Pattern of Discontinuation of Long Acting Reversible Contraceptives in Southeastern Nigeria [9N]

Chigbu, B; Onwere, S; Onwere, A; Kamanu, C; Chigbu, Eziaha

doi:10.1097/01.aog.0000483478.61693.cd

Cited by 2 publications

(6 citation statements)

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“…It however contrasts with a study conducted in urban Senegal, where the implants had a lower discontinuation rate than IUD [8]. The 12 and 24 month IUD and implant discontinuation rates here were lower than a report in Nigeria [18]. This may be due to the small sample size in the Nigerian study.…”

Section: Discontinuation Ratescontrasting

confidence: 99%

“…Side effects or health concerns were the second most common reasons for LARC discontinuation. This finding was in line with other studies [17,18,27,32,37]. LARCs have side effects like other drugs.…”

Section: Reasons For Discontinuationsupporting

confidence: 93%

“…The 12-month implant discontinuation rate in this study was higher than those found in Nigeria [14,18] and Senegal [8] but similar to a report from Egypt [15]. The rate in this study was lower than that found in Dalo District, Southern Ethiopia [26], possibly due to differences in the population structure compared to the national pattern.…”

Section: Discontinuation Ratessupporting

confidence: 79%

“…Our study is based on a nationally representative sample. The 12-month IUD discontinuation rate in this survey was lower than the 25% rate found in India [11] and the 20% rate in Nepal [10], almost similar with those found in Jordan [13] and urban Senegal [8], but higher than findings in Nigeria [18]. The reason why the 12-month IUD discontinuation was higher in the study conducted in India may be the time change.…”

Section: Discontinuation Ratessupporting

confidence: 73%

“…Women mentioned method-related reasons like side effects and health concerns, desire to conceive, being sexually inactive and opposition from family as reasons for LARC discontinuation [7-9, 12, 13, 16-19]. Number of children, age of woman, history of contraceptive use, women's occupation, husband occupation and educational status, experience of side-effects, post-insertion follow-up, economic status and poor counseling were risk factors for early LARC discontinuation [10,12,15,16,18,20,21].…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with early long-acting reversible contraceptives discontinuation in Ethiopia: evidence from the 2016 Ethiopian demographic and health survey

et al. 2020

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Background Ethiopia is struggling to achieve the 2020 family planning target. But the current contraceptive prevalence uptake is low and dominated by short-acting methods. Contraceptive discontinuation rate is also high. This analysis was done to identify the reasons and factors associated with long-acting and reversible contraceptives (LARC) discontinuation in Ethiopia. Methods The unit of analysis was LARC-use episodes in the 5 years preceding the survey, generated from the 2016 Ethiopian Demographic and Health Survey data. A total of 1385 LARC episodes were included. Data analysis was done using STATA 15. The event file generated from the contraceptive calendar was merged to the original data set to identify factors associated with LARC discontinuation. Univariate, bivariate and inferential analyses were done for 12 months LARC discontinuation. Result Approximately 82% of LARC episodes were implants. About 45% of intrauterine device (IUD) and 61% of implant episodes were discontinued by 36 months. Side effects and the desire to become pregnant were the main reasons for discontinuation. Women aged 25–34 (HR = 0.26; 95% CI: 0.20–0.35) and those aged 35–49 (HR = 0.17; 95%CI: 0.11–0.26), women who participated in decision-making partially (HR = 0.53; 95%CI: 0.37–0.78), or fully (HR = 0.55; 95%CI: 0.40–0.74) and primiparous women (HR = 0.53, 95%CI: 0.33–0.86) had a lower hazard of discontinuing LARCs. On the other hand, women who had only primary education (HR = 1.32; 95%CI: 1.02–1.72) and women who were not sure about their fertility intention (HR = 2.11; 95%C: 1.28–3.46) had a higher likelihood of discontinuing these methods. Conclusion Majority of LARC episodes were discontinued early, mainly due to the desire for pregnancy or experience of side effects. Older women, particularly those involved in household decision-making, and primipara were less likely to discontinue LARC. Women with only primary education and those uncertain about their fertility intention had a higher likelihood of discontinuation. Family planning service providers should focus on fertility intention and side effects when counseling women for contraceptive choice. Improving women’s participation in household decision-making may decrease LARC discontinuation in Ethiopia.

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Section: Discontinuation Ratescontrasting

confidence: 99%

Section: Reasons For Discontinuationsupporting

confidence: 93%

Section: Discontinuation Ratessupporting

confidence: 79%

Section: Discontinuation Ratessupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

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Factors associated with early long-acting reversible contraceptives discontinuation in Ethiopia: evidence from the 2016 Ethiopian demographic and health survey

et al. 2020

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The Reported Side Effects Of Hormonal Contraception By Women Of Reproductive Age In Selected Hospitals In Enugu: Truth Or Myth

Matthew,

Onwujekwe,

Olusegun

et al. 2023

IJHMR

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Many unwanted pregnancies and its associated complications have resulted from refusal of some women of reproductive age to the use of contraceptives in general particularly the hormonal contraceptive in our environment. The fear of side effects, religious belief, ignorance and other myths surrounding the use of contraceptives had contributed to this. The main objective of the study was to find out if the reported side effects of hormonal contraceptives by women of reproductive age in Enugu, South Eastern Nigeria, are truth or myth. It was a combination of prospective and retrospective study with interviewer administered questionnaire to assess socio-demographic data, reasons why some women were not using hormonal contraceptives, side effects and benefits of hormonal contraceptives. From the 410 respondents, the study showed that 232 respondents (56.6%, X2=7.686) of respondents used hormonal contraceptive which was significant (p<0.05). 178respondents (43.4%) respondents did not use hormonal contraception. 76.0% of the hormonal contraceptives users had side effects while 24.0% did not. Irregular menses (44.4%) was the commonest side effect.130 respondents (73.0%) gave reasons such as religious belief, ignorance, fear of side effects etc as preventing factors to the use of contraceptives. The study showed that 69.8% of users were not discouraged by side effects and 81.1% agreed to recommend it to their friends and family relatives because of its numerous benefits. While it was true from the study that hormonal contraceptives was associated with some side effects of which some disappeared without intervention within 3-5 months of use (35.1%), and others were taken care of through medical interventions, some myths(religious belief, ignorance, husband approval, etc) were also limitations against hormonal contraceptives use.

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Pattern of Discontinuation of Long Acting Reversible Contraceptives in Southeastern Nigeria [9N]

Cited by 2 publications

References 0 publications

Factors associated with early long-acting reversible contraceptives discontinuation in Ethiopia: evidence from the 2016 Ethiopian demographic and health survey

Factors associated with early long-acting reversible contraceptives discontinuation in Ethiopia: evidence from the 2016 Ethiopian demographic and health survey

The Reported Side Effects Of Hormonal Contraception By Women Of Reproductive Age In Selected Hospitals In Enugu: Truth Or Myth

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