Strengthening Evidence for Programming on Unintended Pregnancy, Developing and Validating Measures of Unintended Pregnancy and Reasons for Contraceptive Non-use among Married Women in Nairobi’s Informal Settlements

KENYA, 2017
Health and Well-Being (HaW)

African Population and Health Research Center, London School of Hygiene and Tropical Medicine, UK

CSV JSON

reasons for discontinuation of contraceptive use-specified (stp_col_3_spy)

Data file: stepup_round 2_calendar_anon

Overview

vald 122

invd 0

Interval discrete

Questions and instructions

Literal question

Reasons

Categories

Value	Category
AT BASELINE RESPONDENT WAS USING IMPLANT.
AT BASELINE RESPONDENT WAS NOT USING ANY CONTRACEPTIVE.
AT BASELINE RESPONDENT WAS NOT USING CONTRACEPTIVE.
AT BASELINE RESPONDENT WAS NOT USING INJECTABLES (STOPPED 3YRS AGO).
AT BASELINE RESPONDENT WAS NOT USING INJECTABLES AS INDICATED RATHER SHE WAS ON PILLS.
AT BASELINE RESPONDENT WAS NOT USING INJECTABLES RATHER IMPLANTS, SINCE 2014.
AT BASELINE RESPONDENT WAS USING HERBAL PILL(15) NOT INJECTABLES AS INDICATED.
AT BASELINE RESPONDENT WAS USING IMPLANT NOT INJECTABLE AS INDICATED.
AT BASELINE RESPONDENT WAS USING IMPLANT NOT PILLS AS INDICATED.
AT BASELINE RESPONDENT WAS USING IMPLANT, SINCE 2015.
AT BASELINE RESPONDENT WAS USING IMPLANT.
AT BASELINE RESPONDENT WAS USING IMPLANTS NOT INJECTABLES AS INDICATED.
AT BASELINE RESPONDENT WAS USING INJECTABLES NOT IUD & SHE'S NEVER USED IUD.
AT BASELINE RESPONDENT WAS USING INJECTABLES NOT RHYTHM METHOD AS INDICATED.
AT BASELINE RESPONDENT WAS USING INJECTABLES(5) SINCE MAY 2016) NOT IMPLANTS(4) AS INDICATED.
AT BASELINE RESPONDENT WAS USING INJECTABLES(SINCE 2015) NOT PILLS AS INDICATED.
AT BASELINE RESPONDENT WAS USING INJECTABLES.
AT BASELINE RESPONDENT WAS USING PILLS.
AT BASELINE RESPONDENT WAS USING RHYTHM METHOD NOT PILLS AS INDICATED.
GOT ADVICE FROM FRIENDS TO STOP USING IMPLANTS, AS IT WILL STILL BE FUNCTIONING IN THE BODY.
MENSES RETURNED HENCE STOPPED USING LAM(10) AS A METHOD OF CONTRACEPTIVE.
MISSING:IMPUTE
RESPONDENT AT BASELINE WAS ALREADY STERILE.
RESPONDENT AT BASELINE WAS USING HERBAL PILL(15) NOT PILL AS INDICATED.
RESPONDENT AT BASELINE WAS USING RHYTHM METHOD.
RESPONDENT DECIDED TO USE INJECTABLES INORDER TO TAKE A BREAK BEFORE GOING BACK TO IUD.
RESPONDENT DELAYED GETTING INJECTION WHILE TRAVELLING AND SHE CONCEIVED THE FOLLOWING MONTH.
RESPONDENT DISCONTINUED INJECTABLES IN ORDER TO GET HER MENSES.
RESPONDENT FAILED TO GO FOR INJECTABLES, HENCE SHE CONCEIVED THE FOLLOWING MONTH.
RESPONDENT FORGOT TO GO TO THE HOSPITAL FOR INJECTABLES IN THE MONTH OF DECEMBER.
RESPONDENT IS TAKING A BREAK FROM IMPLANT.
RESPONDENT MISPLACED HER CLINIC CARD HENCE SHE CAN'T GET HER INJECTABLE INJECTION YET.
RESPONDENT PREFERS CHANGING METHODS AFTER SOMETIME.
RESPONDENT REMOVED IMPLANT BECAUSE IT HAD EXPIRED.
RESPONDENT REMOVED IMPLANTS ONCE IT EXPIRED, NOV/16.
RESPONDENT REMOVED THE IMPLANT ONCE SHE SEPARATED WITH HER FORMER HUSBAND.
RESPONDENT STOPPED BECAUSE SHE DOESN'T FEEL LIKE USING ANY CONTRACEPTIVE.
RESPONDENT STOPPED BECAUSE SHE DOESN'T WANT TO USE ANY FP METHOD.
RESPONDENT STOPPED BREASTFEEDING.
RESPONDENT STOPPED INJECTABLES IN ORDER FOR HER MENSES TO RESUME.
RESPONDENT STOPPED INJECTABLES IN ORDER FOR HER PERIODS TO RESUME.
RESPONDENT STOPPED INJECTABLES(5) BECAUSE SHE WANTED HER PERIODS BACK.
RESPONDENT STOPPED PILLS IN ORDER TO GO FOR INJECTABLE INJECTION, WHICH SHE COULDN'T ACCESS BEFORE.
RESPONDENT STOPPED RHYTHM METHOD TO TRY INJECTABLES WHICH SHE HAD NEVER USED.
RESPONDENT STOPPED THE METHOD ONCE SHE STOPPED BREASTFEEDING.
RESPONDENT STOPPED USING BECAUSE SHE BECAME SICK AND THE HUSBAND WAS AWAY.
