Contraceptive Discontinuation and Switching Among Ghanaian Women: Evidence from the Ghana Demographic and Health Survey, 2008.

Emefa J. Modey, Richmond Aryeetey, Richard Adanu

Abstract

This study identifies factors associated with contraceptive discontinuation and switching among Ghanaian women of reproductive age, using data from 1,378 female respondents of the 2008 Ghana Demographic and Health Survey. Logistic regression models were used to determine relationships between key socio-demographic factors and user status. Discontinued use occurred among 56% of ever users and switching among 55% of current users. The IUD was most abandoned (70%) and its use was associated with almost twice the odds of discontinuation (OR=1.97; 95% CI (1.04, 3.75)). Having a history of terminated pregnancy significantly predicted both discontinuation (OR=1.36; 95% CI (1.03, 1.79) and switching (OR=1.78; 95% CI (1.16, 2.73)) and intention to limit births significantly predicted lower discontinuation (OR=0.71; 95% CI (0.52, 0.96)). Counseling services emphasizing contraceptive options and reinforcing switching are critically needed to reduce unwanted pregnancies that may result from poor method use and discontinuation especially among post-abortion clients and IUD users. (Afr J Reprod Health 2014; 18[1]: 84-92).

 

Keywords: Contraceptive use, discontinuation, switching, predictors, Ghanaian women

 

Résumé

Cette étude identifie les facteurs associés à l'arrêt de la contraception et  la commutation chez les femmes ghanéennes en âge de procréer, en utilisant les données de 1378 femmes interrogées au cours de l’Enquête Ghanéenne Démographique et de santé de 2008. Les modèles de la régression logistique ont été utilisés pour déterminer les relations entre les facteurs socio- démographiques et le statut de l'utilisateur. L’abandon de l’utilisation s'est produit chez 56% de celles qui ne l’ont déjà utilisé et  la commutation s’était produite chez  55 % des utilisateurs actuels. Le stérilet était le plus abandonnés (70 %) et son utilisation était associée à près de deux fois plus susceptibles d'abandon (OR = 1,97, IC 95% (1,04, 3,75). Le fait d’avoir  une histoire d’une grossesse  terminée prédit de façon significative à la fois l'arrêt ( OR = 1,36 , IC 95% (1,03 , 1,79 ) et de la commutation ( OR = 1,78 , IC 95% ( 1.16 , 2.73 ) ) et l'intention de limiter les naissances prédit de façon significative l'arrêt inférieure ( OU = 0,71;  IC à 95% ( 0,52 , 0,96). Il faut des services d’orientation qui mettent l'accent sur les options contraceptives et de renforcement de commutation pour réduire les grossesses non désirées qui peuvent provenir d’une mauvaise méthode  d’utilisation et l'arrêt en particulier chez les clientes post- avortement et les utilisatrices de DIU. (Afr J Reprod Health 2014; 18[1]: 84-92).

 

Mots-clés: utilisation de la contraception, l'arrêt, commutation, indices, les femmes ghanéennes

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