Birhane, Kalayu (2014) 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. Masters thesis, Addis Ababa University.
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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.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Vincent Mpoza |
| Date Deposited: | 12 Jul 2018 11:15 |
| Last Modified: | 12 Jul 2018 11:15 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7415 |
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