RESPONDENT STOPPED USING IMPLANT ONCE IT EXPIRED.
RESPONDENT STOPPED USING INJECTABLE WILLINGLY.
RESPONDENT STOPPED USING INJECTABLES IN ORDER FOR HER PERIODS TO RESUME.
RESPONDENT STOPPED USING INJECTABLES(5) INORDER TO REGULATE HER PERIODS WITH PILLS(6) FOR PREGNANCY.
RESPONDENT STOPPED USING IUD BECAUSE SHE GOT INFECTED WITH UTI.
RESPONDENT STOPPED USING LAM(10) BEAUSE SHE STOPPED BREASTFEEDING.
RESPONDENT STOPPED USING ONCE THE THREE MONTHS ELAPSED, IN THE MONTH OF OCT/16.
RESPONDENT STOPPED USING PILLS BECAUSE SHE WANTED HER MENSES TO RESUME.
RESPONDENT TOOK A BREAK FROM INJECTABLES AND THE FOLLOWING MONTH SHE CONCEIVED.
RESPONDENT WANTED TO CHANGE TO A DIFFERENT CONTRACEPTIVE.
RESPONDENT WANTED TO TAKE A BREAK FROM INJECTABLES BEFORE GOING BACK TO IT.
RESPONDENT WANTED TO TAKE A BREAK FROM INJECTABLES IN ORDER FOR HER MENSES TO RESUME.
RESPONDENT WANTED TO USE A METHOD SHE CAN STOP ANYTIME AS OPPOSED TO INJECTABLES.
RESPONDENT WAS ADVICED BY THE DOCTOR TO STOP USING PILLS AFTER 6MONTHS OF BREASTFEEDING.
RESPONDENT WAS ALREADY STERILE AT BASELINE (SINCE 2012).
RESPONDENT WAS ALREADY STERILE AT BASELINE(SINCE 2015).
RESPONDENT WAS NOT USING ANY CONTRACEPTIVE AT BASELINE.
RESPONDENT WAS NOT USING ANY METHOD AT BASELINE.
RESPONDENT WAS NOT USING CONDOMS AT BASELINE RATHER INJECTABLES.
RESPONDENT WAS NOT USING IMPLANT AT BASELINE, SHE'S NOT BEEN ON ANY CONTRACEPTIVES SINCE 2011.
RESPONDENT WAS NOT USING INJECTABLES AT BASELINE, SHE WANTED TO GET PREGNANT.
RESPONDENT WAS NOT USING INJECTABLES AT BASELINE, SHE WAS NOT ON ANY METHOD.
RESPONDENT WAS ON IMPLANTS AT BASELINE,SINCE NOV. 2014.
RESPONDENT WAS ON IUD AT BASELINE NOT INJECTABLES AS INDICATED.
RESPONDENT WAS USING HERBAL PILL AT BASELINE NOT RHYTHM METHOD AS INDICATED.
RESPONDENT WAS USING HERBAL PILL(15) AT BASELINE NOT WITHDRAWAL AS INDICATED.
RESPONDENT WAS USING HERBAL PILL(16) AT BASELINE NOT PILLS AS INDICATED.
RESPONDENT WAS USING IMPLANT AT BASELINE NOT INJECTABLES AS INDICATED.
RESPONDENT WAS USING IMPLANT AT BASELINE NOT LAM(10) AS INDICATED.
RESPONDENT WAS USING IMPLANT AT BASELINE NOT PILL AS INDICATED.
RESPONDENT WAS USING IMPLANT AT BASELINE NOT RHYTHM METHOD AS INDICATED.
RESPONDENT WAS USING IMPLANTS AT BASELINE NOT INJECTABLES AS INDICATED.
RESPONDENT WAS USING IMPLANTS AT BASELINE NOT RHYTHM METHOD AS INDICATED.
RESPONDENT WAS USING IMPLANTS AT BASELINE.
RESPONDENT WAS USING INJECTABLE AT BASELINE NOT IMPLANT AS INDICATED.
RESPONDENT WAS USING INJECTABLES AT BASELINE NOT HERBAL PILL(15) AS INDICATED.
RESPONDENT WAS USING INJECTABLES AT BASELINE NOT IMPLANT AS INDICATED.
RESPONDENT WAS USING INJECTABLES AT BASELINE NOT IMPLANTS AS INDICATED.
RESPONDENT WAS USING INJECTABLES AT BASELINE NOT OTHER METHOD(15) AS INDICATED.
RESPONDENT WAS USING INJECTABLES AT BASELINE NOT RHYTHM METHOD AS INDICATED.
RESPONDENT WAS USING INJECTABLES AT BASELINE NOT WITHDRAWAL AS INDICATED.
RESPONDENT WAS USING INJECTABLES AT BASELINE.
RESPONDENT WAS USING PILLS AT BASELINE NOT IMPLANT AS INDICATED.
RESPONDENT WAS USING PILLS AT BASELINE NOT INJECTABLES AS INDICATED.
RESPONDENT WAS USING PILLS AT BASELINE NOT RHYTHM METHOD AS INDICATED.
RESPONDENT WAS USING PILLS AT BASELINE.
RESPONDENT WAS USING RHYTHM METHOD AT BASELINE.
RESPONDENT WAS USING TRADITIONAL PILL(16) AT BASELINE NOT PILLS(6) AS INDICATED.
RESPONDENT WENT UPCOUNTRY AND FORGOT TO CARRY CLINIC CARD THOUGH SHE PLANS TO GO FOR IT SOON.
STOPPED LAM(10) BECAUSE IT WAS DRAINING HER ENERGETICALLY AS THE BABY WAS FEEDING ON HER MILK ALOT.
THE IMPLANT EXPIRED AND REMOVED THE SAME MONTH.
THE METHOD EXPIRED.
WANTED TO TRY A DIFFERENT METHOD AFTER THE ONE SHE WAS USING EXPIRED

