Wondu, Yirga (2014) Assessment of the Level of Copper T 380A Contraceptive Method Utilization and Associated Factors for Discontinuation in Adama Town Health Institutions, Oromia Regional State. Masters thesis, Addis Ababa University.
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Abstract
BACKGROUND: Copper T is a type of contraceptive device placed in the woman’s uterus by trained health professional to prevent unintended pregnancy for up to 12 years. Cu T utilization status and factors associated with discontinuation before the intended period was understudied in Ethiopia OBJECTIVE: The objective of this study is to assess Cu T 380A utilization status and factors associated with early discontinuation of it in Adama town of Oromiya regional state. METHOD: A retrospective study design using a quantitative method was used to identify family planning user clients for whom CuT380A was inserted from March 2009 to February 2014 G.C. A structured check list and telephone interview was employed for data collection. The sample size, for this study was 345. RESULT: The average age of Cu T users was 30.7 years and median was 30.0 at the time of Cu T insertion with standard deviation of +7.1. Majority of Cu T insertions 95 (27.5%) were among women between 30 and 34 years of age. The duration of Cu T380A use for 5 years before discontinuation was 202(58.6%) and discontinuation before 5 years after insertion was 143(41.4%).Among 345 subjects, majority of the women 37(10.7%) discontinue within 2-3 years. Factors associated with discontinuation include bleeding 42 (29.37%) and automatic expulsion 32 (22.37%). The logistic regression analysis in shows that women experiencing health problem after CU T380A insertion (bleeding), pain and automatic expulsion of IUCD have significantly associated with discontinuation of CU T 380A. CONCLUSION AND RECOMMANDATION: Cu T 380 A utilization rate for 5 years after insertion is so low(51.4%) in Adama town which is almost equivalent with removal(41.6%) therefore; our family planning providers has to be alert in addressing this obstacle so as to increase the discrepancy between continuation and removal rate. The findings suggest a need for further large scale studies in Ethiopian setup to analyze the institutional situation of Cu T utilization so as to formulate precise strategies to reduce discontinuation and to improve utilization of CuT380A.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 12 Oct 2018 13:52 |
| Last Modified: | 12 Oct 2018 13:52 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6840 |
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