ArticleBMC women's health2021
Early contraceptive implants removal and its associated factors among women using implants at a National Referral Hospital, Kampala Uganda.
Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 22 citations in OpenAlex.
- Factors associated with early implant discontinuation among women receiving implant services from community healthcare providers (CPs/PPMVs) in Nigeria: an analysis of routine service delivery data.Frontiers in global women's health · 2026Article
- Article
- Clinical effectiveness and side effect profile of contraceptive implant (Implanon) among women at Sulaimaniyah, Iraq: a cross-sectional study.BMC women's health · 2025Article
- "I felt my rights were violated": Challenges with the discontinuation of provider-dependent contraceptive methods in Eastern Uganda.Contraception and reproductive medicine · 2025Article
- Risk of early etonogestrel and levonorgestrel implant discontinuation in adolescents and adults.BMC public health · 2024Article
- Barriers and enablers to utilisation of postpartum long-acting reversible contraception in Eastern Uganda: a qualitative study.Contraception and reproductive medicine · 2024Article
- Early contraceptive implant removal and associated factors among women attending public family planning clinics, Mbarara City, Southwestern Uganda: a cross-sectional study.Contraception and reproductive medicine · 2024Article
- "I have come to remove it because of heavy bleeding": a mixed-methods study on early contraceptive implant removal and the underlying factors in eastern Uganda.Contraception and reproductive medicine · 2024Article
- Reasons for premature removal of progestogen implant among women in a community in Pretoria.Journal of the colleges of medicine of South Africa · 2024Article
- Spatial distribution and multilevel analysis of factors associated with long-acting reversible contraceptive use among sexually active women of reproductive age in Nigeria.Archives of public health = Archives belges de sante publique · 2023Article
- Article
- Determinants of early discontinuation of etonogestrel sub-dermal implant among reproductive-age women in Legambo district, Northeast Ethiopia: An unmatched case-control study.SAGE open medicine · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
Abstract
backgroundEarly discontinuation of implant contraceptive methods and reasons for discontinuation remains a major concern for family planning programs. Early discontinuation is related to higher rates of the overall fertility rate, unwanted pregnancies leading to possibly induced abortion. There is paucity of data on the practice of discontinuation of contraceptives in developing countries. The objective of the study was to determine the magnitude of early implants discontinuation among women receiving implants services in the study area and the factors associated with it.
methodsA cross-sectional study was conducted from 2nd January to 3rd March 2020. Data were collected from 207 women who had come to remove implants on socio-demographic characteristics, obstetric history, duration of implant, and reasons for wanting to remove the implant. We computed the proportion of those who removed the implant before 18 months (early discontinuation). To assess the factors associated with early discontinuation, we estimated the prevalence ratios with a generalized linear model of the poisson family with a log link and robust error variance.
resultsThe proportion of early implant discontinuation was 87/207(42%). Factor associated with early implant discontinuation included; experience of side effects (PR = 1.1; 95% CI 1.03-1.24; P = 0.001), not having received pre-insertion counseling about the benefits and side effects of contraceptive implants (PR = 1.5; 95% CI 1.02-1.30; P = 0.019) and staying in rural areas (PR = 1.1; 95% CI 1.03-1.27; P = 0.014).
conclusionNearly one in every two mothers have early discontinuation of contraceptive implants. Factors associated with early implant removal include; experience of side effects, lack of counseling services, and staying in rural areas. There is a need for intervention to address high prevalence of early contraceptive removal through improving on counselling services about possible side effects.
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