Long Acting Family Planning Method Switching among Revisit Clients of Public Health Facilities in Dire Dawa, Ethiopia

<p><b>Background</b><i>:</i><i> </i>“Contraceptive switching” from one method to another is a common phenomenon. Switching from a more effective method to a less effective method puts women at risk of unplanned pregnancy. </p> <p><b>Objectives<i>:</i></b> The aim of this study was to assess level and factors associated with long acting family planning method switching to another methods.</p> <p><b>Method<i>:</i></b> A Facility-based cross-sectional study was conducted on 634 women attending  public health facilities in Dire Dawa city administration, Ethiopia during January to March 2013. Participants were revisit clients for family planning service and were selected by multi-stage sampling technique. Data were analyzed using bivariate and multiple logistic regression. OR and 95 % CI were used to report the findings.</p> <p><b>Results<i>:</i></b> Method switching among revisit client was 40.4%. Switching from implant was 29.8% and from IUCD was 10.6%. The main reasons for method switching were adverse reaction such as bleeding, weight loss, and feeling of numbness on the arm. There is less tendency to switch method among married women (AOR= 2.41, 95% CI: 1.01,5.74), women who had 2-4 and 5 and more children (AOR 3.00, 95% CI: 1.59, 5.67), (AOR 2.07, 95 % CI:1.17, 3.66), women who want to stop birth (AOR 5.11, 95% CI:1.15, 24.8), among those who mentioned health providers as source of information for family planning (AOR 1.88, 95% CI:1,18, 3.01), and among women whose husband is aware of their use of long acting family planning method (AOR 3.05, 95% CI: 1.88,4.94).</p> <p><b>Conclusions<i>:</i></b> Method switching from long acting contraceptives to to a lesser effective methods is high. Method switching was significant among unmarried women, women who had one child, whose fertility control is other than stopping fertility, and women whose husband is not aware of the use of long acting family planning method.</p> <p><b>Recommendations:</b><b> </b>In the provision of family planning, the health care providers should give adequate information about each methods and risks of method of switching. Information Education, and Communication (IEC), and Behavioral Change Communication (BCC) strategies on family planning should be emphasized. Advocacy and social mobilization work should be intensified.</p>