Discontinuation of Long-Acting Reversible Contraceptive Methods and Associated Factors Among Women in Health Facilities of Bahir Dar City, North West Ethiopia, 2021

Yilkal, Dagnaw

dc.contributor.author	Yilkal, Dagnaw
dc.date.accessioned	2022-07-21T11:31:38Z
dc.date.available	2022-07-21T11:31:38Z
dc.date.issued	2021-07
dc.identifier.uri	http://ir.bdu.edu.et/handle/123456789/13890
dc.description.abstract	Introduction: Long-acting reversible contraceptive discontinuation is the removal or switch to other methods before completion of duration due to any issue. Discontinuation of these methods exposes a woman to unwanted pregnancy, unsafe abortions, and unplanned births that affects millions of women worldwide. Despite the improvement in availability and utilization of these methods, discontinuation is becoming high. There is no study conducted on discontinuation and associated factors of long-acting reversible contraceptives in Bahir Dar city, Northwest Ethiopia. Objective: The aim of this study was to assess the proportion and associated factors of discontinuation of Long-Acting Reversible Contraceptives among women in health facilities of Bahir Dar city, Northwest Ethiopia from April 1 to May 30/ 2021. Methods: health facility-based cross-sectional study was conducted on 415 participants from April 1 to May 30/ 2021. Data were collected through a face-to-face interview-guided questionnaire by using a systematic random sampling technique. Epi Data version 3.1 and Statistical Package for Social Sciences version 25 were used for data entry and analysis respectively. Bivariable and multivariable logistic regression analysis were employed; P-value of less than 0.05 was considered statistically significant factors for discontinuation of long-acting reversible contraceptives. Results: The overall proportion of discontinuation of long-acting reversible contraceptives was 66.3% (95% CI:61.42-69.13). No formal education (AOR=.49; 95% CI:0.30-0.82), primary school education (AOR=.39; 95% CI:0.18-0.81), desire to be pregnant in the near future (AOR=2.57; 95% CI:1.64-4.02), no past history of modern contraceptive utilization (AOR=2.01; 95% CI:1.19-3.38), lack of counseling about benefits (AOR=1.68; 95% CI:1.08-2.62) and side effects (AOR=1.95; 95 CI:1.21-3.16) were the associated factors for discontinuation. Conclusion: The overall discontinuation of long-acting reversible contraceptives among women was low compared to Ethiopian Demographic Health Survey 2016. Education, desire of pregnancy in the near future, no past history of contraceptive utilization, lack of counseling about the benefits, and side effects were factors for discontinuation. Therefore, health professionals better give counseling, implement early management of side effects and reassure clients for any concerns. Keywords: Discontinuation, Reversible long-acting contraceptives, Bahir Dar, Ethiopia	en_US
dc.language.iso	en	en_US
dc.subject	Midwifery	en_US
dc.title	Discontinuation of Long-Acting Reversible Contraceptive Methods and Associated Factors Among Women in Health Facilities of Bahir Dar City, North West Ethiopia, 2021	en_US
dc.type	Thesis	en_US