Journal of Women's Health Care
Open Access

Abstract

Assessment of the Level of Copper T380A Contraceptive Method Utilization and associated Factors for Discontinuation in Adama Town Health Institutions, Oromia Regional State, Ethiopia, 2014

Yirga Wondu, Emebet Birhane and Bekana Fekecha Hurissa

Background: The intrauterine contraceptive device is the most frequently used reversible family planning method in the world. However; its usage is low in many developing countries with a majority of women choosing female sterilization for birth control.
Method: A retrospective study design using a quantitative method was used to identify family planning user clients for whom CuT380A was inserted from March 2009-February 2014 GC. A structured check list was employed for data collection. Data was analyzed with Statistical Package for Social Science, version 21. Multivariable logistic regression analysis was done to evaluate the possible association of all variables significant at binary logistic regression analysis. P-value of less than 0.05 in multivariable logistic regression was considered as statistically significant. Finally the result is summarized and presented in texts and charts.
Results: The average age of Cu T users was 30.7 years and median was 30.0 at the time of Cu T insertion with standard deviation of ±7.1. Majority of Cu T insertions 95 (27.5%) were among women between 30 and 34 years of age. The duration of Cu T380A usage for 5 years before discontinuation was 202 (58.6%) and discontinuation before 5 years after insertion was 143 (41.4%). Among 345 subjects, majority of the women 37 (10.7%) discontinue within 2-3 years. Factors associated with discontinuation include bleeding 42 (29.37%) and automatic expulsion 32 (22.37%). The logistic regression analysis shows that women experiencing health problem after CU T380A insertion (bleeding), pain and automatic expulsion of IUCD have significantly associated with discontinuation of CU T 380A.
Conclusion: Cu T 380A utilization rate for 5 years after insertion is so low (51.4%) in Adama town, which is almost equivalent with removal (41.6%). Therefore, our family planning providers has to be alert in addressing this obstacle so as to increase the discrepancy between continuation and removal rate.