Abstract:
Background: A persistent use of contraceptive methods beyond the assumption of reproduction control
also has an ultimate effect in reduction of pregnancy-related morbidity and mortality. Although, studies
have shown the prevalence of contraceptive discontinuation among women in reproductive age of different
districts (towns) in Ethiopia range from 23% to 65%, almost all have been focused on single method type
and therefore this study show the overall contraceptive discontinuation status of women in reproductive age
in Kombolcha district, Oromia region, Ethiopia.
Objective: To assess prevalence and its’ associated factors of contraceptive discontinuation among
women in reproductive age in Kombolcha district, Oromia, Ethiopia in from March 21-30/ 2019.
Methods: Community based quantitative cross sectional study design was conducted from March 21-
30/2019. Multi-stage stratified sampling technique was used to recruit 814 study participants. Pretested
structured questionnaire was used to collect data from participants through face-to-face-interview. Data was
entered to Epidata-3.1 and analyzed by SPSS-23. Descriptive statistics was used to describe characteristics
of study participants. Possible associations and statistical significance between variables was measured
using crude and adjusted odds ratio, P value <0.05 and 95% CI was used to declare statistical significance.
Results: The overall magnitude of modern contraceptive discontinuation was 37.46% with (95% CI: 34.2,
40.7). The highest discontinuation was for the injectable 170(56.3%). Contraceptive discontinuation
among women who didn’t have husband support were more than 3 times than those who have
husband support [AOR=3.43; 95%CI: (1.41, 8.36)]. Women who did not counseled prior to the service
were 9.2 times more likely to discontinue [AOR = 9.17; 95%C.I: (5.37, 15.68)]. Women who took
decision to use family planning independently were 6.6 times more likely to discontinue than who have
joint decision [AOR =6.6; 95%C.I: (2.61, 16.72)]. Women who had method inconvenience were also
11 times more likely to discontinue [AOR= 11.06; 95%C.I: (4.91, 24.9)].
Conclusion: The magnitude of modern contraceptive discontinuation is still high. Which is associated
with lack of counseling prior to family planning service and couples mutually exclusiveness. Thus, service
provider should adhere to counseling standard and teaching aids and then avert misconceptions, rumour
and fears related to side effects and others. Male partners should be actively encouraged to take role in family
planning program
