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Discontinuation of Reversible Long-Acting Contraceptive and Associated Factors among Female Users in Health Facilities of Hawassa City, Southern Ethiopia: Cross-Sectional Study

Authors Abebe BA, Assefa N, Mengistie B

Received 2 May 2020

Accepted for publication 5 August 2020

Published 26 August 2020 Volume 2020:11 Pages 113—123

DOI https://doi.org/10.2147/OAJC.S259978

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Igal Wolman


Belay Amare Abebe, 1 Nega Assefa, 2 Bezatu Mengistie 2

1Department of Midwifery, College Medicine and Health Sciences, University of Hawassa, Hawassa, Ethiopia; 2School of Public Health, College of Health and Medical Sciences, University of Haramaya, Harar, Ethiopia

Correspondence: Belay Amare Abebe PO Box 1560 Tel +251-91-014-2197
Email gideteb60@gmail.com

Background: Despite improvement in the availability and use of reversible long-acting contraception, discontinuation is becoming a public health concern. A significant proportion of women discontinuing the service before its due date, which is of concern in the health system with regard to its consequences, may lead to a program failure. In addition, there is a paucity of information on discontinuation of reversible long-acting contraceptives and associated factors in the study area. Therefore, this study aimed to assess discontinuation of reversible long-acting contraceptives and associated factors among female users in health facilities of Hawassa city, southern Ethiopia, 2019.
Methods: Institution-based cross-sectional design was used. Systematic sampling was used to select study participants. Women who were users of long-acting contraceptives and had come to selected health facilities for method-related reasons were included in the study. Data collectors approached and recruited participants before they contacted their care providers. Data were collected from study subjects using a pretested, structured questionnaire through face-to-face interviews after participants had contacted care providers. Results are presented using the crude and adjusted ORs with corresponding 95% CIs.
Results: The overall proportion of reversible long-acting contraceptive discontinuation was 56.6% (95% CI 52.30%, 61.10%). Maternal education at primary level (AOR 2.33, 95% CI 1.15– 4.74), lack of counseling (AOR 2.50, 95% CI 1.01– 6.18), side effects (AOR 2.10, 95% CI 1.31– 3.34), and desire to be pregnant (AOR 2.22; 95CI 1.50– 3.30) were the major factors in discontinuation.
Conclusion: In this study, the overall proportion of discontinuation of reversible long-acting contraceptives was high. Maternal education at primary level, lack of counseling, side effects, and desire to be pregnant were the key factors associated with discontinuation of the contraceptives. Health professionals should provide counseling on the side effects before insertion.

Keywords: factors, discontinuation, reversible long-acting contraceptives

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