Factors associated with early implant discontinuation among women receiving implant services from community healthcare providers (CPs/PPMVs) in Nigeria: an analysis of routine service delivery data.

Overall, 28.4% ( n = 248) of implant users who discontinued discontinued early, with similar proportions for Implanon (29.5%) and Jadelle (25.7%%).

More than half (57.6%) of early discontinuers removed their implants within 12 months of insertion.

Adjusted analysis showed women aged 35-39 years were less likely to discontinue early compared with those aged 25-29 years [Adjusted odds ratio (adjusted odds ratio) = 0.50; 95% confidence interval (CI): 0.31-0.80; p = 0.004].

Geographic variation was noted, with lower odds in Enugu (adjusted odds ratio = 0.53; 95% CI: 0.30-0.91; p = 0.02).