{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T22:31:31Z","timestamp":1757457091182,"version":"3.37.3"},"reference-count":21,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T00:00:00Z","timestamp":1630108800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T00:00:00Z","timestamp":1630108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Implanon is an effective form of long-acting reversible contraceptive used to prevent conception with a clinical failure rate of less than one per 100 users. However, in sub-Saharan countries the utilization of implanon was very low. Regardless of low utilization; its early discontinuation is very common in most developing countries including Ethiopia.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>To assess the prevalence of early implanon discontinuation and associated factors among women ever used implanon in Mettu district.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A community based cross-sectional study design was conducted from October 11 to December 4, 2020 G C. A total of 430 women were included in the study by systematic random sampling technique. Data were entered into epi data version 3.1 and analyzed by SPSS version 25.0. Descriptive analysis was computed to describe descriptive results. Logistics regression was computed to see the relative effect of factors on the outcome variable. Adjusted odds ratio was calculated with 95% confidence intervals to show strength of association and p-value\u2009&lt;\u20090.05 was used to declare statistical significance. The finding of the study was presented using narrations, tables and chart.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Result<\/jats:title>\n                <jats:p>The total proportion of early implanon discontinuation among 430 mothers was 19.3%. Women who did not counseled about the presence of alternatives methods [AOR\u2009=\u20092.28: 95% CI (1.22\u20134.26)], women who experienced dizziness after insertion of implanon [AOR\u2009=\u20091.90: 95% CI (1.06\u20133.43)] and being having menstrual disturbance after insertion of implanon [AOR\u2009=\u20092.17: 95% CI (1.16\u20134.08)] were significantly associated with early implanon discontinuation. Women who were counseled about the advantage of implanon [AOR: 0.49: 95% CI (0.28\u20130.87)] were protective from early implanon discontinuation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion and recommendation<\/jats:title>\n                <jats:p>Early implanon discontinuation among mothers was found to be high. Hence, effective counseling on advantages and side effects of implanon and proper management of the side effects should be made to increase implanon retention.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12978-021-01222-8","type":"journal-article","created":{"date-parts":[[2021,8,28]],"date-time":"2021-08-28T11:02:34Z","timestamp":1630148554000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Early implanon discontinuation and associated factors among women ever used implanon in Mettu district, Oromia regional state, southwest Ethiopia, 2021"],"prefix":"10.1186","volume":"18","author":[{"given":"Hana","family":"Tesfaye","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebissa","family":"Negara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0329-9389","authenticated-orcid":false,"given":"Kenbon","family":"Bayisa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,8,28]]},"reference":[{"key":"1222_CR1","unstructured":"Zerfu TA. Ethiopia Demographic and Health survey. 2017;(September):158. https:\/\/www.researchgate.net\/publication\/320109833"},{"key":"1222_CR2","unstructured":"FPA. Your guide to long-acting reversible contraception (LARC). Public Health Engl. 2017;(september):1\u20132."},{"key":"1222_CR3","unstructured":"WHO\/RHR and Johns Hopkins Bloomberg School of PH\/CCP. Family planning. Global handbook for providers updated 3rd edition. Knowledge for health project. Family planning: a global handbook for providers (2018 update). WHO; 2018. 1\u2013460 p."},{"key":"1222_CR4","unstructured":"WHO. Contraception fact sheet. Hum Reprod Programe. 2014;4. http:\/\/apps.who.int\/iris\/bitstream\/10665\/112319\/1\/WHO_RHR_14.07_eng.pdf?ua=1."},{"key":"1222_CR5","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s13104-018-3992-3","volume":"12","author":"T G\/Medhin","year":"2019","unstructured":"G\/Medhin T, Gebrekidan KG, Nerea MK, et al. Early implanon discontinuation rate and its associated factors in health institutions of Mekelle City, Tigray, Ethiopia 2016\/17. BMC Res Notes. 2019;12:8. https:\/\/doi.org\/10.1186\/s13104-018-3992-3.","journal-title":"BMC Res Notes"},{"key":"1222_CR6","first-page":"193","volume-title":"Causes and consequences of contraceptive discontinuation: evidence from 60 Demographic and Health Surveys","author":"MM Ali","year":"2012","unstructured":"Ali MM, Cleland JG, Shah IH, WHO. Causes and consequences of contraceptive discontinuation: evidence from 60 Demographic and Health Surveys. Geneva: WHO; 2012. p. 193."},{"issue":"1","key":"1222_CR7","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1186\/s13104-015-0974-6","volume":"8","author":"SA Yalew","year":"2015","unstructured":"Yalew SA, Zeleke BM, Teferra AS. Demand for long acting contraceptive methods and associated factors among family planning service users, Northwest Ethiopia: a health facility based cross sectional study. 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Reasons for discontinuation of implanon among users in Buffalo City Metropolitan Municipality, South Africa: a cross-sectional study. Afr J Reprod Health. 2018;22(1):113\u20139. https:\/\/doi.org\/10.29063\/ajrh2018\/v22i1.11.","journal-title":"Afr J Reprod Health"},{"key":"1222_CR11","unstructured":"Abebe SM. Explaining LARCs discontinuity in Ethiopia: the experience of women who access contraceptives in selected public health facilities. 2017;1\u201319."},{"key":"1222_CR12","unstructured":"Gelaw YM, Sciences H, Asresie MB, Sciences H, Anteneh ZA, Sciences H. Level and timing of implanon discontinuation and associated factors among women who used implanon in Andabet District, public health facilities. 2017;1:1\u201315."},{"key":"1222_CR13","doi-asserted-by":"crossref","unstructured":"Asaye MM, Nigussie TS, Ambaw WM. Early implanon discontinuation and associated factors among implanon user women in Debre Tabor Town, Public health facilities, Northwest Ethiopia, 2016. 2018;2018.","DOI":"10.1155\/2018\/3597487"},{"issue":"1","key":"1222_CR14","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/s12905-019-0876-1","volume":"20","author":"MM Utaile","year":"2020","unstructured":"Utaile MM, Debere MK, Nida ET, Boneya DJ. A qualitative study on reasons for early removal of Implanon among users in Arba Minch town, Gamo Goffa zone, South Ethiopia: a phenomenological approach. BMC Womens Health. 2020;20(1):2.","journal-title":"BMC Womens Health"},{"issue":"7","key":"1222_CR15","first-page":"2589","volume":"2","author":"K Tegegne","year":"2019","unstructured":"Tegegne K. Early discontinuation of implant and its associated factors among women who ever used implant in 2017\/2018 in Hawassa. 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All the study participants were informed about the purpose of the study and their right to refuse participation or terminate their involvement during the study. Finally, oral consent was obtained from the study participants before data collection. All Information provided by each respondent was kept confidential.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflict of interest regarding publication of this paper.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"176"}}