Contraceptive Discontinuation and Method Switching Among Registered Modern Family Planning Acceptors in Bahir Dar
| dc.contributor.advisor | Hailemariam, Assefa (PhD) | |
| dc.contributor.author | Ayalew, Yitayew | |
| dc.date.accessioned | 2018-09-28T06:58:15Z | |
| dc.date.accessioned | 2023-11-18T09:25:45Z | |
| dc.date.available | 2018-09-28T06:58:15Z | |
| dc.date.available | 2023-11-18T09:25:45Z | |
| dc.date.issued | 1998-06 | |
| dc.description.abstract | The major objec ti ve of discontin uation, reasons for ABSTRACT this study was discontinuation to and examine contraceptive me thad swi tching among registered modern family planning acceptors in one of the major urban center of Ethiopia, Bahir-Dar . Using systematic sampling technique a total of 1000 women were selected from 14245 women who for the first time visited one of the family planning providing center in the town and a total of 907 respondents tvere interviewed for the present study. Three and halt years retrospective contraceptive histories were collected for these women i n a monthly calendar of events. Single and multiple decrement life table technique are used to analyze the dynamics of contraceptives practice in the study population. The finding shows that method specific 12- month discontinuation rates range from 43 . 8 percent for pill to 24.4 percent for injectable and IUD . For all methods combined, 39 percent of users were likely to terminate within the first year of use. Side eff eccs are the main reasons tor first year discont inuation of the pill, IUD, and injectable. Method change, on the other hand, i s the main rea son for disconti nua tion of ' other modern methods I such as condom and vaginal methods . For all methods together side effects and the desire to get pregnane are the two main reasons for discontinua tion of can tracepti ve use. pri thin the first year of use about 13 percent and 9 percent of users, respectively, were likely to t erminate use of a method as a resul t of these reasons. The 12-month contraceptive failure rate is comparatively higher for the p il l (2 . 8 percent ) than ' other modern methods I (3 . 6 percent) and it ranges from 0 percent for in jectable and IUD to 3.6 percent for rather modern methods'. For all methods combined the 12-month probability of discontinuation due to method failure is 2. 0 percent, indicating that method failure is not a significant problem as compared to other categories of reasons in the populati on under study. The likelihood of method change is highest among users of IUD and the lowest is observed among users of injectable . About 27 percent of IUD users and 19percent of inj ectable users were likely to switch methods within the second year of use . Switchers as a whole we r e most likely to switch their first method to injectable. Contraceptive discontinuation rates we r e also significantly different among women wi th various socio-demographic characteristics . Discontinuation of a given contraceptive method is significantly influenced by age of acceptors, number of living children, additional children desired, contraceptive goal, and marital sta tus. However, educational level and type of occupation were not found to have a signifi cant effect on the disc ontinuati on rate . Based on the major findings of the study, the paper indicates major ar eas of policy and program interventions to improve the quality of family planning services. Among others, a need to address the issue of contraceptive related side effects, maximize t he method mix, informing users about the proper usage of oral c ontraceptive, Specialized training for all tJ'J.ose in the field particularly to c ommunity agents and further study in tlJe area are suggested. | en_US |
| dc.identifier.uri | http://etd.aau.edu.et/handle/12345678/12285 | |
| dc.language.iso | en | en_US |
| dc.publisher | Addis Ababa University | en_US |
| dc.subject | Development | en_US |
| dc.title | Contraceptive Discontinuation and Method Switching Among Registered Modern Family Planning Acceptors in Bahir Dar | en_US |
| dc.type | Thesis | en_US |