Discontinuation Rate of Intrauterine Device and Associated Factors Among Women in the Last One Year in Angacha District, Southern Ethiopia

Abstract

Background

Discontinuation of intrauterine contraceptive device is the phenomenon of starting a contraceptive method and then ending it within one year of its use. Discontinuation of an intrauterine contraceptive method often leads to unintended pregnancy; this tips to potentially unsafe abortions and unintended births. Even though Ethiopian government gives an attention to long acting reversible contraceptives, especially IUCD, there are no recent studies conducted in the study area. Thus, this study aimed to assess the discontinuation rate of IUCD and associated factors among women in the last one year in Angacha District, southern Ethiopia.

Methods

A community-based cross-sectional study was conducted from June 22 to July 22, 2020. Multistage sampling was used to select a total of 596 women who used IUCD during the last year in the Angacha district. Data were collected using pre-tested structured questionnaires. The collected data were entered into Epidata version 3.1 and exported to SPSS version 23 for analysis. Multivariate logistic regression analysis was carried out to identify factors independently associated with discontinuation IUCD. The significance level was set at a p-value of <0.05 and AOR with 95% CI was used to interpret the association.

Results

In this study, 116(19.5%) women discontinued the use of IUCD in the last year with a 95% CI of 16.3%–22.5%. Counseling before IUCD insertion [AOR (95% CI) = 2.5(1.03, 6.03)], marital status [AOR (95% CI) = 0.23(0.08, 0.69)], access to IUCD service [AOR (95% CI) = 0.29(0.12, 0.72)], and parity [AOR (95% CI) = 3.69(1.97, 8.84)] were significant with discontinuation of IUCD.

Conclusion

The overall magnitude of IUCD discontinuation in the study area was found to be high. Counseling before IUCD insertion and parity were positively associated while marital status of mothers and access to IUCD services were negatively associated with the discontinuation of IUCD.

Keywords:

• Angacha district
• discontinuation
• intrauterine device
• Kembata Tembaro zone

Abbreviation

CDC, communicable disease control; CI, confidence interval; EDHS, Ethiopian Demographic and Health Survey; FP, family planning; HH, household; HIV, human immune deficiency virus; IUCD, inter uterine contraceptive device; LAPM, long-acting and permanent contraceptives methods; MPH, master of public health; RH, reproductive health; SPSS, Statistical Package for Social Sciences; SSA, sub-Saharan Africa; SNNPR, South Nations and Nationalities of People’s Regional; WHO, World Health Organization.

Data Sharing Statement

Data can be made available upon reasonable request from the corresponding author.

Acknowledgments

We would like to express our sincere gratitude to Wolaita Sodo University, the College of Medicine and Health Sciences, and the School of Public Health for technical support. Our thanks go to the managers of health facilities for their permission to conduct the study in their facilities. The authors also acknowledge their study participants for providing the necessary information and the data collectors for collecting the data carefully.

Author Contributions

All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis, and interpretation, or all these areas; took part in drafting, revising, or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.

Disclosure

The authors declare no conflicts of interest in this work.