Skip to main content

Timeliness of contraceptive reinjections in South Africa and its relation to unintentional discontinuation.

Publication ,  Journal Article
Baumgartner, JN; Morroni, C; Mlobeli, RD; Otterness, C; Myer, L; Janowitz, B; Stanback, J; Buga, G
Published in: International family planning perspectives
June 2007

Research examining hormonal injectable contraceptive continuation has focused on clients' intentional discontinuation. Little attention, however, has been paid to unintentional discontinuation due to providers' management of clients who would like to continue use but arrive late for their scheduled reinjections.A cross-sectional survey of 1,042 continuing injectable clients at 10 public clinics was conducted in South Africa's Western and Eastern Cape provinces. Bivariate logistic regression analyses were used to identify associations between specific variables and the likelihood of receiving a reinjection, among clients who returned to clinics late but within the two-week grace period for reinjection.Of 626 continuing clients in the Western Cape, 29% were up to two weeks late and 25% were 2-12 weeks late for their scheduled reinjection; these proportions among 416 continuing clients in the Eastern Cape were 42% and 16%, respectively. Only 1% of continuing clients in the Western Cape who arrived during the two-week grace period did not receive a reinjection; however, 36% of similar clients in the Eastern Cape did not receive a reinjection. Among late clients in the Eastern Cape who did not receive a reinjection, 64% did not receive any other method. Few variables were significant in bivariate analyses; however, certain characteristics were associated with receiving reinjections among late clients in the Eastern Cape.It is common for clients to arrive late for reinjections in this setting. Providers should adhere to protocols for the reinjection grace period and have a contraceptive coverage plan for clients arriving past the grace period to reduce clients' risk of unintentional discontinuation and unintended pregnancy.

Duke Scholars

Published In

International family planning perspectives

DOI

ISSN

0190-3187

Publication Date

June 2007

Volume

33

Issue

2

Start / End Page

66 / 74

Related Subject Headings

  • South Africa
  • Patient Compliance
  • Intention
  • Injections
  • Humans
  • Female
  • Demography
  • Cross-Sectional Studies
  • Contraceptive Agents, Female
  • Adult
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Baumgartner, J. N., Morroni, C., Mlobeli, R. D., Otterness, C., Myer, L., Janowitz, B., … Buga, G. (2007). Timeliness of contraceptive reinjections in South Africa and its relation to unintentional discontinuation. International Family Planning Perspectives, 33(2), 66–74. https://doi.org/10.1363/3306607
Baumgartner, Joy Noel, Chelsea Morroni, Regina Dlakulu Mlobeli, Conrad Otterness, Landon Myer, Barbara Janowitz, John Stanback, and Geoffrey Buga. “Timeliness of contraceptive reinjections in South Africa and its relation to unintentional discontinuation.International Family Planning Perspectives 33, no. 2 (June 2007): 66–74. https://doi.org/10.1363/3306607.
Baumgartner JN, Morroni C, Mlobeli RD, Otterness C, Myer L, Janowitz B, et al. Timeliness of contraceptive reinjections in South Africa and its relation to unintentional discontinuation. International family planning perspectives. 2007 Jun;33(2):66–74.
Baumgartner, Joy Noel, et al. “Timeliness of contraceptive reinjections in South Africa and its relation to unintentional discontinuation.International Family Planning Perspectives, vol. 33, no. 2, June 2007, pp. 66–74. Epmc, doi:10.1363/3306607.
Baumgartner JN, Morroni C, Mlobeli RD, Otterness C, Myer L, Janowitz B, Stanback J, Buga G. Timeliness of contraceptive reinjections in South Africa and its relation to unintentional discontinuation. International family planning perspectives. 2007 Jun;33(2):66–74.

Published In

International family planning perspectives

DOI

ISSN

0190-3187

Publication Date

June 2007

Volume

33

Issue

2

Start / End Page

66 / 74

Related Subject Headings

  • South Africa
  • Patient Compliance
  • Intention
  • Injections
  • Humans
  • Female
  • Demography
  • Cross-Sectional Studies
  • Contraceptive Agents, Female
  • Adult