Reasons for Discontinuation

This table provides information about womenís reasons for discontinuing contraception. The table includes all discontinuations in the five years preceding the survey, regardless of whether they occurred during the first 12 months of use or later. The reason given most frequently for discontinuation was the desire to get pregnant (40 percent), followed by side effects or health concerns (17 percent), method failure (8 percent), and desire for a more effective method (7 percent). The other reasons cited by women for
discontinuation were husbandís disapproval (5 percent), infrequent sex or husbandís absence (4 percent), and inconvenience of use (3 percent). Only 2 percent of discontinuations were due to lack of access and to excessive cost. With regard to specific methods, discontinuations of the pill are somewhat more likely than
discontinuations of injectables to be due to method failure or inconvenience of the method. Users of injectables are more likely than pill users to discontinue because of side effects or health concerns with the method and because of a desire to get pregnant.

Percent distribution of discontinuations of contraceptive methods in the five years preceding the survey by main reason stated for discontinuation, according to specific method.

Reasons for Discontinuation

ReasonPillInjectablesMale condomOtherAll methods
Became pregnant while using8.05.6(0.3)(32.8)7.5
Wanted to become pregnant36.643.4(37.5)(35.4)39.6
Husband disapproved6.83.2(0.0)(0.0)4.6
Wanted a more effective method4.35.6(21.4)(14.3)6.6
Side effects/health concerns16.521.5(0.0)(0.0)17.0
Lack of access/too far3.42.3(0.4)(0.0)2.3
Cost too much1.61.611.8(0.0)2.3
Inconvenient to use4.90.8(7.5)(0.0)3.3
Up to God/fatalistic0.00.1(0.0)(0.0)0.0
Infrequent sex/husband away3.53.5(8.8)(0.0)3.6
Marital dissolution/separation0.00.2(0.0)(0.0)0.1
Other3.43.9(0.0)(0.0)3.0
Missing10.98.3(12.3)(17.5)10.2
Total100.0100.0100.0100.0100.0
Number of discontinuations21625146.023.0577
Source: DHS 2013
{"name":"Pill","data":[8.0,36.6,6.8,4.3,16.5,3.4,1.6,4.9,0.0,3.5,0.0,3.4,10.9,100,216]}|{"name":"Injectables","data":[5.6,43.4,3.2,5.6,21.5,2.3,1.6,0.8,0.1,3.5,0.2,3.9,8.3,100,251]}|{"name":"Male condom","data":[0,0,0,0,0,0,11.8,0,0,0,0,0,0,100,46]}|{"name":"Other","data":[0,0,0,0,0,0,0,0,0,0,0,0,0,100,23]}|{"name":"All methods","data":[7.5,39.6,4.6,6.6,17.0,2.3,2.3,3.3,0.0,3.6,0.1,3.0,10.2,100,577]}
{"name":"Pill","data":[{ name: 'Became pregnant while using', y: 8.0},{ name: 'Wanted to become pregnant', y: 36.6},{ name: 'Husband disapproved', y: 6.8},{ name: 'Wanted a more effective method', y: 4.3},{ name: 'Side effects/health concerns', y: 16.5},{ name: 'Lack of access/too far', y: 3.4},{ name: 'Cost too much', y: 1.6},{ name: 'Inconvenient to use', y: 4.9},{ name: 'Up to God/fatalistic', y: 0.0},{ name: 'Infrequent sex/husband away', y: 3.5},{ name: 'Marital dissolution/separation', y: 0.0},{ name: 'Other', y: 3.4},{ name: 'Missing', y: 10.9},{ name: 'Total', y: 100},{ name: 'Number of discontinuations', y: 216}]}|{"name":"Injectables","data":[{ name: 'Became pregnant while using', y: 5.6},{ name: 'Wanted to become pregnant', y: 43.4},{ name: 'Husband disapproved', y: 3.2},{ name: 'Wanted a more effective method', y: 5.6},{ name: 'Side effects/health concerns', y: 21.5},{ name: 'Lack of access/too far', y: 2.3},{ name: 'Cost too much', y: 1.6},{ name: 'Inconvenient to use', y: 0.8},{ name: 'Up to God/fatalistic', y: 0.1},{ name: 'Infrequent sex/husband away', y: 3.5},{ name: 'Marital dissolution/separation', y: 0.2},{ name: 'Other', y: 3.9},{ name: 'Missing', y: 8.3},{ name: 'Total', y: 100},{ name: 'Number of discontinuations', y: 251}]}|{"name":"Male condom","data":[{ name: 'Became pregnant while using', y: 0},{ name: 'Wanted to become pregnant', y: 0},{ name: 'Husband disapproved', y: 0},{ name: 'Wanted a more effective method', y: 0},{ name: 'Side effects/health concerns', y: 0},{ name: 'Lack of access/too far', y: 0},{ name: 'Cost too much', y: 11.8},{ name: 'Inconvenient to use', y: 0},{ name: 'Up to God/fatalistic', y: 0},{ name: 'Infrequent sex/husband away', y: 0},{ name: 'Marital dissolution/separation', y: 0},{ name: 'Other', y: 0},{ name: 'Missing', y: 0},{ name: 'Total', y: 100},{ name: 'Number of discontinuations', y: 46}]}|{"name":"Other","data":[{ name: 'Became pregnant while using', y: 0},{ name: 'Wanted to become pregnant', y: 0},{ name: 'Husband disapproved', y: 0},{ name: 'Wanted a more effective method', y: 0},{ name: 'Side effects/health concerns', y: 0},{ name: 'Lack of access/too far', y: 0},{ name: 'Cost too much', y: 0},{ name: 'Inconvenient to use', y: 0},{ name: 'Up to God/fatalistic', y: 0},{ name: 'Infrequent sex/husband away', y: 0},{ name: 'Marital dissolution/separation', y: 0},{ name: 'Other', y: 0},{ name: 'Missing', y: 0},{ name: 'Total', y: 100},{ name: 'Number of discontinuations', y: 23}]}|{"name":"All methods","data":[{ name: 'Became pregnant while using', y: 7.5},{ name: 'Wanted to become pregnant', y: 39.6},{ name: 'Husband disapproved', y: 4.6},{ name: 'Wanted a more effective method', y: 6.6},{ name: 'Side effects/health concerns', y: 17.0},{ name: 'Lack of access/too far', y: 2.3},{ name: 'Cost too much', y: 2.3},{ name: 'Inconvenient to use', y: 3.3},{ name: 'Up to God/fatalistic', y: 0.0},{ name: 'Infrequent sex/husband away', y: 3.6},{ name: 'Marital dissolution/separation', y: 0.1},{ name: 'Other', y: 3.0},{ name: 'Missing', y: 10.2},{ name: 'Total', y: 100},{ name: 'Number of discontinuations', y: 577}]}
Became pregnant while using|Wanted to become pregnant|Husband disapproved|Wanted a more effective method|Side effects/health concerns|Lack of access/too far|Cost too much|Inconvenient to use|Up to God/fatalistic|Infrequent sex/husband away|Marital dissolution/separation|Other|Missing|Total|Number of discontinuations
Key:
The Gambia Pill Injectables Male condom Other All methods
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Reasons for Discontinuation
  • Source: DHS 2013
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