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Continuation of Reversible Contraception Following Enrollment in the Zika Contraception Access Network (Z-CAN) in
Lauren B Zapata1, Katherine Kortsmit2, Kathryn M Curtis3
1Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341-3717, USA.
Studies in Family Planning
|April 25, 2024
Summary
The Zika Contraception Access Network (Z-CAN) study found high satisfaction with contraceptive methods. Long-acting reversible contraceptives and initial method satisfaction were linked to continued use during the Zika outbreak.
Area of Science:
- Public Health
- Reproductive Health
- Infectious Disease Epidemiology
Background:
- The 2016-2017 Zika virus outbreak highlighted the need for accessible contraception.
- The Zika Contraception Access Network (Z-CAN) aimed to provide client-centered contraceptive services in Puerto Rico.
Purpose of the Study:
- To assess contraceptive method continuation, satisfaction, and switching among Z-CAN participants.
- To identify factors associated with contraceptive discontinuation.
Main Methods:
- Online surveys administered to Z-CAN patients at 6, 24, and 36 months post-enrollment.
- Multivariable logistic regression used to identify characteristics associated with discontinuation.
- Analysis of contraceptive method continuation rates and patient satisfaction.
Main Results:
- Continuation rates were 82.5% at 6 months, 64.2% at 24 months, and 49.9% at 36 months.
- Method satisfaction among continuing users was consistently high (≥90%).
- Discontinuation was less likely with long-acting reversible contraceptives (LARCs), desire to prevent pregnancy, and receiving preferred methods.
Conclusions:
- High satisfaction and LARC use are key to sustained contraceptive use.
- Client-centered counseling and access to preferred methods improve continuation.
- Ongoing contraceptive access is crucial for reproductive autonomy, especially during health crises.
