الفهرس 
Types of ContraceptionOnly 14 pages are availabe for public view
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Abstract
Contraceptive discontinuation is one of the big problems of
contraceptive methods use and an important issue in family planning
service program.
The discontinuation associated with method related reasons as side
effects in hormonal methods, and non method related reasons as in
marital separation. This discontinuation affect success rate of
contraceptive method. Actually, side effect is the most common reason
for discontinuation of the method. Most bothersome to women are
headache, changes in menstrual bleeding (including irregular bleeding,
spotting or the lack of menstrual bleeding), and uterine pain. Some
women feeling worried about using the some method because the
informations are not enough especially in rural areas.
Urban women usually have better access than do rural women to
contraception, to information about contraception, and to health care
providers in case they have a problem using contraception. For these
reasons, urban/rural residence is likely to affect both discontinuation and intention to use contraception. A woman’s level of education is likely to
affect her knowledge of contraceptive methods and side effects, her
preconceptions about family planning, and other factors may influence
discontinuation or intention not to use contraception. Contraceptive use
and method choice also vary widely by religion, parity and
socioeconomic status.
Reaching women who are poor and live in remote areas requires
outreach by health personnel and community volunteers trained to
provide integrated FP and MCH services.
The discontinuation and non using of contraception can be eliminated by:
• Counseling regarding safe and effective use of each method.
GATHER approach help for googd counseling; Greet the clients
respectfully, Ask them about their family planning needs, Tell
them about different contraceptive options and methods, Help
them to make decisions about choices of methods, Explain and
demonstrate how to use the methods, Return/refer; when to return
visit and follow up.
• Earlier management of side effects as menstrual changes,
headaches, dizziness, breast tenderness or bleeding. Explanation of
these side effects and reassurance the client can be effective way to
increase continuation rates.
• Elimination of fears and misbelieves regarding religion and,
contraceptive use for family planning.
• Greater efforts need to encourage women to switch to modern
methods rather than traditional methods, or even switch to another
method that better than discontinuation of contraceptive use.
• Efforts should be made to promote male involvement in the
country’s reproductive health programs and encourage males to
share in family planning; that has a good effect on continuation use
of contraception and decrease the discontinuation.
• Improvement of family planning services by continuous training of
health team and increasing of community orientation about
benefits of family planning and its effects on their life.