Contraceptive Discontinuation: Reasons, Challenges, and Solutions

by Sarah Castle and Ian Askew
Population Council, December 2015

41 pp. 457 kB
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More than a third of women with an unmet need for modern contraception have used a modern method in the past but have chosen to discontinue use within the first year, and over one-half stop before two years. Discontinuation for reasons other than wanting to become pregnant can contribute to unintended pregnancy and unsafe abortion. This report provides an in-depth look at reasons for discontinuation, interventions to reduce discontinuation and/or enhance switching to new methods, and measurement and monitoring of discontinuation. The authors also propose a theory of change that identifies several pathways through which interventions addressing heath systems, service quality, and the sociocultural environment could reduce unnecessary discontinuation.

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