Early Discontinuation Rate of Implanon and Its Associated Factors among Women Who Ever Used Implanon in 2012/2013 in Ofla Woreda, Tigray, Northern Ethiopia,2014
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Date
2014-06
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Addis Ababa University
Abstract
Background: Contraceptive use plays an important role in reducing fertility; and at times
contraceptive prevalence has been used to evaluate the effect of family planning programs.
Quality of family planning services is an important determinant of contraceptive use because it is
likely to affect contraceptive adoption and, more significantly, contraceptive continuation i.e.
poor access to quality Family Planning services, high discontinuation rate and low motivation to
use modern FP methods.
Objective; the objective of the study was to determine early discontinuation rate of Implanon
and to identify its associated factors among women who ever used implanon in 2012/2013 in
Ofla woreda, Tigray, North Ethiopia ,2014
Methods: a community based cross sectional study design with structured and pre tested
questionnaires was administered for 244 participants from January 20-March 09, 2014. Six data
collectors and two supervisors who were trained on the objective of the study and data collection
techniques to administer the questionnaire were recruited in the data collection process. All
women who ever used implanon in 2012/2013 were included in the study and the data was
collected house to house by taking the list of the participants from the family planning
registration book of each Health institutions. The data was entered and cleaned in Epi Info by the
principal investigator then exported to SPSS version 20 for analysis. Multivariate Logistic
regression was used identify factors associated with early discontinuation of implanon.
Result: The mean (±SD) ages of the participants were 26.9±6.9 years. More than half of the
participants 168(68.9%) were married, and 199(81.6%) were farmer by occupation.
The overall early implanon discontinuation rate in this study was 16% with mean duration of
implanon use of 6.6±2.8 months. The main reason for early discontinuation of implanon was
Health concerns and side effects followed by desire to have more children. Women who have
developed side effects during using of implanon, women who didn’t appointed for follow up and
women who didn’t satisfied by the service given during the implanon insertion were the
predictors of early implanon discontinuation.
Conclusions: early implanon discontinuation rate in this study was in a considerable number and
the main reason for discontinuation was Health concerns. Pre insertion counseling, close
monitoring and follow up of implanon users should be made to increase implanon continuation
rate
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Early Discontinuation Rate of Implanon