Determinants of Modern Contraceptive Methods Discontinuation among Women within Reproductive Age in Dire Dawa City, Eastern Ethiopia

Abstract

Background. Modern family planning methods are widely believed to influence fertility reduction worldwide. Family planning had a clear effect on the health of women, children, and families worldwide especially those in developing countries. It has been shown that there are many instances in which women might discontinue contraception methods that put women’s health at risk. Objectives. To assess and identify Determinants of Modern Contraceptive Methods Discontinuation among Women in Reproductive age interval in Dire Dawa City. Method. A cross-sectional study design was employed. A total of 811 respondent women with one-year history of modern contraceptive method usage were considered in the study. A stratified random sampling method was used to select the study participants. Data was collected using a structured questionnaire and analyzed by descriptive statistics and binary logistic regression. Result. The study indicated that 634 (78.20%) of respondent mothers continued using the method that they have used before a year. Whereas 177 (21.80%) of women discontinued using the method within a year. The factors age, number of children, who made the decision on the choice of the method used, the type of contraceptive method used, and taking counseling before using the method were found significant at 5% level of significance. Conclusion. Young women, respondents who have no or a small number of children, and not the decision maker on the choice of the method were more likely to discontinue. Whereas women who did not take counseling are less likely to discontinue. When compared to women who used implant those women who used pills and injectables are more likely to discontinue. Thus, the study identified factors that contribute to the discontinuation of modern contraception methods.

Prediction of contraceptive discontinuation among reproductive-age women in Ethiopia using Ethiopian Demographic and Health Survey 2016 Dataset: A Machine Learning Approach

“…ARM results demonstrated that women in their early reproductive years (25–34 years) more often discontinued the use of contraceptives. This result was supported by studies conducted in Bangladeshi [ 26 ], six countries DHS (Bangladesh, Philippines, Kazakhstan, Dominican Republic, Kenya, and Zimbabwe) which showed that women who had discontinued contraception were somewhat concentrated in the 25–34 ages [ 18 ], and a study in Ethiopia which stated that woman whose age is between 25 and 34 had a higher risk of discontinuing modern contraceptive methods [ 70 ]. This may be due to the reason thinking of reaching the menopausal period in the older mothers [ 9 ] which may urge them to have a child as early as possible.…”

Birth asphyxia, determinants, and its management among neonates admitted to NICU in Harari and Dire Dawa Public Hospitals, eastern Ethiopia

“…Dire Dawa has a health service coverage of 95%, with two public hospitals (Dilchora and Sabiyan) equipped with neonatal intensive care units (NICUs) ( 13 ). Also, Harari is one of the 11 regions, located 526 km from Addis Ababa ( 14 , 15 ). Harari has two public hospitals (Hiwot Fana and Jugol) equipped with NICUs.…”

Determinants of early discontinuation of long-acting and reversible contraceptive methods among women within childbearing age attending health facilities in Ethiopia, 2019

“…This finding is in agreement with previously conducted research studies in Arba Minch, Ethiopia; evidence from the 2016 Ethiopian DHS and Dire Dawa city, Ethiopia revealed that women supported by their husbands for the decision of contraceptive use are less likely to remove LARC methods. 4 , 11 , 12 , 20 A possible explanation could be disapproval of the husbands of contraceptive method utilization. In Ethiopia, men are the primary decision-makers for most family issues, including reproductive health issues like either continuing to use or removing contraceptive methods.…”

“…Similarly, study conducted in Dire Dawa revealed that 21.8% of contraceptive users discontinued the method within a year related to contributing factors such as age, lower parity, and not being decision-maker to use the methods. 12 …”