Determinants of Method Switching among Social Franchise Clients Who Discontinued the Use of Intrauterine Contraceptive Device

Table 3

Unadjusted odds ratios of method switching versus method stopping, according to selected sociodemographic and reproductive health risk factors.

Characteristics	Method switched
		(%)	OR (95% C.I.)
Geographic region
Northern Punjab	124	58 (46.8)	1
Sindh	59	30 (50.8)	1.17 (0.63–2.18)
Southern Punjab	150	112 (74.7)	3.35 (2.01–5.58)
Age of women
≤25 years	21	11 (52.4)	1
>25–≤35 years	218	136 (62.4)	1.50 (0.61–3.70)
>35–49 years	94	53 (56.4)	1.17 (0.45–3.03)
Women education
No formal education	207	119 (57.5)	1
Primary	72	42 (58.3)	1.03 (0.60–1.78)
≥Secondary	54	39 (72.2)	1.92 (0.99–3.70)
Number of children
1-2	47	23 (48.9)	1
3-4	120	78 (65.0)	1.93 (0.97–3.84)
5+	166	99 (59.6)	1.54 (0.80–2.95)
Type of client
Voucher (free)	209	117 (56.0)	1
Referral (paid out of pocket)	124	83 (66.9)	1.59 (1.00–2.52)
Type of IUCD
Copper-T	78	36 (46.2)	1
Multiload	255	164 (64.3)	2.10 (1.25–3.51)
Status of contraception before IUCD insertion
Not using any method	220	120 (54.5)	1
Using a contraceptive method	113	80 (70.8)	2.02 (1.24–3.27)
Reason for choosing IUCD
Encouraged by FWM	148	88 (59.5)	1
Any other reason	185	112 (60.5)	1.04 (0.67–1.62)
Meeting with community after IUCD insertion
No	99	39 (39.4)	1
Yes	234	161 (68.8)	3.39 (2.08–5.53)
Reason for IUCD discontinuation
Nonhealth related	85	46 (54.1)	1
Method related side effects	248	154 (62.1)	1.39 (0.84–2.23)
Place of IUCD removal
Government clinic	23	12 (52.2)	1
Private clinic	65	45 (69.2)	2.06 (0.78–5.46)
Expulsion	24	13 (54.2)	1.08 (0.34–3.41)
Suraj centre	221	130 (58.8)	1.30 (0.55–3.10)
Duration of IUCD use before discontinuation
>6 to 24	165	83 (50.3)	1
>3 to 6	73	47 (64.4)	1.79 (1.01–3.15)
≤3 months	95	70 (73.7)	2.77 (1.60–4.80)
Time travel for removal services
Less than 1 hour	305	183 (60.0)	1
≥1 hour	28	17 (60.7)	1.03 (0.46–2.28)
Satisfaction with IUCD services
Satisfied or very satisfied	173	90 (52.0)	1
Neutral or unsatisfied	160	110 (68.8)	2.03 (1.29–3.18)
Would use IUCD in future, if needed
Yes, readily	119	60 (50.4)	1
No or not sure	214	140 (70.0)	1.86 (1.18–2.93)
Would recommend IUCD to friend
Yes	277	168 (60.6)	1
No	56	32 (57.1)	0.87 (0.48–1.55)

value: ,  , and  .