Prevalence and factors associated with modern contraceptive discontinuation among reproductive age group women, a community based cross-sectional study in Humera town, northern Ethiopia

Abstract

BackgroundContraceptive prevalence rate (CPR) for married women aged 15–49 in Ethiopia is 36%, with 35% using modern methods and 1% using traditional methods. However, the discontinuation rate is fairly high. Women usually discontinue contraception use for fertility and method related reasons without adopting an alternate method which in turn leads to many health risks such as unwanted pregnancy, unplanned childbearing, miscarriage, abortion, leads to morbidity and mortality among mothers and newborns. The purpose of this study was to determine the prevalence of modern contraceptive discontinuation and to identify predicting factors.MethodsA community- based cross- sectional study was conducted in Humera town among 321 married women of reproductive age (15–49 yrs.) who had a history of modern contraceptive use. Systematic sampling technique was employed to select study participants and data was collected by BSc health extension workers using interviewer -administered questionnaire. EPI-INFO (V-7) and SPSS (V-23) software were used for entry and analysis respectively. Descriptive statistics and logistic regression analysis were used to present results accordingly. P- Value < 0.05 was used as a cut point for statistical significance.ResultsThe magnitude of modern contraceptive discontinuation was 27.1%. Number of desired children (AOR = 2.83 95% CI = 1.16, 6.89), experience of side effects (AOR = 3 95% CI = 1.2, 7.58), discussion with female friend (AOR = 3.26 95% CI = 1.27, 8.36), counseled on side effects (AOR = 6.55 95% CI = 2.21, 19.39), number of male children (AOR = 2.51 95% CI = 1.06, 5.96), absence of husband support (AOR = 12.99 95% CI = 4.59, 36.78) and presence of community prohibition (AOR = 6.88 95% CI = 3.05, 15.51) were identified as predicting factors for modern contraceptive discontinuation.ConclusionMagnitude of modern contraceptive discontinuation among reproductive age group women in Humera was relatively high. Increasing community awareness, involving partners and pre dispensation counseling might help to reduce discontinuation and its consequences. Various targeted messages are also needed to dispel misconception at community level.

Factors that affect the discontinuation of family planning methods in Myanmar: analysis of the 2015–16 Myanmar Demographic and Health Survey

“…In this study, the 12-month contraceptive discontinuation rate among women age 15–49 who started an episode of contraceptive use within the 5 years before the MDHS was 39% for all methods., This rate was consistent with the average 12-month discontinuation rate (38%) in 25 other low and middle income countries [ 13 ]. The discontinuation rate in this study is similar to the rates of 38% in Bangladesh, 34% in Senegal, 31% in Tanzania and 27% in Ethiopia [ 22 – 25 ], indicating that Myanmar’s contraceptive discontinuation magnitude is similarly high as other developing countries.…”

“…The MDHS results were also consistent with a study from Senegal, in which discontinuation was lower among long-term methods (6 and 18% for implants and IUD, respectively) than for pills (38%) and injectables (33%) [ 23 ]. Likewise in an Ethiopian study, the highest discontinuation rates were found in pill users (38%) while IUD users had the lowest discontinuation rates (14%) [ 25 ]. Short-term method users may discontinue at higher rates because they can stop using their method without the assistance of health providers.…”

Prevalence and determinants of modern contraceptive utilization among women in the reproductive age group in Edaga-hamus Town, Eastern zone, Tigray region, Ethiopia, June 2017

“…The variations may be due to different population characteristics. However, the prevalence of modern contraceptive utilization in this study was higher than the study conduct in Ofla District, Tigray, Northern Ethiopia (37.1%) [10], in Tigray, North Ethiopia(35.6%) [11], in Humera town, Tigray Region, Ethiopia(27.1%) [12], in Tigray, Ethiopia(46%) [13], in South Nigeria (21.6%) [20]. United Nations millennium development goal (MDG) 2015 report for African continent (33.4%) [2], and the 2015 sub-Saharan MDG reports [2].…”

“…Study conduct in Ofla District, Tigray, Northern Ethiopia (37.1%) [10], in Tigray, North Ethiopia(35.6%) [11], in Humera town, Tigray Region, Ethiopia(27.1%) [12], in Tigray,…”

The Impact of Education and Residence on Current Use of Contraception in Ethiopian Women

“…For example, due to unavailability of contraception about 20% of the unwanted pregnancy occurred in women in refugee camps in Ethiopia, and more than three-quarter of those resulted in maternal mortality (Gebrecherkos et al, 2018). Moreover, a high interruption of modern contraceptive use was observed among reproductive aged Ethiopian women (Belete, Zemene, Hagos, & Yekoye, 2018). Such of many unintended pregnancies, still birth, and neonatal and maternal deaths can be averted by using contraception regularly (Berhan & Berhan, 2014;Godefay, Byass, Graham, Kinsman, & Mulugeta, 2015).…”