Experiences and Care-Seeking Patterns for Menstrual Bleeding Irregularities among Current and Past Users of Injectables and Implants in Rural Kenya

George Odwe, Population Council
Francis Obare, Population Council
John G. Cleland, London School of Hygiene and Tropical Medicine (LSHTM)

This study examined experiences and care-seeking practices for menstrual bleeding irregularities among current and past users of injectables and implants in rural Kenya using both quantitative and qualitative data from the third round of a two-year longitudinal study conducted in Homa-Bay County, Western Kenya. Results: Many current and past users of injectables and implants reported experiencing method-related menstrual irregularities (range 55%-76%), however, few sought advice or care from a healthcare provider for management of the conditions. Menstrual irregularities are a pivotal health concern that drives non-use and discontinuation of contraceptive methods in the study area; it affected women’s relationships, their performance of domestic chores, and participation in income-generating activities. Quality counselling on side effects before initiating a method was inadequate, incomplete or not provided at all in some cases. There is need for innovative strategies for supporting women who are on contraception and experiencing unpleasant side effects to minimize discontinuation