Quality of care and contraceptive pill discontinuation in rural Egypt

J Biosoc Sci. 2001 Apr;33(2):161-72. doi: 10.1017/s0021932001001614.


Indicators of family planning service access and quality were generated using the Egypt DHS-I (1988) and the Egypt Service Availability Survey (1989), and linked to episodes of contraceptive pill use. Multilevel analysis was used to ascertain whether or not these access and quality indicators influence the continuation of pill use, net of women's socioeconomic, demographic and motivational characteristics. A model with random components at the cluster and women levels was fitted for all reasons of discontinuation, except desire for pregnancy, at 24 months of use. Net of women's background characteristics, the results show that facilities with smaller numbers of health personnel trained in family planning, a lack of access to facilities with female doctors and a lack of range of available methods are associated with a high risk of discontinuation of pill use for all reasons except desire for pregnancy.

MeSH terms

  • Adult
  • Cluster Analysis
  • Contraception Behavior / psychology*
  • Contraception Behavior / statistics & numerical data*
  • Contraceptives, Oral*
  • Drug Utilization
  • Egypt
  • Family Planning Services / standards*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Health Services Accessibility / standards
  • Humans
  • Life Tables
  • Motivation
  • Patient Acceptance of Health Care / psychology*
  • Patient Acceptance of Health Care / statistics & numerical data*
  • Quality of Health Care*
  • Rural Health / statistics & numerical data*
  • Socioeconomic Factors
  • Surveys and Questionnaires


  • Contraceptives, Oral