. The pooled odds ratio for associated factors was also computed.ResultsOut of 654 studies assessed, 20 met our criteria and were included in the study. The total number of study participants was 8,780. The pooled prevalence of discontinuation of long acting reversible contraceptive use was 36.94% (95% CI: 28.547–45.326). According to sub-group analysis, Amhara region (45%) and institution-based studies (47.9%) had the highest prevalence. The most common reason for contraceptive discontinuation was negative side effect (42.3%).Women experienced side effects (AOR = 2.833:95% CI:2.005–4.003), didn't receive counseling on side effects (AOR = 2.417; 95% CI: 1.591–3.672), didn't appoint follow up (AOR = 2.820; 95% CI: 2.048–3.881), dissatisfied with the given service (AOR = 5.156; 95% CI: 3.644–7.296), and a desire to be pregnant (AOR = 2.366; 95% CI: 1.760–3.182) were predictors of discontinuation of contraceptives.ConclusionIn Ethiopia, the pooled prevalence of long acting contraceptive discontinuation was high. Side effects, not being informed about side effects, dissatisfaction with the provided service, no insertion follow-up, and a desire to become pregnant were all associated factors. Healthcare professionals should focus on the client's reproductive goals, proper management of side effects, counseling, and post-insertion visits.Systematic review registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42022347860, identifier CRD42022347860.

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Section: Resultsmentioning

confidence: 99%

Discontinuation of long acting reversible contraceptive use and its determinants among women in Ethiopia: Systematic review and meta-analysis

Gebeyehu

Tegegne

Biset

et al. 2022

Front. Public Health

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“…The 10 included studies were conducted between 2014 and 2021. Concerning their study, there are three in the Southern nation, nationalities, and Peoples (SNNP) region [ 15 , 16 , 20 ], four in the Amhara region [ 13 , 18 , 19 , 25 ], two in Oromia [ 17 , 26 ], and one in the Tigray region [ 14 ]. The sample size ranges from a minimum of 264 from the Tigray region [ 14 ] to a maximum of 711 from the Southern nation, nationalities, and Peoples (SNNP) region [ 15 ].…”

Section: Resultsmentioning

confidence: 99%

“…Eight studies selected in this review were cross-sectional in design, while two studies were case-control. Three studies were conducted at the institution level [ 13 , 18 , 27 ], and seven were community-based studies [ 14 – 17 , 19 , 20 , 26 ]. Regarding the response rate, almost all studies had a good response rate (>90%) ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

“…This meta-analysis also examines the association between preinsertion counselling and Implanon discontinuation using six studies [ 13 , 15 , 18 , 19 , 25 , 26 ]. A fixed effects model was used to estimate the pooled association between receiving preinsertion counselling and Implanon discontinuation ( I 2 = 0.0%, p value = 0.749).…”

Section: Resultsmentioning

confidence: 99%

“…We have examined the association between service satisfaction and Implanon discontinuation using six articles [ 14 – 16 , 19 , 20 , 25 ]. A random effects model was used to estimate the pooled association between service satisfaction and Implanon discontinuation ( I 2 = 55%, p value = 0.049).…”

Section: Resultsmentioning

confidence: 99%

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Factors Associated with Implanon Discontinuation among Women of Reproductive Age in Ethiopia: A Systematic Review and Meta-Analysis

