Magnitude of implanon discontinuation and associated fectors Among implanon user in kersa district, south-west, Ethiopia

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.