Early Discontinuation Rate Of Implanon And Its Associated Factors Among Women Who Ever Used Implanon In 20122013 In Ofla Woreda Tigray Northern Ethiopia2014

Background: Contraceptive use plays an important role in reducing fertility; and at timesrncontraceptive prevalence has been used to evaluate the effect of family planning programs.rnQuality of family planning services is an important determinant of contraceptive use because it isrnlikely to affect contraceptive adoption and, more significantly, contraceptive continuation i.e.rnpoor access to quality Family Planning services, high discontinuation rate and low motivation tornuse modern FP methods.rnObjective; the objective of the study was to determine early discontinuation rate of Implanonrnand to identify its associated factors among women who ever used implanon in 2012/2013 inrnOfla woreda, Tigray, North Ethiopia ,2014rnMethods: a community based cross sectional study design with structured and pre testedrnquestionnaires was administered for 244 participants from January 20-March 09, 2014. Six datarncollectors and two supervisors who were trained on the objective of the study and data collectionrntechniques to administer the questionnaire were recruited in the data collection process. Allrnwomen who ever used implanon in 2012/2013 were included in the study and the data wasrncollected house to house by taking the list of the participants from the family planningrnregistration book of each Health institutions. The data was entered and cleaned in Epi Info by thernprincipal investigator then exported to SPSS version 20 for analysis. Multivariate Logisticrnregression was used identify factors associated with early discontinuation of implanon.rnResult: The mean (±SD) ages of the participants were 26.9±6.9 years. More than half of thernparticipants 168(68.9%) were married, and 199(81.6%) were farmer by occupation.rnThe overall early implanon discontinuation rate in this study was 16% with mean duration ofrnimplanon use of 6.6±2.8 months. The main reason for early discontinuation of implanon wasrnHealth concerns and side effects followed by desire to have more children. Women who haverndeveloped side effects during using of implanon, women who didn’t appointed for follow up andrnwomen who didn’t satisfied by the service given during the implanon insertion were thernpredictors of early implanon discontinuation.rnConclusions: early implanon discontinuation rate in this study was in a considerable number andrnthe main reason for discontinuation was Health concerns. Pre insertion counseling, closernmonitoring and follow up of implanon users should be made to increase implanon continuationrnrate

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