Midwifery Department, College of Public Health and Medical Science, Mettu University, Metu, Ethiopia.
Public Health Department, College of Public Health and Medical Science, Mettu University, Metu, Ethiopia.
Reprod Health. 2021 Aug 28;18(1):176. doi: 10.1186/s12978-021-01222-8.
Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia.
To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district.
A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value < 0.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart.
The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR = 2.28: 95% CI (1.22-4.26)], women who experienced dizziness after insertion of implanon [AOR = 1.90: 95% CI (1.06-3.43)] and being having menstrual disturbance after insertion of implanon [AOR = 2.17: 95% CI (1.16-4.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28-0.87)] were protective from early implanon discontinuation.
Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.
Implanon 是一种有效的长效可逆避孕方法，用于防止怀孕，其临床失败率低于每 100 名使用者 1 例。然而，在撒哈拉以南非洲国家，Implanon 的使用率非常低。尽管使用率低；但在包括埃塞俄比亚在内的大多数发展中国家，其早期停用非常普遍。
评估 Mettu 区曾使用 Implanon 的妇女中 Implanon 早期停用的流行率及其相关因素。
2020 年 10 月 11 日至 12 月 4 日，采用基于社区的横断面研究设计。通过系统随机抽样技术，共纳入 430 名妇女进行研究。数据输入 epi data 版本 3.1，并使用 SPSS 版本 25.0 进行分析。描述性分析用于描述描述性结果。逻辑回归用于观察因素对结果变量的相对影响。使用 95%置信区间计算调整后的优势比，以显示关联强度，p 值<0.05 用于表示统计学意义。研究结果以叙述、表格和图表的形式呈现。
430 名母亲中 Implanon 早期停用的总比例为 19.3%。未接受关于替代方法存在情况咨询的妇女[比值比（AOR）=2.28：95%置信区间（CI）（1.22-4.26）]、植入 Implanon 后出现头晕的妇女[AOR=1.90：95%CI（1.06-3.43）]和植入 Implanon 后出现月经紊乱的妇女[AOR=2.17：95%CI（1.16-4.08）]与 Implanon 早期停用显著相关。接受关于 Implanon 优势咨询的妇女[AOR：0.49：95%CI（0.28-0.87）]可预防 Implanon 早期停用。
发现母亲中 Implanon 早期停用的比例很高。因此，应进行有效的咨询，说明 Implanon 的优点和副作用，并妥善处理副作用，以提高 Implanon 的保留率。
