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Contraceptive discontinuations contribute substantially to the total fertility rate, unwanted pregnancies and induced abortions.In developing countries, contraceptive discontinuation rate is very common. While the Ethiopian government emphasizes onthe provision of long-acting contraceptive methods, women who start to use the method were discontinuing it and the rate of discontinuation is understudied. Objective: To assess Implanon discontinuation rate and associated factors among women who ever used Implanon from January 09/2013 to October 11/2015 in Debre Markos town, northwest Ethiopia: 2016. Methodology: The community based cross-sectional study was conducted from January 10 to February 10/2016 through face to face interview. A total of 348 women were selected by simple random sampling technique. Epidata version 3.1 and statistical software package for social science (SPSS) version 20 were used for data entry and analysis respectively. Factors associated with Implanon discontinuations were analyzed using binary and multivariable logistic regression, p-value < 0.05 were considered statistically significant. Result: The overall discontinuation rate in the last three years was 46.5% with a rate of 10.5%, 23.9%, 38.2% and 46.5% at 6, 12, 24 and 36 months respectively. Attending college and above level education (AOR =2.2, CI (1.16, 4.16), no history of pregnancy (AOR = 3.06, CI = (1.63-5.76)), lack of pre-insertion counseling (AOR = 1.2, CI = (1.02, 3.89)), perceived not satisfied with service provided (AOR =4.86, CI = (2.66, 8.91)) and experience of side effect (AOR = 3.14, CI = (1.7, 5.54)) were significantly associated with Implanon discontinuation. Conclusion and Recommendation: The discontinuation rate of Implanon in this study was high. Quality family planning service is essential to reduce discontinuation rate.

arc journal of public health and community medicine

Implanon Discontinuation Rate and Associated Factors among Women who ever Used Implanon in the Last Three Years in Debre Markos Town, Northwest Ethiopia, 2016, Cross Sectional Study