Determinants of Discontinuation of Contraceptive Methods among Women at Kenyatta National Hospital, Kenya
Year: 2016
Type: article
Study design: Observational Study
Abstract: Background: Contraceptive use prevalence in Kenya is at 58% according to the 2014 Kenya Demographic Health \nSurvey. Several factors lead to discontinuation and switch of contraceptives. Discontinuation rate as per the \n2008/2009 KDHS for one year was 35.8%. \nObjectives: To find out the determinants of discontinuation and switching of hormonal and IUD contraceptive \nmethods. \nMethodology: The study was a cross-sectional hospital based one, where data was collected by use of an interviewer \nadministered questionnaire at Kenyatta National Hospital, where 400 women were interviewed. The data was then \nanalyzed by use of the statistical software, SPSS Version 20. \nResults: The study population mainly comprised married women with a mean age of 31.45±6.40 years. Most women \nchose a contraceptive method which they perceived had the least adverse effects. Discontinuation rate by the time of \nstudy in the study population was 60.8%, with adverse effects as the most cited reason for discontinuation. The \nmethod of contraception and presence of co-morbidity were the factors associated with discontinuation of a \ncontraceptive. Survival analysis showed that depot injection and Jadelle® (Levonorgestrel releasing implant 75mg) \nhad the highest median months of use and Impanon® (Etonogestrel implant 68mg) the least. \nConclusion: The reasons for discontinuation of contraceptive use include primarily concerns for adverse effects, use \ninconvenience, desire for pregnancy, contraceptive failure, and doctor’s advice.
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2301328380