Determinants of Modern Hormonal Contraceptive Methods Utilization among Women within Reproductive Age Group in Dire Dawa City, Ethiopia

Modern family planning methods are widely believed to influence fertility reduction worldwide. Family planning had a clear effect on the health of women, children, and families worldwide especially those in developing countries. It has been shown that there are many instances in which women might discontinue contraception or switch methods that put women at risk of unwanted pregnancies. In addition, studies showed that in countries with moderate to high contraceptive prevalence, the majority of unintended pregnancies are the result of contraceptive discontinuation or failure. This study intends to assess and identify determinants of reversible modern hormonal contraceptive method utilization among women of reproductive age group in Dire Dawa city, Dire Dawa Administration, Eastern Ethiopia. A cross-sectional study design was employed. A total of 811 women one year history of modern hormonal contraceptive method usage was studied. A stratified random sampling method was used to select the study subjects. Data was collected using structured questionnaire and to analyze the data descriptive statistics and binary logistic regression was employed. Result. This study showed that 574 (70.8%) of them continue using the method that they used before one year without changing. However, 237 (29.2%) of women discontinued using the method within a year. Switching account 97 (40.9%) of the discontinuation. Factors such as: age, number of children, who made the decision on choice of the used method, the type of contraceptive method used and taking training/ counseling before using the method were found to be significant at 5% level of significance. Women who are young, have no or small number of children and not the decision maker on the choice of the method are more likely to discontinue. Whereas women who didn’t took training/counseling are less likely to discontinue.  And compared to women who used implant those, women who used pills and injectables are more likely to discontinue. This study showed the factors that contribute to utilization of modern contraception methods. Keywords: modern hormonal contraceptive method; binary logistic regression DOI: 10.7176/DCS/13-3-01 Publication date:March 31st 202

Determinants of Modern Contraceptive Methods Discontinuation among Women within Reproductive Age in Dire Dawa City, Eastern Ethiopia

Background. Modern family planning methods are widely believed to influence fertility reduction worldwide. Family planning had a clear effect on the health of women, children, and families worldwide especially those in developing countries. It has been shown that there are many instances in which women might discontinue contraception methods that put women’s health at risk. Objectives. To assess and identify Determinants of Modern Contraceptive Methods Discontinuation among Women in Reproductive age interval in Dire Dawa City. Method. A cross-sectional study design was employed. A total of 811 respondent women with one-year history of modern contraceptive method usage were considered in the study. A stratified random sampling method was used to select the study participants. Data was collected using a structured questionnaire and analyzed by descriptive statistics and binary logistic regression. Result. The study indicated that 634 (78.20%) of respondent mothers continued using the method that they have used before a year. Whereas 177 (21.80%) of women discontinued using the method within a year. The factors age, number of children, who made the decision on the choice of the method used, the type of contraceptive method used, and taking counseling before using the method were found significant at 5% level of significance. Conclusion. Young women, respondents who have no or a small number of children, and not the decision maker on the choice of the method were more likely to discontinue. Whereas women who did not take counseling are less likely to discontinue. When compared to women who used implant those women who used pills and injectables are more likely to discontinue. Thus, the study identified factors that contribute to the discontinuation of modern contraception methods