Warning: these figures indicate the number of cases found in the data file. They cannot be interpreted as summary statistics of the population of interest.

Question pretext

Question post text

Interviewer instructions

The priority order for recording events in each month in Column 2 is as follows:
1) Months of use of the current contraceptive method ("0"-"14")
2) Discontinuation of a contraceptive method, and months of use preceding the discontinuation

·The calendar only permits a single code in each month, so cannot record any dual method use. For any women reporting using two methods concurrently, only one method is recorded and this is the first (generally the most effective) method from the list of method codes.

·As for the contraceptive methods, the calendar does not permit reporting of more than one reason for discontinuation of a method. Respondents are asked for the main reason for discontinuation and this is recorded in Column 3 in the calendar.

·When switching methods, the method that was discontinued and the reason for discontinuation are recorded in that month, and the first month of use of the new method is recorded in the following month.

·If a respondent stops using a method in a month because they become pregnant, then either the method use or the pregnancy is recorded in the month. The months of pregnancy are recorded first, but because these are reported and recorded in completed months, typically the pregnancy would be recorded as starting in the following month, and the method will be recorded in the month in question. For example, assume a respondent was using the condom until about 15th January 2015, when she became pregnant, and she gave birth around 15th October 2015 after 9 months of pregnancy. The interviewer would record a "B" in October 2015, and eight "P"s in September 2015 back to February 2015 (for a total of 9 months). The interviewer would also record the discontinuation of use of the condom in January 2015 in Column 2 together with the reason for discontinuation in column 3 of the calendar.

·We do not know the true duration of episodes of contraceptive use because we do not ask the exact starting and end dates of a use. The general rule is that completed months of pregnancy or completed months of use are recorded when durations are provided by the respondent. For example, if a respondent reported that she used a method for 8 months, we would see 8 boxes containing the code for that method.

·When respondents reported that they started use of a method in a particular month and stopped using it in a particular month, we don't know when exactly that use started and stopped. For example, if we find that a respondent used the pill from February 2015 to April 2015 as marked in the calendar, this could be from February 1 to April 30 (3 months), or could be February 28 to April 1 (closer to 1 month). The general rule is that completed months of use are recorded in the calendar, but

Description

Text

The reasons for discontinuation of contraceptive use

Universe

All married (living together with a partner)women aged 15-39 living in the households.r