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234318

Changes in Contraceptive Discontinuation in Egypt Between 2008 and 2014

Article

Last updated: 05 Jan 2025

Subjects

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Tags

الإحصاء الحيوي
الديموغرافيا

Abstract

A recent rise in the contraceptive discontinuation rate in Egypt from 25.9% in 2008 to 30.1% in 2014 was reported by the Demographic and Health Survey (EDHS). This paper's objective is to examine the dynamics behind the increase in the contraceptive discontinuation rate and highlight conditions that should be met to prevent any further increase. Life tables net rates of discontinuation were applied to the calendar data for both EDHS2008 and 2014. Discontinuation, switching and failure rates were calculated by reason, and for the three main contraceptive methods. The paper also examines to what extent has the act of discontinuing a contraceptive method left a user at risk of an unintended pregnancy. The results show that although the discontinuation rate increased for the three main contraceptive methods, the discontinuation rate due to “method/service related reasons" has remained constant at about 18%, while “reduced need" has significantly increased from 8% to 12%. About half of the discontinued segments due to “service quality" switch to another contraceptive method. The results indicate an improvement in switching behavior in Egypt, However, the majority of IUD switchers move to a less effective method. Discontinuation due to method failure increased from 2.9% to 4.3%. This increase varied according to each method. The findings suggest that the National Family Planning Program should continue to exert effort to improve the quality of service and provide better counselling to decrease method failure rates and discontinuation. Counseling regarding side effects is still an issue that is likely to provoke discontinuation. In addition, the results stress the need for more advocacy efforts that highlights the benefits of small families. Increases in the level of wanted fertility pose a great challenge facing the realization of the national population goals. 

DOI

10.21608/mskas.2018.234318

Keywords

Discontinuation, Egypt, Family Planning, life table

Authors

First Name

Mona

Last Name

Khalifa

MiddleName

-

Affiliation

Faculty of Graduate Studies for Statistical Research- Cairo University

Email

-

City

-

Orcid

-

First Name

Wafaa

Last Name

Abdelaziz

MiddleName

-

Affiliation

Faculty of Graduate Studies for Statistical Research- Cairo University

Email

-

City

-

Orcid

-

First Name

Soha

Last Name

Metwally

MiddleName

-

Affiliation

Faculty of Graduate Studies for Statistical Research- Cairo University

Email

shassan@cu.edu.eg

City

-

Orcid

0000-0001-6108-8809

Volume

50

Article Issue

1

Related Issue

33707

Issue Date

2018-06-01

Receive Date

2022-04-29

Publish Date

2018-06-01

Page Start

21

Page End

35

Print ISSN

1110-1156

Online ISSN

2786-0078

Link

https://mskas.journals.ekb.eg/article_234318.html

Detail API

https://mskas.journals.ekb.eg/service?article_code=234318

Order

2

Type

المقالة الأصلية

Type Code

1,913

Publication Type

Journal

Publication Title

المجلة المصرية للسکان وتنظيم الأسرة

Publication Link

https://mskas.journals.ekb.eg/

MainTitle

Changes in Contraceptive Discontinuation in Egypt Between 2008 and 2014

Details

Type

Article

Created At

23 Jan 2023