PREVALENCE OF MODERN CONTRACEPTIVE DISCONTINUATION AND ASSOCIATED FACTORS AMONG WOMEN IN REPRODUCTIVE AGE (15-49) IN KOMBOLCHA DISTRICT, EAST HARARGE ZONE, OROMIA REGION, ETHIOPIA.

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