Abstract:
Significant number of women use implanon as their first choice. However, they discontinue before
the removal date due to different reason. There is high number unmet need for family planning
ends in unintended,use of long-term contraceptive as directed by providers were proven
interventions to overcome of these problem.
Objectives: To determine the Magnitude of Implanon discontinuation and associated factors
among Implanon User Kersa District South-West, Ethiopia.
Methods: A community based cross-sectional study using both quantitative and qualitative
methods of data collection was conducted. A total of 475 implanon user from January 2015 to
August 2016 women were selected by systematic random sampling technique. Data was entered
to Epidata manager version 4.4 and analyzed using SPSS version 20. Binary and multivariable
logistic regression analysis was carried out.
Result: One hundred ten (23.2%) of implanon user were discontinued to use implanon before two
and half years. The main reason for discontinuation of implanon were 53(48.2%) facing side
effects such as bleeding, weight loss and headache. Woman who had not have information on
effectiveness of modern contraceptive before insertion (AOR=2;95% CI:1.13-3.55). Women those
being served by midwifes and nurse (AOR=1.8;95% CI:.1.04-3.23) and women who didn’t
appointed for follow-up (AOR=1.8,95% CI:1.01-3.19) were predictors of implanon
discontinuation.
Conclusion. About quarter of the participants discontinued implanon before two and half years.
The associated factors such as not having information of modern contraceptive effectiveness, not
being appointed for follow-up and being served by nurses and midwives have been found
positively associated with implanon discontinuation.
