Research Article
Determinants of Modern Contraceptive Methods
Discontinuation among Women within Reproductive Age in Dire
Dawa City, Eastern Ethiopia
Gizaw T. Yifru ,
1
Mesfin T. Haileyesus,
1
and Belay Tafa Regassa
2
1
Department of Statistics, College of Natural and Computational Sciences, Dire Dawa University, P.O. Box 1362,
Dire Dawa City Administration, Ethiopia
2
Department of Micro Biology, College of Mediceneand Health Sciences, Ambo University, P.O. Box 19, Ethiopia
Correspondence should be addressed to Gizaw T. Yifru; gtgizsky@gmail.com
Received 18 July 2019; Revised 20 May 2020; Accepted 13 June 2020; Published 30 July 2020
Academic Editor: Hind A. Beydoun
Copyright © 2020 Gizaw T. Yifru et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background. Modern family planning methods are widely believed to influence fertility reduction worldwide. Family planning had
a clear effect on the health of women, children, and families worldwide especially those in developing countries. It has been shown
that there are many instances in which women might discontinue contraception methods that put women’s health at risk.
Objectives. To assess and identify Determinants of Modern Contraceptive Methods Discontinuation among Women in
Reproductive age interval in Dire Dawa City. Method. A cross-sectional study design was employed. A total of 811 respondent
women with one-year history of modern contraceptive method usage were considered in the study. A stratified random
sampling method was used to select the study participants. Data was collected using a structured questionnaire and analyzed by
descriptive statistics and binary logistic regression. Result. The study indicated that 634 (78.20%) of respondent mothers
continued using the method that they have used before a year. Whereas 177 (21.80%) of women discontinued using the method
within a year. The factors age, number of children, who made the decision on the choice of the method used, the type of
contraceptive method used, and taking counseling before using the method were found significant at 5% level of significance.
Conclusion. Young women, respondents who have no or a small number of children, and not the decision maker on the choice
of the method were more likely to discontinue. Whereas women who did not take counseling are less likely to discontinue.
When compared to women who used implant those women who used pills and injectables are more likely to discontinue. Thus,
the study identified factors that contribute to the discontinuation of modern contraception methods.
1. Introduction
The World Health Organization (WHO) estimated that 210
million women get pregnant each year and that about two-
thirds deliver live infants globally. The remaining one-third
of pregnancies ends in still births, miscarriages, and induced
abortions [1].
According to the 2016 Ethiopia Demographic and Health
Survey (EDHS), fertility in Ethiopia has declined from an
average of 5.4 children per woman in 2005 to 4.8 children
per woman in 2011 and 4.6 children per woman in 2016.
The survey also revealed that in 2016, the total fertility rate
(TFR) is 4.6 children per woman. However, the total wanted
fertility rate is 3.6 children per woman.
Modern family planning methods are widely believed to
influence fertility reduction worldwide. Family planning had
a clear effect on the health of women, children, and families
worldwide especially those in developing countries [2, 3].
Contraceptive prevalence at the global level will need to
be at least 66%–75% in the more developed regions and
67% in the less developed regions to attain the projected
decline in fertility by the year 2025 [4]. Regarding modern
Hindawi
International Journal of Reproductive Medicine
Volume 2020, Article ID 3059435, 7 pages
https://doi.org/10.1155/2020/3059435