Tefera

Assefaw

Ayalew

et al. 2022

International Journal of Reproductive Medicine

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Background. Implanon is a long-acting contraceptive method that is extremely effective in preventing pregnancy with a clinical failure rate of less than 1%. Despite these, the rate of Implanon discontinuation is a common problem in various societies and exposes women to unwanted conception and its consequences. Objective. The current study sought to find and consolidate relevant literature on Implanon discontinuation and associated factors in Ethiopia. Methods. Medline, PubMed, Cochrane Library, EMBASE, and Google Scholar databases were systematically searched for studies published in English before December 2021. The included studies were critically appraised using the JBI instrument for observational studies. STATA version 16 was used for analysis. The presence of statistical heterogeneity was checked using Cochran’s Q test, and its level was quantified using I 2 statistics. A pooled estimate of the proportion of outcome variables was calculated. To measure the effect size, pooled odds ratios with 95% CI were computed. Results. The pooled prevalence of Implanon discontinuation in Ethiopia was 32.89%, 95% CI: 24.11%, 41.66%. Experiencing side effects ( OR = 2.52 , 95% CI 1.75, 3.65), having no children ( OR = 1.69 , 95% CI 1.15, 2.47), not having received preinsertion counselling ( OR = 1.65 , 95% CI 1.36, 2.00), having no postinsertion appointment ( OR = 2.97 , 95% CI 2.10, 4.21), and not satisfied with the service ( OR = 2.72 , 95% CI 2.47, 5.59) were significantly associated with Implanon discontinuation. Conclusion. The pooled prevalence of Implanon discontinuation in Ethiopia was high. Experiencing side effects, having no child, not receiving preinsertion counselling, having no follow-up appointment, and not being satisfied with the service were significantly associated with Implanon discontinuation. Therefore, healthcare providers should offer preinsertion counselling in accordance with national family planning guidelines, emphasizing the method’s advantages and side effects.

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Determinants of Implanon Discontinuation among Women Who Use Implanon at Bahir Dar Town Health Institutions, Northwest Ethiopia, 2019: A Case‐Control Study

Yehuala

Melese

Bogale

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Background. Implanon is a long-acting reversible contraceptive method that is 99% effective in preventing unintended pregnancy. Despite its effectiveness, the rate of Implanon discontinuation is high. In Ethiopia, there is limited information about determinants of Implanon discontinuation. Therefore, this study aimed to identify the determinants of Implanon discontinuation among women who used Implanon at Bahir Dar town health institutions. Methods. We employed an unmatched case-control study to find out the determinants of Implanon discontinuation at Bahir Dar town health institutions from March to June 2019 using the multistage stratified sampling technique to select study participants. Cases were women who had discontinued Implanon before completion of 3 years, and controls were women who had removed Implanon at the date of appointment (3 years). A pretested, structured questionnaire with face-to-face interviews was used. Binary logistic regression was performed to identify determinants of Implanon discontinuation. In the final model, variables with a p value of <0.05 were considered significant at 95% confidence interval and the strength of association was measured using odds ratio. Results. Primary education (AOR = 0.104, 95% CI (0.02–0.48)), secondary education (AOR = 0.48, 95% CI (0.24–0.952)), women who have no child (AOR = 2.04, 95% CI (1.2–3.4)), women who had no discussion with their partner (AOR = 2.2, 95% CI (1.39–3.57)), mass counseling (AOR = 3.5, 95% CI (1.75–7.01)), women who had no counseling about side effects (AOR = 1.7, 95% CI (1.07–2.07)), women who experienced side effects (AOR = 2.2, 95% CI (1.4–3.4)), and purpose of family planning use (AOR = 2.5, 95% CI (1.14–4.8)) were determinants of Implanon discontinuation. Conclusion. Implanon discontinuation is attributed by multifactorial involvement. Women’s educational status, nulliparity, no counseling, not informed of side effects, and no partner discussion are significant factors. Health sector stakeholders need to tailor counseling services at individual level to bolster family planning utilization until the desired time.

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Implanon Discontinuation Rate and Associated Factors among Women who ever Used Implanon in the Last Three Years in Debre Markos Town, Northwest Ethiopia, 2016, Cross Sectional Study

Cited by 13 publications

References 11 publications

Discontinuation of long acting reversible contraceptive use and its determinants among women in Ethiopia: Systematic review and meta-analysis

Discontinuation of long acting reversible contraceptive use and its determinants among women in Ethiopia: Systematic review and meta-analysis

Factors Associated with Implanon Discontinuation among Women of Reproductive Age in Ethiopia: A Systematic Review and Meta-Analysis

Determinants of Implanon Discontinuation among Women Who Use Implanon at Bahir Dar Town Health Institutions, Northwest Ethiopia, 2019: A Case‐Control Study

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