Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Women's Health
Published in: BMC Women's Health 1/2018

Open Access 01-12-2018 | Research article

Discontinuation rate of Implanon and its associated factors among women who ever used Implanon in Dale District, Southern Ethiopia

Authors: Abreham Nageso, Achamyelesh Gebretsadik

Published in: BMC Women's Health | Issue 1/2018

Login to get access

Abstract

Background

Early discontinuation of the Implanon contraceptive method and reasons for such discontinuation remains a major concern for family planning programs. In less developed countries, contraceptive discontinuation due to health concerns is generally higher, these complaints are often related to service quality. Significant numbers of women become exposed to conception after discontinuation and accidental pregnancies that end up with abortion & stillbirth. The aim of this study was to assess the early discontinuation rate of Implanon and identify its associated factors among women who ever used Implanon in 2016 in Dale district, Southern Ethiopia.

Methods

Community based cross-sectional study design was conducted from January to February, 2017. A total number of 711 women who ever used Implanon in 2016 were selected using multistage sampling. The data were entered and cleaned in Epi Info and analyzed using SPSS. Multivariate logistic regression analysis was used to determine the effect of factors on the outcome variables. Finally, the results were presented using adjusted odds ratio (AOR) & confidence interval of 95%.

Result

Early Implanon discontinuation rate in this study was 160 (23.4%) with a mean duration of Implanon use of 9.6 ± 2.5 months. The main reasons for discontinuation of Implanon were 55 (34.4%) the facing of side effects. Factors for discontinuation of Implanon were women age 20–24 years (AOR =. 44 (95% CI: 23-. 85), 25–29 years (AOR =. 52 (95% CI: 27-. 96), 35+ years, (AOR =. 08 (95% CI: 02-. 41), less likely to discontinue. Women who weren’t counseled about the side effects during Implanon insertion were 1.93 times (AOR = 1.93 (95% CI: 1.27–2.93), women who didn’t satisfied by the service (AOR = 2.55(CI: 95%: 1.63–3.97), women who didn’t appointed for follow up (AOR = 3.13 (CI: 95%: 2.0–4.95), women who didn’t choose the method by themselves (AOR = 1.83 (CI: 95%: 1.18–2.83) and women who didn’t have information on family planning before Implanon insertion (AOR = 1.52 (CI: 95%: 1.1–2.28) were the predictors of Implanon discontinuation.

