Discontinuation Rate of Long Acting Reversible Contraceptives and Factors Associated among Reproductive Age Women in Butajira Town, Southern Ethiopia, 2020.
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Date
2020-06
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Addis Ababa University
Abstract
Background: High prevalence of modern contraceptive discontinuation including long-acting reversible contraceptives without any change in fertility intention has resulted in unintended pregnancy. Discontinuation of contraceptives often associated with unplanned pregnancy which
ends up with induced abortion and unplanned birth. The DHS analysis of 60 countries reported that discontinuation rate of an IUD was 14.3%. Based on the report of developing countries 13.1%, 26.3% and 36.7% of IUD user women discontinued at the first 12, 24 and 36 months respectively.
Objectives: To assess the discontinuation rate of long-acting reversible contraceptives and factors associated among reproductive age women in Butajira town, Southern Ethiopia, 2020.
Methods: community-based cross-sectional study was conducted from April to May to assess the discontinuation rate of long acting reversible contraceptives and factors associated among reproductive-age women in Butajira town. Systematic sampling method was used to select 227
women. Data was collected by questionnaire and entered into a computer using Epi-data version 4.6.2 statistical program then it was exported to SPSS version 25 for analysis. Statistical analysis was used to predict the relation between dependent and independent variables. Lastly, significant of statistical association was assured using OR at a 95% confidence interval and p-value <0.05.
The result was presented using text, tables, graphs and charts.
Result: this study revealed that discontinuation rate of long-acting reversible contraceptives was found 22.5%. The main reason for discontinuation was facing of side effect 26(52%) and from that menstrual disruption 19(73.1%). Time consumed to reach the health facility (AOR=6.16(95% CI 1.46-25.97), desire to have more children (AOR= 5.3(95% CI: 1.13-24.81) and counseled about benefit of long acting reversible contraceptives (AOR=0.08(95% CI: 0.02-0.39) were predictors of LARC discontinuation.
Conclusion and Recommendation: This study showed that discontinuation rate was 22.5%.The result suggested that need of implementing and strengthening regular supervision on how clients are counseled.
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Keywords
Discontinuation, LARC, Butajira