Medico-social factors contributory to drop-outs in a rural cohort of oral contraceptors.

Indrayan A; Bagchi SC; Verma V
Journal of Family Welfare. June 1972; 18(4):65-75.

To identify factors contributing to the drop-out tendency of rural oral contraceptive users, a cross-sectional sample of 170 acceptors (average age 27 years, mean marital experience 13 years, mean parity 5.0) from 5 Family Welfare Centers in Allahabad, India, was studied from January 1968-March 1969. Average participation was 10 months per woman, with 45% of the participants dropping out by the end of the study. The woman-motivator was associated at the 1% level with dropout rates (lowest drop-out rates for those motivated by a doctor or by self, and highest for motivation by health workers). Factors significant at the 5-10% level (confirmed for 28 women) included husband's literacy, caste, and family occupation. Factors least significantly associated with dropping out included age, parity status, side-effects of treatment, family income, marital experience, and reason for participation. Greater continuity of oral contraceptive use is expected with adequate motivation and control of side-effects.

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