Qualitative study of reasons for discontinuation of injectable contraceptives among users and salient reference groups in Kenya
), Constance Ambasa-Shisanya(2),
(1)
(2)
Corresponding Author
Abstract
Discontinuation of contraception is a major problem in Kenya. Even though they want to space or limit their births, over a quarter of contraceptive injectable users discontinue use of the method within 12 months of beginning use. Fourteen focus group discussions were conducted in Nyando District, Kenya among current contraceptive injectable users and their salient reference groups (e.g. husbands, mothers-in-law, community leaders, service providers) to understand why women discontinue using contraceptives (with a focus on injectables). Thematic analysis was performed using NVivo 8 software. Discontinuation of contraceptives in Nyando District occurs for logistical, social and medical reasons. Common reasons for discontinuation include side effects, husbands' opposition, provider and/or clinic restrictions, misconceptions about injectables, stock outs, and lack of cash to pay for family planning services. This research expands the literature by examining social influences on discontinuation by incorporating the perspectives of salient reference groups. The results suggest points of intervention for increasing continuation in this community and similar resource-poor settings.
RésuméL'abandon de la contraception est un problème majeur au Kenya. Plus d'un quart des usagers d'injectables contraceptifs abandonnent l'emploi de la méthode moins de 12 mois après l'initiation. Nous avons mené quatorze discussions à groupe cible dans les districts de Nyando au Kenya, auprès des usagers courants d'injectables contraceptifs et leur groupes de référence saillants (par exemple les maris, les belles-mères, les leaders de la communauté, les dispensateurs de services) pour comprendre pourquoi les femmes abandonnent l'emploi de contraceptifs(en mettant l'accent sur les injectables). Nous avons fait une analyse thématique à l'aide de NVivo 8. L'abandon des contraceptifs dans le district de Nyando a lieu pour des raisons logistiques, sociales et sanitaire. Les raisons communes pour l'abandon comprennent les effets secondaires, l'opposition par les maris, les restrictions imposées par les dispensateurs et / ou les cliniques, les idées fausses, les stocks épuisés et le manque d'argent pour payer les services de la planification familiale. Cette recherche élargit la littérature en étudiant les influences sociales sur l'abandon en incorporant les perspectives des groupes de référence saillants. Les résultats suggèrent des points d'intervention pour la continuation dans cette communauté ainsi que dans des cadres pareils qui manquent de ressources.
Key words: Kenya; family planning; discontinuation; contraceptive injectables
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