{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T08:10:58Z","timestamp":1774685458493,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T00:00:00Z","timestamp":1628208000000},"content-version":"vor","delay-in-days":217,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005872","name":"Bahir Dar University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005872","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Implanon discontinuation is unacceptably high in developing countries, including Ethiopia. Furthermore, there is an observed problem of high unintended pregnancy after method discontinuation that strides to program failure. Therefore, the purpose of this study was to assess the level and determinants of Implanon discontinuation among women who used Implanon in Andabet district, public health facilities, North\u2010West Ethiopia, 2017. <jats:italic>Methods<\/jats:italic>. Facility\u2010based cross\u2010sectional study design was employed among 537 women from Feb. 03 to April 28, 2017. Study participants were selected using a systematic random sampling technique. A face\u2010to\u2010face interview was employed to collect data. Epi\u2010Info version 7 was used for data entry and SPSS version 20 for analysis. Both descriptive and analytical statistical analysis was computed. On multivariable binary logistic regression, a <jats:italic>p<\/jats:italic> value of less than 0.05 was used to declare statistical significance. <jats:italic>Results<\/jats:italic>. About 37% of Implanon users have discontinued the method before the intended time. About 86% of them discontinued Implanon before two years of insertion. Women who had no live child (AOR = 2.17, 95% CI: 1.25\u20103.77), women who did not receive preinsertion counseling (AOR = 1.85, 95% CI: 1.15\u20102.97), women who developed Implanon\u2010related side effect (AOR = 5.17, 95% CI: 3.18\u20108.40), and women who did not satisfy by the service provided (AOR = 5.40, 95% CI: 3.04\u20109.57) had higher odds of Implanon discontinuation. On the other hand, women who received appointment follow\u2010up (AOR = 0.23, 95% CI: 0.13\u20100.41) had lower odds of Implanon discontinuation. <jats:italic>Conclusions<\/jats:italic>. The level of Implanon discontinuation before its intended time was high in the district. Hence, strengthening preinsertion counseling and appointment follow\u2010up as well as improving the clients\u2019 level of service satisfaction could increase Implanon\u2019s continuation.<\/jats:p>","DOI":"10.1155\/2021\/6647660","type":"journal-article","created":{"date-parts":[[2021,8,6]],"date-time":"2021-08-06T20:20:09Z","timestamp":1628281209000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Level and Timing of Implanon Discontinuation and Associated Factors among Women Who Used Implanon in Andabet District, Public Health Facilities, North\u2010West Ethiopia"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2043-3041","authenticated-orcid":false,"given":"Gizachew Worku","family":"Dagnew","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yared Mulu","family":"Gelaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melash Belachew","family":"Asresie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zelalem Alamrew","family":"Anteneh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,6]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmg004"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.9745\/GHSP-D-12-00003"},{"key":"e_1_2_13_3_2","article-title":"New and emerging contraceptives: a state-of-the-art review","volume":"6","author":"Bahamondes L.","year":"2014","journal-title":"International Journal of Women\u2032s Health"},{"key":"e_1_2_13_4_2","first-page":"1","article-title":"Implants: the next generation","volume":"7","author":"Ramchandran D.","year":"2007","journal-title":"Population reports. 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