Early Discontinuation of Implant and Its Associated Factors among Women Who Ever Used Implant in 2017/2018 in Hawassa Health Centers, Southern Ethiopia, 2019

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; to assess early discontinuation of implant and to identify associated factors among women who ever used implant in 2017/2018 in Hawassa health centers  , south  Ethiopia ,2019

Methods: cross sectional study design with structured and pre tested questionnaires was administered for 292 women who ever used implant in 2017--2018 from June; to July 2019. All research  group members were  undertake data collection .292 women who ever used implant in 2017--2018 were selected by simple random sampling technique and the data was  collected  from the family planning registration book of each Health centers. The data were entered and cleaned in SPSS version 20 for analysis. Multivariate Logistic regression was used identify factors associated with early discontinuation rate of implant.

Result:  Of the 244 who ever used implant in the last one year, the overall early implant discontinuation rate was (16%). The 39 women that had the implant removed had used implant for the duration of between 2 and 14 months with a mean of 6.6±2.8 months. Almost all (97.4%) of the discontinuers had used implant only for duration of less than year, following for less than 6 months (53.8%) and 14 months (2.6%).

Conclusion   Early implant discontinuation rate in this study is in a considerable number. In addition, significant amount of women were also planned to discontinue before 3 years Socio demographic variable including religion, age, educational level, number of live birth and marital status have not been found to be significant Predictors of early Implant discontinuation