Discontinuation of long acting reversible contraceptive methods and associated factors among reproductive age women in Shashemene town, Ethiopia.

BackgroundThe early termination of long-acting reversible contraceptives raises issues for the healthcare system and has the potential to affect public health. Long-acting reversible contraception is now more widely available and used, although a sizable percentage of women still stop using it. Therefore, this study aims to assess factors associated with the discontinuation of the long-acting reversible contraceptive method among female users of health facilities in Shashemane Town. MethodsA facility-based cross-sectional study was done in Shashemane town among 410 study participants. The study participants were selected by using a systematic random sampling method. Data were collected by using structured interviewer-administered questionnaires and entered into epi-data version 4.6.0.2 and exported to SPSS version 25 for analysis. Bivariate and multivariable logistic regressions were used to examine the association between independent variables and discontinuation of the long-acting reversible contraceptives. The results were presented using the Odds Ratio at 95% CI. P < 0.05 ware used to dictate statistical significance. ResultThe overall prevalence of women who removed the long-acting reversible contraceptive method before the due date was 57.2%. Factors such as having an occupation as a housewife, desire to become pregnant, unwarned side effects, effectiveness, and dissatisfaction with the service provided were positively associated with discontinuation of the contraception. Conclusion and RecommendationThe prevalence of the discontinuation of reversible long-acting contraceptives was high. Pre-insertion effective counseling about the benefits, follow-up care and management for side effects, and client reassurance are recommended.