Observance of Contraception among users recruited during mass campaigns: Case of national family planning week in Burkina Faso National Family Planning Week Section SOCIAL SCIENCE
##plugins.themes.academic_pro.article.main##
Abstract
Introduction
To accelerate the demographic transition in Burkina Faso, a National Family Planning Week (SNPF) has been instituted since 2012. It is a FP promotion strategy based on advocacy, social mobilization and increased supply of FP services. The objective of this study was to assess compliance with contraceptive methods among users recruited during the SNPF.
Materials and methods
This was a retrospective cohort study. Stratified analyzes of discontinuation of contraceptive methods were performed. For the comparison of the dropout proportions, the Chi² test was used. Odds ratios (OR) and their 95% confidence intervals were calculated. The significance level chosen was 5% (P≤0.05). Results The study involved 383 users of contraceptive methods made up of 60.8% (95% CI = 55.8-65.8) of users recruited during the SNPF, more than 61% of whom were on implants. overall discontinuation of modern contraceptive products was 36.6% (95% CI = 33.5% -40.1%). Among users recruited during the SNPF, this proportion was 32.7% (95% CI = 27.4-38.8) against 42.2% (95% CI = 34.7-50.2) of users recruited during routine FP services (OR = 0.67, P = 0.06). There was no statistically significant difference between these two proportions of dropouts. Also, there was a statistically significant association between counseling and quitting. The proportion of dropouts was higher in the group of women recruited for routine FP services who had not received counseling (OR = 4.9; P˂0.006). Eight users had unwanted pregnancies after stopping their contraception.
Conclusion
This study made it possible to note that the users recruited during the SNPF used the implants more readily. They were also more likely to keep their contraceptive products for much longer than users recruited for routine FP services. The factor regularly associated with quitting was individual counseling.