Table 2 Thematic representation of experiences of discontinuing IUDs/implants
Themes | Subthemes | Codes |
|---|---|---|
Underlying reasons for refusal to discontinue IUDs/implants | Removal before the due date | • Seen as wastage • Unwillingness of providers • Perceived risks of early discontinuation |
Health system constraints | • Work overload • Difficult removals (deep implants/ missing strings) • Stockouts • Inadequate equipment | |
Asking for missing insertion cards | • Missing insertion cards | |
Focus on counseling and management of side effects | • Counseling and treatment of side effects • Encouraging continued use of IUDs/implants | |
Women's Responses to denial of removal | Emotional and physical responses | Feelings of betrayal, frustration, insecurity, trapped, anger, hopelessness, anxiety, fear, and disappointment |
Headaches, gastric ulcers, high blood pressure, and heart problems | ||
Social and Economic Responses | • Gender-based violence & extramarital affairs • Costs discontinuing in private facilities • Lost opportunity cost | |
Mistrust of provider-dependent contraceptives | • Myths and misconceptions • Negative attitudes • Violation of rights • Intentions not to use modern contraceptives |