Discontinuation and Switching: A Brief on Switching Definitions

Monitoring contraceptive discontinuation is critical to understanding contraceptive use dynamics and ensuring that goals set out in family planning policies and programs meet the reproductive health needs of individuals.

The PME WG raised important questions regarding discontinuation and switching measurement and definitions. As such, FP2030 conducted this analysis to determine if additional changes to measures would assist country programs and partners to better understand contraceptive dynamics in their countries. Since switching rates did not vary significantly when the definition was relaxed and because method effectiveness could wane if additional time is allowed between switching, FP2030 and the PME Working Group determined that no additional changes are currently warranted. As a result, FP2030 will continue to report on switching rates based on the DHS definition and method of calculation.