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Early Implanon Discontinuation and Associated Factors among Implanon User Women in Debre Tabor Town, Public Health Facilities, Northwest Ethiopia, 2016

机译:埃塞俄比亚西北部公共卫生设施德布雷塔博尔镇的Implanon使用者女性中早期的Implanon停产及相关因素,2016年

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Background. Implanon discontinuation closely related to higher rates of overall fertility rate, unwanted pregnancies, and induced abortion. This might have social and economic consequences. In Ethiopia the magnitude of early Implanon discontinuation and contributing factors is not well studied. Objective. To assess early Implanon discontinuation and associated factors among Implanon user women in Debre Tabor town, 2016. Methods. A facility based cross-sectional study was conducted from May 1 to August 2016 through face-to-face interview. A total of 449 Implanon user women were selected by systematic random sampling technique. Epi Info version 7 and SPSS version 20 were used for data entry and analysis, respectively. Factors associated with early Implanon discontinuation were analyzed using binary and multivariable logistic regression model. Variables with p value of <0.05 and 95% confidence interval were considered as statistically significant. Results. The overall proportion of early Implanon discontinuation among mothers was 65 % (95%, CI 60.4%–69.5%). Having no children (AOR = 2.0, 95% CI = [1.3–4.5]), being not counseled for possible side effects (AOR = 1.50, 95% CI = [1.1–3.4]), having no appointment for follow-up (AOR = 2.6, 95% CI = [1.2–4.3]), and having developing side effects (AOR = 1.7, 95% CI = [1.5–4.4]) were found to be statistically significant factors associated with early Implanon discontinuation. Conclusion and Recommendation. Early Implanon discontinuation among mothers was found to be high. Hence, counseling about Implanon side effects and appointment for follow-up of Implanon users should be made to increase Implanon retention.
机译:背景。 Implanon停药与总体生育率较高,意外怀孕和人工流产密切相关。这可能会产生社会和经济后果。在埃塞俄比亚,Implanon早期停用的规模和影响因素尚未得到很好的研究。目的。为了评估德布雷塔博尔镇2016年使用Implanon的女性中早期Implanon停用及相关因素,方法。通过面对面访谈,于2016年5月1日至8月进行了基于设施的横截面研究。通过系统随机抽样技术,总共选择了449名Implanon用户女性。 Epi Info版本7和SPSS版本20分别用于数据输入和分析。使用二元和多变量logistic回归模型分析了与早期Implanon停药相关的因素。 p值<0.05和95%置信区间的变量被认为具有统计学意义。结果。母亲中Implanon早期停用的总比例为65%(95%,CI为60.4%–69.5%)。没有孩子(AOR = 2.0,95%CI = [1.3–4.5]),未接受任何可能的副作用的咨询(AOR = 1.50,95%CI = [1.1–3.4]),没有预约随访( AOR = 2.6,95%CI = [1.2-4.3]),且具有发展中的副作用(AOR = 1.7,95%CI = [1.5-4.4])是与早期Implanon停用相关的统计学显着因素。结论和建议。发现母亲中Implanon的早期停用率很高。因此,应就Implanon的副作用和对Implanon使用者的随访进行咨询,以增加Implanon的保留率。

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