ArticleAfrican journal of primary health care & family medicine2022
Prevalence of and factors associated with contraceptive discontinuation in Kenya.
Article in African journal of primary health care & family medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed.
- Family planning service quality and contraceptive discontinuation among short-acting contraceptive users in Indonesia: a survival analysis of the 2017 Indonesia demographic health survey.BMC women's health · 2026Article
- Modern contraceptive discontinuation and demand-and-supply-side method-mix in urban settings in Eastern Uganda: a mixed methods study.Contraception and reproductive medicine · 2026Article
- Health literacy of adolescents using hormonal contraceptives and associated factors.Revista brasileira de enfermagem · 2026Article
- Understanding contraceptive switching rationales from real world clinical notes using large language models.NPJ digital medicine · 2025Article
- Factors associated with the discontinuation of modern contraceptive methods among lactating women in nine West African high-fertility countries: findings of the most recent demographic and health surveys.Archives of public health = Archives belges de sante publique · 2025Article
- Motivations for sustained use of modern contraceptives in a peri-urban area: An analytical cross-sectional study.PloS one · 2025Article
- Prevalence of Depression Among Women Using Hormonal Contraceptives in Mogadishu, Somalia: A Cross-Sectional Study.Open access journal of contraception · 2024Article
- Discontinuation of long-acting reversible contraceptive methods and associated factors among reproductive-age women in Shashemene town, Oromia, Ethiopia.Frontiers in global women's health · 2024Article
- Healthcare providers' perceptions on post abortion intrauterine contraception: A qualitative study in central Uganda.PloS one · 2024Article
- Article
- Contraceptive use and discontinuation among women aged 15-24 years in Kenya.Frontiers in reproductive health · 2023Article
- Prevalence of contraceptive implant discontinuation among women who used implant in Ethiopia: Systemic review and meta-analysis.SAGE open medicine · 2022Review
- Article
- Expectations versus reality: Two cross-sectional studies on expected and experienced discontinuation symptoms in current and former contraceptive pill users.Women's health (London, England)Article
- Modern contraceptive discontinuation and associated factors among adolescent girls and young women in Tanzania: An analysis of a nationally representative data.Women's health (London, England)Article
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3 authors.
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Abstract
backgroundThe overwhelming uptake of contraception in Kenya at 58% suggests huge potential for a continued increase, but discontinuation threatens efforts to achieve new targets. Further increases in contraceptive prevalence will depend more on continuation and re-adoption amongst past users because unintended pregnancies would increasingly result from discontinuation. Eliminating discontinuations from side effects and method failure could increase continuation rates by 10%.
aimTo establish the prevalence and factors associated with contraceptive discontinuation.
settingKenya, with a successful family planning programme, but also the challenge of discontinuation rates of 31%.
methodsContraceptive calendar data from the 2014 Kenya Demographic and Health Survey were used in the survival analysis approach.
resultsOverall discontinuation rates were 37% (24 months) and 74% at (36 months), whilst discontinuation in need was 36%. Side effects accounted for 40% of discontinuations, whilst injection and pill recorded the highest rates. Current method emerged as a predictor of discontinuation at 24 months with the following hazard ratio (HR) at 95% confidence interval [CI]; intrauterine device (IUD) (HR = 0.466, CI = 0.254-0.857), injection (HR = 0.801, 95% CI = 0.690-0.930), implants (HR = 0.580, 95% CI = 0.429-0.784) and at 36 months, injection (HR = 0.808, 95% CI = 0.722-0.904) and implants (HR = 0.585, 95% CI = 0.468-0.730). Age (15-24 years) displayed influence only at 36 months (HR = 1.219, 95% CI = 1.044-1.424).
conclusionThe study showed a close link between contraceptive method used and discontinuation and thus the need to address method-related issues in an attempt to minimise discontinuation in Kenya. Expanding contraceptive options and improving the quality of service can scale up switching and thus help reduce discontinuation and unintended births.
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