Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia
Plain language summary Ethiopia has a substantially greater percentage of unintended pregnancy than other developing and developed countries. Long-acting reversible contraception (LARC) has a potential to address a huge and growing unmet need in resource limited countries like Ethiopia, such as redu...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-02-01
|
| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-022-01357-2 |
| _version_ | 1819277864939290624 |
|---|---|
| author | Tessema Bereku Yitagesu Habtu Bereket Abreham Menen Ayele Melesech Eliso |
| author_facet | Tessema Bereku Yitagesu Habtu Bereket Abreham Menen Ayele Melesech Eliso |
| author_sort | Tessema Bereku |
| collection | DOAJ |
| description | Plain language summary Ethiopia has a substantially greater percentage of unintended pregnancy than other developing and developed countries. Long-acting reversible contraception (LARC) has a potential to address a huge and growing unmet need in resource limited countries like Ethiopia, such as reducing unwanted births and abortion rates. As part of this global approach to fertility management, Ethiopia has been implementing various strategies like an on-going task shifting and task sharing with the implanon scale up program, and IUD revitalization program starting from the community health services to higher level healthcare systems to increase access and utilization of long acting reversible family planning methods. However, discontinuing LARCs before the recommended duration use and switching to short-acting contraceptives have proven difficulty in Ethiopia. This may have led to low utilization rate of LARCs in Ethiopian contexts including the study area, when compared to the national target. Very low coverage of use of LARC among unmet need has shown by many studies in various corners of the country. Thus, determining the magnitude and factors of LARC discontinuing and switching is still a pressing need to establish additional strategies used to improve consistent use of LARC for the recommended duration and expand access to LARC for better planning of births. In this study we assessed magnitude and factors of LARC discontinuation and switching from a relatively huge number of records extracted from systematically selected health facilities in Southern Ethiopia. Extracted data from registers of long acting reversible family planning methods were analysed using descriptive statistics and logistic regression. Accordingly, we found significant proportion women discontinued long acting reversible family planning methods before the recommended duration of use as well as switched from long acting reversible family planning methods to other modern short-acting methods due to various reasons. Only a number of children women had is associated with discontinuation and no single factor was associated with method switching in Southern Ethiopia. Family planning services should be re-evaluated with a focus on effective counseling on the side effects of LARCs approaches, and training for family planning providers, particularly community healthcare workers, should be provided. |
| first_indexed | 2024-12-24T00:02:54Z |
| format | Article |
| id | doaj.art-c457ec8653bf4141ada478e4f81f82de |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-12-24T00:02:54Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-c457ec8653bf4141ada478e4f81f82de2022-12-21T17:25:05ZengBMCReproductive Health1742-47552022-02-0119111010.1186/s12978-022-01357-2Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern EthiopiaTessema Bereku0Yitagesu Habtu1Bereket Abreham2Menen Ayele3Melesech Eliso4Department of Midwifery, Hossana College of Health SciencesDepartment of Public Health, Hossana College of Health ScienceDepartment of Health Extension Services, Hossana College of Health SciencesDepartment of Clinical Nurses, Hossana College of Health SciencesDepartment of Midwifery, Hossana College of Health SciencesPlain language summary Ethiopia has a substantially greater percentage of unintended pregnancy than other developing and developed countries. Long-acting reversible contraception (LARC) has a potential to address a huge and growing unmet need in resource limited countries like Ethiopia, such as reducing unwanted births and abortion rates. As part of this global approach to fertility management, Ethiopia has been implementing various strategies like an on-going task shifting and task sharing with the implanon scale up program, and IUD revitalization program starting from the community health services to higher level healthcare systems to increase access and utilization of long acting reversible family planning methods. However, discontinuing LARCs before the recommended duration use and switching to short-acting contraceptives have proven difficulty in Ethiopia. This may have led to low utilization rate of LARCs in Ethiopian contexts including the study area, when compared to the national target. Very low coverage of use of LARC among unmet need has shown by many studies in various corners of the country. Thus, determining the magnitude and factors of LARC discontinuing and switching is still a pressing need to establish additional strategies used to improve consistent use of LARC for the recommended duration and expand access to LARC for better planning of births. In this study we assessed magnitude and factors of LARC discontinuation and switching from a relatively huge number of records extracted from systematically selected health facilities in Southern Ethiopia. Extracted data from registers of long acting reversible family planning methods were analysed using descriptive statistics and logistic regression. Accordingly, we found significant proportion women discontinued long acting reversible family planning methods before the recommended duration of use as well as switched from long acting reversible family planning methods to other modern short-acting methods due to various reasons. Only a number of children women had is associated with discontinuation and no single factor was associated with method switching in Southern Ethiopia. Family planning services should be re-evaluated with a focus on effective counseling on the side effects of LARCs approaches, and training for family planning providers, particularly community healthcare workers, should be provided.https://doi.org/10.1186/s12978-022-01357-2LARCsDiscontinuationSwitchingPrimiparous |
| spellingShingle | Tessema Bereku Yitagesu Habtu Bereket Abreham Menen Ayele Melesech Eliso Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia Reproductive Health LARCs Discontinuation Switching Primiparous |
| title | Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia |
| title_full | Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia |
| title_fullStr | Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia |
| title_full_unstemmed | Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia |
| title_short | Magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of Southern Ethiopia |
| title_sort | magnitude and factors for method discontinuation and switching among long acting reversible contraceptive users in health facilities of southern ethiopia |
| topic | LARCs Discontinuation Switching Primiparous |
| url | https://doi.org/10.1186/s12978-022-01357-2 |
| work_keys_str_mv | AT tessemabereku magnitudeandfactorsformethoddiscontinuationandswitchingamonglongactingreversiblecontraceptiveusersinhealthfacilitiesofsouthernethiopia AT yitagesuhabtu magnitudeandfactorsformethoddiscontinuationandswitchingamonglongactingreversiblecontraceptiveusersinhealthfacilitiesofsouthernethiopia AT bereketabreham magnitudeandfactorsformethoddiscontinuationandswitchingamonglongactingreversiblecontraceptiveusersinhealthfacilitiesofsouthernethiopia AT menenayele magnitudeandfactorsformethoddiscontinuationandswitchingamonglongactingreversiblecontraceptiveusersinhealthfacilitiesofsouthernethiopia AT melesecheliso magnitudeandfactorsformethoddiscontinuationandswitchingamonglongactingreversiblecontraceptiveusersinhealthfacilitiesofsouthernethiopia |