Amponsah-Tabi Seth, Asante Hannah Boatemaa, Dassah Edward T, Ansong Eric Sarpong, Kankam Maxwell, Peprah Amponsah, Senaya Charles, Annan Jude John, Reindorff Roderick Larsen, Opare-Addo Henry S
Department of Obstetrics and Gynaecology, Suntreso Government Hospital, Ashanti, Ghana.
Saint Patrick's Hospital, Offinso Municipal Area, Ashanti, Ghana.
PLoS One. 2025 Jul 14;20(7):e0323434. doi: 10.1371/journal.pone.0323434. eCollection 2025.
Discontinuation of contraceptives is one of the most significant concerns for family planning programmes. It is estimated that 1 in 3 women who take up modern contraceptives discontinue use by the end of a year due to various reported challenges. This study aimed to determine proportion of sustained users (continual use of the same method for 2 or more years) and their motivation.
A cross-sectional survey with a questionnaire was conducted among 397 women of reproductive age (15-49 years) in the Mfantseman municipality to assess the factors that motivate them to sustain the use of modern contraceptives. A multi-stage sampling technique was used to obtain the desired study participants.
39.8% of study participants had used their method of contraception for 2 years with 14.4% having used theirs for 4 or more years. Ever missing one's dose of their method, birth goals and the need for privacy when using a method had the highest odds for sustained use with aORs of 3.46, 2.53 and 2.09 respectively. About 40% of the respondents reported socio-economic reasons as motivation for sustained use.
Findings from the study suggest it would be beneficial for service providers to demonstrate tolerance towards women who miss their doses or schedule of their chosen method of modern contraceptives. The intention for adopting modern contraceptive use of more than a third of the respondents was to improve their socioeconomic status.
停用避孕药是计划生育项目最重大的关切之一。据估计，三分之一采用现代避孕方法的女性因各种报告的挑战，在一年结束时会停止使用。本研究旨在确定持续使用者（连续使用同一方法两年或更长时间）的比例及其动机。
在姆凡特塞曼市对397名育龄妇女（15 - 49岁）进行了一项问卷调查的横断面调查，以评估促使她们持续使用现代避孕方法的因素。采用多阶段抽样技术获取所需的研究参与者。
39.8%的研究参与者使用其避孕方法达两年，14.4%的人使用达四年或更长时间。错过所使用方法的一剂药、生育目标以及使用某种方法时对隐私的需求，持续使用的几率最高，调整后的优势比分别为3.46、2.53和2.09。约40%的受访者报告称社会经济原因是持续使用的动机。
该研究结果表明，服务提供者对错过其所选现代避孕方法剂量或使用时间安排的女性表现出宽容是有益的。超过三分之一的受访者采用现代避孕方法的意图是改善其社会经济地位。
