Discontinuation of contraceptives and method switching in rural Bangladesh

Unnati Rani Saha, ICDDR,B: Centre for Health and Population Research
Nashid Kamal Waiz, Independent University
Radheshyam Bairagi, ICDDR,B: Centre for Health and Population Research

Although contraceptive prevalence rate increases at 7 percent per year, the total fertility rate has almost been stable at 3.3 births per woman in Bangladesh since 1993. Discontinuation of contraceptive use has been identified as a major contributor to the stagnation of the TFR. Frequently switching of methods also results in unwanted pregnancies. This study investigates the pattern and reasons for discontinuation and switching of contraception in an MCH-FP area in rural Bangladesh using longitudinal data for the period of 1988-98. Using multiple –decrement life tables, it was found that discontinuation was significantly related to the contraceptive method, duration of use, incidence of side effects, education of the woman and her religion. Follow up and quality care were associated with switching of methods. The study recommends further emphasis on quality of care, as well as providing supplementary vitamins to the vulnerable groups to overcome the effects of malnutrition.