Addressing unmet need for long‐acting family planning in Ethiopia: Uptake of single‐rod progestogen contraceptive implants (Implanon) and characteristics of users

Abstract

Provision of Implanon at the community level through community health workers is effective in reaching women with the greatest need for contraception.

Early Implanon Discontinuation and Associated Factors among Implanon User Women in Debre Tabor Town, Public Health Facilities, Northwest Ethiopia, 2016

“…Providing counseling during insertion of Implanon was positively associated with continuation of use [3, 23]. Preplacement counseling about the possible side effects of the method [5] and support by the service providers might be the most important way to help women continue on Implanon contraception. Women and couples who receive better counseling on their method may be more aware of potential side effects and how to cope with them.…”

“…Among contraceptive users 8% and 11% of married and unmarried sexually active women are using implants [4]. In Amhara region 4% of married women are Implanon user [5] and in Debre Tabor town, the coverage of Implanon utilization is 8.2% [6]. …”

Strengthening implant provision and acceptance in South Africa with the ‘Any woman, any place, any time’ approach: An essential step towards reducing unintended pregnancies

“…Furthermore, in several settings in Africa and Asia, LARC services rely heavily on community health workers (CHWs). [23][24][25] They lead community-based distribution of the implant, visit users' homes and provide support for women experiencing side-effects. A study in rural Northern Nigeria, where CHWs were tasked with inserting implants, showed the importance of frequent supervisory visits for CHWs.…”

Implanon Discontinuation Rate and Associated Factors among Women who ever Used Implanon in the Last Three Years in Debre Markos Town, Northwest Ethiopia, 2016, Cross Sectional Study

“…To address these problems, the EthiopianFederal Ministry of Health (FMoH) developed a plan to expand contraceptive method mix by providing Implanon at community level since2009 [13][14][15] in collaboration with generous donors support, nongovernmental organizations and public-private partnerships.Despite these all effort,still there is low utilization in general,and even those who have started to use the method are discontinuing it. The discontinuation rate and factors associated with discontinuation are understudied in Ethiopia as previous studies were done to assess early discontinuation rate in the first two yearsonly.…”