Abstract:
A random sample of 206 Clients seeking contraception (first time users) during a 6 month
period from January 2005 were included in this study. The eligible families under care was
12088 with a total of 604 clients obtaining contraceptive services during this 6 month
period. Data was collected by the chief investigator in the presence of a member of the
MOH clinic (PHM). The couple were administered a structured questionnaire after an
information leaflet had been provided and informed consent obtained. Data was collected
from these clients who had selected a particular contraception for the first time 3 years ago.
From a range of contraceptive methods available, DMPA was the most popular. Statistical
tests showed that the randomly selected study sample of 206 clients closely resembles the
clinic data during the period of January to June 2005. From this study sample 49.5 percent
clients noted side effects believed to be due to contraceptives. Side effects were the
commonest cause for discontinuation while myths about modern contraception,
contraceptive failure and plans for further pregnancy led to discontinuation. From those
clients who stopped their first contraception few resorted to second modern method of
contraception. Total continuation rate was 56.3 percent at the end of the study period.
Partner approval led to greater continuation rates.
