Continuation and Discontinuation Reasons of LD Contraceptives among Iranian Women

Kamalifard, Mahin; Malakouti, Jamileh; Pezeshki, Mohammad Zakaria; Velayati, Ali Akbar

doi:10.15296/ijwhr.2014.46

Cited by 3 publications

(5 citation statements)

References 15 publications

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“…Other studies have reported discontinuation rates from Iran (55.4%) [ 10 ], Democratic Republic of Congo (22%) [ 14 ], East Azerbaijan (57.5%) [ 15 ] and urban Ghana (29%) [ 16 ] to be lower in magnitude than found in this study. Similarly, research in urban Honduras (45%) [ 5 ], Bolivia (49%) [ 17 ] and St. Louis, USA (51.5%) [ 12 ] has revealed lower discontinuation rates than our study.…”

Section: Discussioncontrasting

confidence: 75%

“…The main reason for discontinuation was the side effects of the contraceptive method. Findings from Rocky Mountains [ 18 ], Democratic Republic of the Congo [ 14 ], Iran [ 10 ], Senegal [ 19 ] and the 2016 EDHS [ 20 ] support this assertion, since side effects were the main reasons for the termination of the baseline method. A report on expanding contraceptive choice found side effects to be the main reason for discontinuation [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

“…Several studies revealed that age, occupation, educational status, marital status, quality of service and side effects were significantly associated with the discontinuation rate of contraception [ 5 , 8 – 10 ]. Notably, there has been no other study on the prospective follow-up of contraception use in Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

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One-year discontinuation among users of the contraceptive pill and injection in South East Tigray region, Ethiopia

et al. 2023

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Objectives The aim of this study is to determine the 12 months’ discontinuation rate and associated factors among family planning clients using pills and injection. Methods A follow-up study was initiated to collect data from 845 family planning users between November 2017 and December 2018. An interviewer administered questionnaire was used to collect data from participants. Data were entered into EpiData version 3.1 and analyzed using SPSS version 20, where both are open-source systems. A Cox proportional-hazards model was used to estimate the hazard ratios (HR) for the rate of discontinuation among participants. Result At 12 months, 63.5% of women discontinued the use of their baseline method. For the individual methods, 84% of women that chose the pill discontinued its use and for those using the injectable, 60.7% of women discontinued its use. Using the adjusted Cox proportional-hazards model, pills users (HR = 1.77; 95%CI = [1.4–2.3]), users receiving family planning services in the same room as other maternal health clinic services (HR 1.58; 95%CI = [1.16–2.2]), users served by health officers (HR = 3.7; 95%CI = [1.66–8.2]), and users not intending to use the baseline method continuously (HR = 1.6; 95%CI = [1.16–2.24]) were significantly more likely to discontinue using the baseline method. The main reason cited for discontinuation was side effects of contraception. Conclusions The discontinuation rate of the baseline contraceptive method after 12 months was very high. To increase the continuity of contraceptive use, family planning services should be given in a separate room with effective counseling on potential side effects, provided by midwives or nurses who have good counseling skills.

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Section: Discussioncontrasting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

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One-year discontinuation among users of the contraceptive pill and injection in South East Tigray region, Ethiopia

et al. 2023

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“…Also, the higher discontinuations for both pills and injection could be explained by side effects and health concerns that are common to the two methods. 33 , 34 …”

Section: Discussionmentioning

confidence: 99%

“… 38 Very high rates of discontinuation (60% in 6 months) amongst under 25 years age groups have been recorded in some countries. 34 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of and factors associated with contraceptive discontinuation in Kenya

Kungu

Agwanda

Khasakhala

2022

African Journal of Primary Health Care & Family Medicine

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Background: The overwhelming uptake of contraception in Kenya at 58% suggests huge potential for a continued increase, but discontinuation threatens efforts to achieve new targets. Further increases in contraceptive prevalence will depend more on continuation and re-adoption amongst past users because unintended pregnancies would increasingly result from discontinuation. Eliminating discontinuations from side effects and method failure could increase continuation rates by 10%.Aim: To establish the prevalence and factors associated with contraceptive discontinuation.Setting: Kenya, with a successful family planning programme, but also the challenge of discontinuation rates of 31%.Methods: Contraceptive calendar data from the 2014 Kenya Demographic and Health Survey were used in the survival analysis approach.Results: Overall discontinuation rates were 37% (24 months) and 74% at (36 months), whilst discontinuation in need was 36%. Side effects accounted for 40% of discontinuations, whilst injection and pill recorded the highest rates. Current method emerged as a predictor of discontinuation at 24 months with the following hazard ratio (HR) at 95% confidence interval [CI]; intrauterine device (IUD) (HR = 0.466, CI = 0.254–0.857), injection (HR = 0.801, 95% CI = 0.690–0.930), implants (HR = 0.580, 95% CI = 0.429–0.784) and at 36 months, injection (HR = 0.808, 95% CI = 0.722–0.904) and implants (HR = 0.585, 95% CI = 0.468–0.730). Age (15–24 years) displayed influence only at 36 months (HR = 1.219, 95% CI = 1.044–1.424).Conclusion: The study showed a close link between contraceptive method used and discontinuation and thus the need to address method-related issues in an attempt to minimise discontinuation in Kenya. Expanding contraceptive options and improving the quality of service can scale up switching and thus help reduce discontinuation and unintended births.

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The effect of multivitamin supplements on continuation rate and side effects of combined oral contraceptives: A randomised controlled trial

Mohammad‐Alizadeh‐Charandabi

Mirghafourvand

Froghy

et al. 2015

The European Journal of Contraception & Reproductive Health

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Continuation and Discontinuation Reasons of LD Contraceptives among Iranian Women

Cited by 3 publications

References 15 publications

One-year discontinuation among users of the contraceptive pill and injection in South East Tigray region, Ethiopia

One-year discontinuation among users of the contraceptive pill and injection in South East Tigray region, Ethiopia

Prevalence of and factors associated with contraceptive discontinuation in Kenya

The effect of multivitamin supplements on continuation rate and side effects of combined oral contraceptives: A randomised controlled trial

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