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Original Article
 
Social determinants of discontinuation of depo-provera among married women in Nepal
Manju Maharjan1, Phattrawan Tongkumchum2, Sampurna Kakchapati3
1Master Degree in Research Methodology, Research Officer, CREHPA, Kusunti, Kathmandu, Nepal.
2Doctoral Degree in Statistics, Assistant Professor, Department of Mathematics and Computer Science, Prince of Songkla University, Muang, Pattani, Thailand.
3Doctoral Degree in Research Methodology, Post Doctoral Fellowship, Department of Mathematics and Computer Science, Prince of Songkla University, Muang, Pattani, Thailand.

Article ID: 100006P16MM2016
doi:10.5348/P16-2016-6-OA-1

Address correspondence to:
Sampurna Kakchapati
Post Doctoral Fellowship, Department of Mathematics and Computer Science
Prince of Songkla University
Muang, Pattani
Thailand

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How to cite this article
Maharjan M, Tongkumchum P, Kakchapati S. Social determinants of discontinuation of depo-provera among married women in Nepal. Edorium J Public Health 2016;3:1–6.


Abstract
Aims: The aim of this study was to investigate the discontinuation of depo-provera and the social factors associated with discontinuation among married women of Nepal.
Methods: This was retrospective analysis of 587 users of depo-provera. Data were obtained from the Nepal Demographic and Health Survey for the year 2011. The outcome was discontinuation of depo-provera within 12 months. The determinants were Social-demographic characteristics and reasons for discontinuation. Statistical analysis was done using chi-squared tests to assess statistically significant associations between determinants and outcome. Significant predictors in the univariate analysis were then included in a logistic regression to identify the most important determinants with the outcome.
Results: A total of 199 women discontinued within 12 months its use in last five years (34%). The findings showed that the discontinuation of depo-provera was higher among younger women, living in rural areas, Janajati ethnicity, formal education, working in agriculture or not employed and women reporting side effects than the overall mean percent. In multivariate analysis, age, area of residence, ethnicity, formal education, occupation and reasons for discontinuing were statistically associated with discontinuation of the depo-provera.
Conclusion: Social factors are associated with discontinuation of depo-provera. Users should be motivated to continue in order to reduce early discontinuation and thus prevent unwanted pregnancies and abortions. Information regarding the contraceptive method and its side effects should be given to women before starting use.

Keywords: Discontinue, Depo-provera, Chi-square, Logistic regression model


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Author Contributions:
Manju Maharjan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Phattrawan Tongkumchum – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sampurna Kakchapati – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Manju Maharjan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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