Women’s contraceptive discontinuation and switching behavior in urban Senegal

摘要: Background: With the focus of global and national family planning initiatives on reaching “additional user” targets, it is increasingly important for programs to assess contraceptive method discontinuation and switching. This analysis calculates the discontinuation rate and method‐specific discontinuation rates, examines reasons given for contraceptive discontinuation, and assesses characteristics associated with subsequent contraceptive switching and abandonment among women living in urban areas of Senegal.Methods: Data come from the Measurement, Learning & Evaluation project’s 2015 survey of 6,927 women of reproductive age living in six urban sites (Dakar, Pikine, Guédiawaye, Mbao, Kaolack and Mbour). Information on contraceptive use and discontinuation for the five years preceding the survey were recorded in a monthly calendar. Single decrement life tables are used to calculate discontinuation rates. Descriptive analyses are used to assess reasons for discontinuation and method switching after discontinuation. A multinomial logistic regression is used to estimate the likelihood of being a non‐user in‐need of contraception, a non‐user not in‐need of contraception, or a method switcher after discontinuation, by sociodemographic and other characteristics. Results: The 12‐month discontinuation rate for all methods is 34.7%. Implants have the lowest one‐year discontinuation rates (6.3%) followed by the intrauterine device (IUD)(18.4%) while higher rates are seen for daily pills (38%), injectables (32.7%), and condoms (62.9%). The most common reasons for discontinuation are reduced need (45.6%), method problems (30.1 …