Conclusions

Implanon discontinuation rate in this study area was high. Appropriate counseling prior to insertion and proper follow up, autonomous choice will improve the continuation rate of Implanon.
Literature
1.
Makarainen L, van Beek A, Tuomivaara L, Asplund B, Coelingh Bennink H. Ovarian function during the use of a single contraceptive implant: Implanon compared with Norplant. Fertil Steril. 1998;69(4):714–21.CrossRef
2.
Ladipo OA, Akinso SA. Contraceptive implants. Afr J Repod Health. 2003;9:16–23.CrossRef
3.
Kabir A, Bidia F, Beth F, Suzanne E ea. Contraceptive commodities for women’s health. Hormonal implants: Prepared for the United Nations Commission on Life-Saving Commodities for Women and Children. . 2012.
4.
Hancock NL, Stuart GS, Tang JH, Chibwesha CJ, Stringer JS, Chi BH. Renewing focus on family planning service quality globally. Contraception and Reproductive Medicine. 2016;1(1):10.CrossRef
5.
Gebre-Egziabher D, Medhanyie AA, Alemayehu M, Tesfay FH. Prevalence and predictors of Implanon utilization among women of reproductive age group in Tigray region, northern Ethiopia. Reprod Health. 2017;14.
6.
D'Antona ÁO, Chelekis JA, MFLd D'A, Siqueira AD. Contraceptive discontinuation and non-use in Santarém, Brazilian Amazon. Cadernos de saude publica. 2009;25(9):2021–32.CrossRef
7.
Huda FA, Chowdhuri S, Sirajuddin MFR. Importance of appropriate counselling in reducing early discontinuation of Norplant in a northern district of Bangladesh. J Health Popul Nutr. 2014;32(1):142.PubMedPubMedCentral
8.
Central Statistical Agency (CSA) [Ethiopia] and ICF. 2011. Ethiopia Demographic and Health Survey.
9.
Kalayu B, Seifu H, Mesganaw F. Early discontinuation of Implanon and its associated factors among women who ever used Implanon in Ofla District, Tigray. Northern Ethiopia.
10.
Tadesse A, Kondale M, Agedew E, Gebremeskel F, Boti N, Oumer B. Determinant of Implanon discontinuation among women who ever used Implanon in Diguna Fango District, Wolayita zone, southern Ethiopia: a community based case control study. International Journal of Reproductive Medicine. 2017;2017(2861207).
11.
Melkamu A, Syoum N, Mequannt A. Early Implanon discontinuation and associated factors among Implanon user women in Debre Tabor town, public health facilities, Northwest Ethiopia, 2016. International Journal of Reproductive Medicine. 2018;2018:10.
12.
Tseganeh W. Assessment of quality of family planning service. Bahar-Dahar Special Zone, Amahara Reginal States. 2005;133.
13.
Birhane K, Hagos S, Fantahun M. Early discontinuation of Implanon and its associated factors among women who ever used Implanon in Ofla District, Tigray, Northern Ethiopia. IJPSR. 2015;6(3).
14.
Mutihir J, Nyango D. One-year experience with Implanon sub-dermal implants in Jos, Nigeria Nigerian. Journal of Clinical Practice. 2010;13(1).
15.
Bhatia P, Nangia S, Aggarwal S, Tewari C. Implanon: subdermal single rod contraceptive implant. The Journal of Obstetrics and Gynecology of India. 2011;61(4):422.CrossRef
16.
Madugu N, Abdul M, Bawa U, Kolawole B. Uptake of hormonal implants contraceptive in Zaria, northern Nigeria. Open Journal of Obstetrics and Gynecology. 2015;5(05):268.CrossRef
17.
Modesto W, Bahamondes MV, Bahamondes L. A randomized clinical trial of the effect of intensive versus non-intensive counselling on discontinuation rates due to bleeding disturbances of three long-acting reversible contraceptives. Hum Reprod. 2014;29(7):1393–9.CrossRef
18.
Agrawal A, Robinson C. An assessment of the first 3 years9 use of Implanon® in Luton. Journal of Family Planning and Reproductive Health Care. 2005;31(4):310–2.CrossRef
19.
Harvey C, Seib C, Lucke J. Continuation rates and reasons for removal among Implanon® users accessing two family planning clinics in Queensland, Australia. Contraception. 2009;80(6):527–32.CrossRef
20.
Burusie A. Reasons for premature removal of Implanon among users in Arsi zone, Oromia region, Ethiopia, 2013. Reprod Syst Sex Disord. 2015;4:148.
21.
Aziz MM, El-Gazzar AF, Elgibaly O. Factors associated with first-year discontinuation of Implanon in Upper Egypt: clients' and providers' perspectives. BMJ Sexual & Reproductive Health. 2018.
22.
Pam VC, Mutihir JT, Karshima JA, Kahansim ML, Musa J. DaruPH factors associated with use and discontinuation of Implanon contraceptive in Jos. Nigeria Tropical Journal of Obstetrics and Gynaecology. 2014;31(2).
23.
Jacobstein R, Stanley H. Contraceptive implants: providing better choice to meet growing family planning demand. Glob Health Sci Pract. 2013;1(1):11–7.CrossRef
24.
Implanon Discontinuation Rate and Associated Factors among Women who ever Used Implanon in the Last Three Years in Debre Markos Town, Northwest Ethiopia, 2016, Cross sectional study. ARC Journal of Public Health and Community Medicine 2017;2(1).
25.
Danielle S, Casner T, Secura GM, Peipert JF, Madden T. Characteristics associated with discontinuation of long-acting reversible contraception within the first 6 months of use. Obstet Gynecol. 2013;122(6):1214–21.CrossRef
26.
Debra K, Andrew RD, Linda FC, Stephen H, Marvin R. Determinants of early implant discontinuation among low-income women. Perspect Sex Reprod Health. 1996;28(6).
Metadata
Title
Discontinuation rate of Implanon and its associated factors among women who ever used Implanon in Dale District, Southern Ethiopia
Authors
Abreham Nageso
Achamyelesh Gebretsadik
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2018
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-018-0678-x

Other articles of this Issue 1/2018

BMC Women's Health 1/2018 Go to the issue

Debate

Towards equity in organised cancer screening: the case of cervical cancer screening in France

Research article

Family planning utilization and factors associated among women receiving abortion services in health facilities of central zone towns of Tigray, Northern Ethiopia: a cross sectional Study

Research article

Spousal discordance on reports of contraceptive communication, contraceptive use, and ideal family size in rural India: a cross-sectional study

Research article

The role of counseling on modern contraceptive utilization among HIV positive women: the case of Northwest Ethiopia

Research article

Polycystic ovary syndrome and its impact on Iranian women’s quality of life: a population-based study

Research article

Trauma, attachment style, and somatization: a study of women with dyspareunia and women survivors of sexual abuse