Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1997

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Determinants of contraceptive failure, switching, and discontinuation: an

analysis of DHS contraceptive histories.

AUTHORS

Curtis SL; Blanc AK

SOURCE

Calverton, Maryland, Macro International, Demographic and Health Surveys

[DHS], 1997 Oct. viii, 50 p. Demographic and Health Surveys Analytical Reports

ABSTRACT

This study examines the determinants of contraceptive discontinuation in Bangladesh, Colombia, Egypt, Indonesia,

Peru, and Zimbabwe, including failure, switching, abandonment of use while not in need, and abandonment of use

while in need. Data were obtained from monthly contraceptive histories in Demographic and Health Surveys.

Analysis is based on life table techniques and multivariate hazard models. Findings indicate that discontinuation is

common. Almost 50% of users discontinued within 2 years of starting in Egypt, Indonesia, and Zimbabwe. About

66% discontinued in Bangladesh, Colombia, and Peru. A major reason for method switching and abandonment was

the reduced need for contraception. 2-year contraceptive failure rates ranged from 7.6% in Indonesia, to 29.4% in

Peru. 2-year rates of abandonment while still in need ranged from 11.5% in Indonesia, to 26.8% in Bangladesh. The

choice of method was strongly associated with the likelihood of each of the 4 types of discontinuation. Modern

method users had lower failure rates, but a greater likelihood of discontinuation while still in need. Condoms were

associated with high rates of switching at early durations, as were injectables. The likelihood of abandonment due

to reduced need was higher for condoms than for other methods. There was a lower likelihood among IUD users of

contraceptive failure, switching, and abandonment due to reduced need. The likelihood of abandonment while still

in need was lower for the IUD than for other modern methods and higher than for traditional methods.

Socioeconomic variables were unrelated to discontinuation. The strongest determinants of discontinuation were

fertility intentions, number of living children, and marital status. Socioeconomic variables were related to switching

and abandonment while in need. Community level variables had inconsistent effects and considerable cluster level

influences. (PubHealth.info Document ID: CONT2T 546-06)

PubHealth.info NOTE: The author(s) of this article titled, "Determinants of contraceptive failure, switching, and

discontinuation: an analysis of DHS contraceptive histories.", is(are) Curtis SL; Blanc AK. The source of this

article is "Calverton, Maryland, Macro International, Demographic and Health Surveys [DHS], 1997 Oct. viii, 50 p.

Demographic and Health Surveys Analytical Reports No. 6". This article was published in 1997 in English

language(s). (PubHealth.info® Document ID: CONT2T 546-06. All rights reserved with PubHealth.info) PIN: 5546

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