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Factors Associated with IUD Discontinuation in India: A Discrete-time Hazard Model
Authors: Rajaram S., Arin Kar, and T. S. Sunil
Source: Demography India, 46(1): 48-58
Topic(s): Contraception
Family planning
Country: Asia
Published: JAN 2017
Abstract: In this paper an attempt has been made to examine the factors associated with IUD discontinuation in India. The contraceptive histories were collected through a "calendar" that records monthly contraceptive/pregnancy status and reasons for discontinuing contraceptive methods for the five calendar years before the survey in the National Family Health Survey-3 (NFHS-3) during the period 2005-06. These contraceptive histories provide a useful source of data for examining the contraceptive discontinuation. Life table analysis was used to examine the 12 month and 24 months? discontinuation rates of IUD using NFHS-3 data. All episodes of IUD use that began one month after the reference period and three months prior to the survey were used in this calculation. A discrete-time hazard model was used to identify the factors associated with the discontinuation of IUD. The analysis indicates that the number of children at the time of use significantly influence the discontinuation of IUD. It is important to check the future fertility intentions before IUD insertion, in order to avoid the IUD discontinuation, particularly among nulliparous and low parity women. Similarly, family focused counselling rather than women centric may be useful, since woman?s decision making factor shows no effect on continuation of IUD use. Introduction