Determinants of reversible contraceptive method discontinuation among women of reproductive age in Kano metropolis, Nigeria

Published: December 27, 2021
Abstract Views: 74
PDF: 47
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Contraceptive discontinuation contributes substantially to the total fertility rate, unwanted pregnancies and induced abortions thereby increasing the already high maternal morbidity and mortality. This study aimed to access contraceptive discontinuation among women of reproductive age in Kano metropolis. Using a cross-sectional study design with concurrent mixed method of data collection, 350 women were studied. Data was collected using a structured interviewer administered questionnaire, focus group discussion and key informant interview guides. Of the 350 participants, 168 of them had discontinued a method of contraception giving a total discontinuation rate was 48%, with method specific discontinuation rate of 35.1% for implants, 33.9% for injectables, 21.4% for pills, and IUD having the lowest rate (15.5%). The study also found side effects to be the most common reason why women discontinued contraception (67.1%), intention to get pregnant (59.5%), method failure (16.7%), method switch (12.0%), and husband’s disapproval (9.5%). Factors significantly associated with discontinuation at bivariate level were ethnicity, influence on method choice, type of facility where method was obtained, and the type of contraceptive method. These factors were found not to be significant at multivariate level. Contraceptive discontinuation is prevalent in Kano metropolis, meaning that women are at high risk of unintended, mistimed pregnancies, and unsafe abortions, increasing maternal morbidity and mortality. Efforts should be made to tackle the problem of discontinuation through effective educational strategies and counselling techniques.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Rakhshani F, Mohammadi M. Contraception continuation rates and reasons for discontinuation in Zahedan, Islamic Republican of Iran. East Mediterr Heal J 2004;10:260–7.
Tuladhar H, Marahatta R. Awareness and practice of family planning methods in women attending gyne OPD at Nepal Medical College Teaching Hospital. Nepal Med Coll J 2008;10:184–91.
Nanda K, Morrison CS, Kwok C, et al. Discontinuation of oral contraceptives and depot medroxyprogesterone acetate among women with and without HIV in Uganda, Zimbabwe and Thailand. Contraception 2011;83:542–8.
Okunlola MA, Owonikoko KM, Roberts OA, Morhason-Bello IO. Discontinuation pattern among IUCD users at the family planning clinic, University College Hospital, Ibadan. J Obstet Gynaecol (Lahore) 2006;26:152–6.
Yideta ZS, Mekonen L, Seifu W, Shine S. Contraceptive discontinuation , method switching and associated factors among reproductive age women in Jimma town, southwest Ethiopia. Fam Med Med Sci 2017;6:6–11.
Bradley SEK, Schwandt H, Khan S. Discontinuation levels, trends, and reasons for contraceptive discontinuation. DHS Anal Stud 2009;20:1–33.
Barden-O’Fallon J, Speizer IS, Cálix J, Rodriguez F. Contraceptive discontinuation among Honduran women who use Reversible Methods. Stud Fam Plann. 2011; 42 (1): 11-20.
Madugu NH, Abdul MA, Bawa U, Kolawole B. Uptake of hormonal implants contraceptive in Zaria , northern Nigeria. Open J Obstet Gynecol 2015;5:268–73.
Moreau C, Bouyer J, Bajos N, et al. Frequency of discontinuation of contraceptive use: results from a French population-based cohort. Hum Reprodution 2018;24:1387–92.
Oye-adeniran BA, Adewole IF, Umoh A V, et al. Community-based study of contraceptive behaviour in Nigeria. Afr J Reprod Health 2006;10:90-104
Balogun O, Adeniran A, Fawole A, et al. Effect of male partner's support on spousal modern contraception in a low resource setting. Ethiop J Heal Sci 2016;26:439–48.
Austin A. Unmet contraceptive need among married Nigerian women: An examination of trends and drivers. Contraception 2015;91:31–8.
Hameed W, Azmat SK, Ali M, et al. Determinants of method switching among social franchise clients who discontinued the use of intrauterine contraceptive device. Int J Reprod Med 2015;2015:1–8.
Jain AK, Winfrey W. Contribution of contraceptive discontinuation to unintended births in 36 Developing Countries. Stud Fam Plan 2017;48:269–78.
Youssef RM. Contraception use and probability of continuation: community-based survey of women in southern Jordan. East Mediterr Health J 2005;11:545-58.
Curtis S, Evens E, Sambisa W. Contraceptive discontinuation and unintended pregnancy: An imperfect relationship. Int Perspect Sex Reprod Health 2011;32:58–66.
Adeyemi AS, Adekanle DA. Progestogen-only injectable contraceptive : Experience of women in Osogbo, southwestern Nigeria. Ann Afr Med 2012;11: 27-31.
Fagbamigbe AF, Afolabi RF, Idemudia ES. Demand and unmet needs of contraception among sexually active in-union women in Nigeria: Distribution, associated characteristics, barriers, and program implications. SAGE Open 2018;8:1–11.
Agrahari K, Yeo V. Socio-economic differentials in contraceptive discontinuation in India. ARI Work Pap 2014;229:1–22.
Thapa S. Early discontinuation of intrauterine device in Nepal - a retrospective study. WHO South East Asia J Public Health 2012;1:309-319.
Francis NG. Determinants of discontinuation of five-year implants amongst women of reproductive age in selected health facilities of Nairobi county, Kenya. Thesis, Kenyatta University; 2016.
Chigbu B, Onwere S, Aluka C, et al. Contraceptive choices of women in rural southeastern Nigeria. Nigerian J Clin Pract 2010;13:195–9.
Isah AY, Nwobodo EI. Family planning practice in a tertiary health institution in North-Western Nigeria. Nigerian J Clin Pract 2009;12:281–3.
Pam VC, Mutihir JT, Karshima JA, et al. Factors associated with use and discontinuation of implanon contraceptive in Jos, Nigeria. Trop J Obs Gynaecol 2014;31:90–9.
O' Fallen B, Janine LS, Ilene SW, Justine S. Association between contraceptive discontinuation and pregnancy intentions in Guatamala. Pan Am J Public Health 2008;23:410-7.
Beekle AT, McCabe C. Awareness and determinants of family planning practice in Jimma, Ethiopia. Int Nurs Rev 2006;5:269–78.

How to Cite

Gadanya, M. A., & Aliyu, F. E. (2021). Determinants of reversible contraceptive method discontinuation among women of reproductive age in Kano metropolis, Nigeria. Annals of African Medical Research, 4(1). https://doi.org/10.4081/aamr.2021.147