The Magnitude of Early Discontinuation of Intrauterine Contraceptive Device Use and Associated Factors among Clients at Marie Stopes Maternal and Child Health Center, Adama, Ethiopia

Background Intrauterine contraceptive devices are cost-effective, convenient, safe, and highly effective methods designed to be used for 10–12 years. However, the discontinuation of such long-acting reversible contraceptives is becoming a public health concern in Ethiopia. The practices may lead to program failures that cause significant health and economic impacts. Objective To assess the magnitude of early discontinuation of intrauterine contraceptive devices and associated factors among clients who received the method at Marie Stopes Maternal and Child Center in Adama town in Ethiopia, 2024. Methods Institutional-based cross-sectional study was conducted among 413 clients who received the service from January 1, 2017, to March 2022. A systematic random sampling technique was used to select the study participants. Data were collected from medical records and telephone interviews. The collected data were entered into Epi-Info version 7.1 and analyzed using SPSS version 25. The associations between dependent and independent variables were assessed by using binary logistic regression analysis. Adjusted odds ratio with its 95% CI was used to estimate the strength of associations. P –value < 0.05 was considered to declare statistical significance. Result The magnitude of early discontinuation of intrauterine contraceptive devices accounts for 20.6% (95% CI:16.7–24.9). In multivariate analysis, lack of formal education [AOR = 12.5, 95% CI: 4.97, 31.5)] and primary level of education [AOR = 3.5, 95% CI:1.6, 7.99)], giving birth to a male child in the last delivery[AOR = 0.317,95% CI:0.18, 0.55)], having two and lower number of children [AOR = 3.97,95% CI: 1.8, 8.95)], not counseled on methods [AOR = 16.5,95% CI;5.8,47.1)], having pelvic pain [AOR = 7.4, 95% CI:2.678,20.3)], pelvic infection[AOR = 8.67, 95% CI: 2.7,27.7)], heavy bleeding [AOR = 15.5,95% CI: 3.3,73.7)] and history of vaginal discharge[AOR = 5.9,95% CI: 2.1,16.88)] were associated with early discontinuation of intrauterine contraceptive devices. Conclusion The magnitude of early discontinuation of intrauterine contraceptive devices was high. Lack of counseling was the strongest factor associated with early discontinuation of intrauterine contraceptive devices. It is essential to provide counseling and early screening for clients to ensure that clients who choose intrauterine contraceptive devices have a lower risk of side effects and complications.