This study examines data collected about women removing an IUD or implant from eight Save the Children supported facilities in the Sindh province in Pakistan by means of a retroactive client register review. Among these women, self-reported side-effects related to method use were a significant barrier to continuation of an IUD or implant. Additionally, a substantial proportion of women in the sample removed an IUD or implant specifically at the request or their husband or another family member. We project the impact of discontinuation with remaining need in this sample in terms of unintended pregnancy, abortion and unintended birth to reinforce the claim that supporting women to continue method use, rather than focusing solely on increasing numbers of new users of contraception, is a key component in reducing unwanted fertility.Master of Public Healt
