Long-Acting Contraceptive Switching and Its Associated Factors among Married Women in Southwest Ethiopia.

SAGE Open Nurs

School of Public Health, College of Medicine and Health Sciences, Mizan-Tepi University, Mizan Teferi, Ethiopia.

Published: June 2024

AI Article Synopsis

  • The study examined contraceptive switching from more effective long-acting methods to less effective options among women in Mizan-Aman, Ethiopia, highlighting a significant public health issue in areas with unmet family planning needs.
  • It found that 28.4% of women switched to short-acting contraceptives, with age, education, desire for future pregnancy, previous complications, and stockouts of preferred methods influencing this behavior.
  • The study emphasizes the need for improving accessibility to preferred contraceptives and addressing complications to reduce the prevalence of method switching.

Article Abstract

Introduction: Contraceptive switching from a more effective to a less effective method is a concern, especially in developing countries with high unmet needs for family planning. Indeed, the lack of understanding regarding the reasons behind contraceptive switching behavior in the study area poses a significant challenge in effectively addressing this issue.

Objective: This study aimed to assess the magnitude and factors associated with long-acting contraceptive switching in Mizan-Aman town, southwest Ethiopia.

Methods: A community-based cross-sectional study was conducted, involving 345 women randomly selected from the population of married women in their reproductive age group. Data collection was conducted through interviewer-administered questionnaires. Bivariate and multivariable logistic regression analyses were employed to ascertain factors linked with contraceptive method switching status. Statistical significance was determined at a -value of less than .05.

Results: Out of the 345 participants interviewed, the prevalence of switching from long-acting to short-acting contraceptives was 28.4%, 95% CI (13.6%, 33.2%). Upon adjusting for confounding variables, factors significantly associated with contraceptive switching included women aged 31-35 [adjusted odds ratio (AOR) = 0.58; 95% CI (0.36, 0.74)] and aged 41-49 [AOR = 0.54; 95% CI (0.48, 0.82)], those with formal education [AOR = 0.79; 95% CI (0.52, 0.87)], those desiring future pregnancy [AOR = 2.12; 95% CI (1.98, 3.38)], experiencing complications from previous method use [AOR = 3.67; 95% CI (2.57, 7.40)], and encountering stockouts of their preferred contraceptive choice [AOR = 2.01; 95% CI (1.39, 3.24)].

Conclusion And Recommendation: The study area exhibited a notable prevalence of switching from long-acting contraceptives. Complications arising from prior method use and the unavailability of preferred contraceptive options emerged as significant factors influencing this switching behavior. Thus, it underscores the importance of providing counseling and ongoing support to women, ensuring access to safer and more effective modern contraceptive methods.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11181893PMC
http://dx.doi.org/10.1177/23779608241262908DOI Listing

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