Health services at the clinic level and implantable contraceptives for women

Chikamata, Davy M.; Miller, Suellen

doi:10.1016/s0010-7824(01)00280-3

Cited by 7 publications

(6 citation statements)

References 25 publications

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“…[4] Previous studies on other progestin-only contraceptives have documented that adequately counselling women about bleeding irregularities at the time of method initiation can help to improve method continuation rates. [13] …”

Section: Subdermal Implantsmentioning

confidence: 99%

Efficacy and Safety of Long-Acting Reversible Contraception

Stoddard

McNicholas

Peipert

2011

Drugs

158

144

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Long-acting reversible contraception (LARC) includes intrauterine devices (IUDs) and the subdermal implant. These methods are the most effective reversible methods of contraception, and have the additional advantages of being long-lasting, convenient, well liked by users and cost effective. Compared with other user-dependent methods that increase the risk of noncompliance-related method failure, LARC methods can bring ‘typical use’ failure rates more in line with ‘perfect use’ failure rates. LARC methods are ‘forgettable’; they are not dependent on compliance with a pill-taking regimen, remembering to change a patch or ring, or coming back to the clinician for an injection. LARC method failure rates rival that of tubal sterilization at <1% for IUDs and the subdermal implant. For these reasons, we believe that IUDs and implants should be offered as first-line contraception for most women. This article provides a review of the LARC methods that are currently available in the US, including their effectiveness, advantages, disadvantages and contraindications. Additionally, we dispel myths and misconceptions regarding IUDs, and address the barriers to LARC use.

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Section: Subdermal Implantsmentioning

confidence: 99%

Efficacy and Safety of Long-Acting Reversible Contraception

Stoddard

McNicholas

Peipert

2011

Drugs

158

144

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“…Oral contraceptives and implantable contraceptives are considered to be safe and effective methods of contraception [10,11]. However, some adverse medical and nonmedical reasons are responsible for discontinuation, such as menstrual disorders, headaches, and weight increases, which in turn may be causes of discontinuation of their use.…”

Section: Discussionmentioning

confidence: 99%

Menstrual irregularity and compliance in contraception: comparison between oral contraceptives and etonogestrel contraceptive implant

Bermúdez

Muñiz

Ruvalcaba³

et al. 2004

International Congress Series

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“…Existing implants are highly effective and generally safe, provided that the quality of services ful®ls appropriate standards. In order to establish quality in implant contraceptive services, it is necessary to determine the reproductive health needs of communities, the capacity and the readiness of the health delivery system to provide a providerdependent method, and the capacity to sustain services on a longterm basis in ways that protect the safety and satisfaction of the users (Simmons et al, 1997;Chikamata and Miller, 2002).…”

Section: Programmatic Issuesmentioning

confidence: 99%

“…Country programmes can bene®t from the lessons learned in the early implant introductions, when there was less attention given to adequate planning, sustainability, and quality of services (Hanhart, 1993;Hardee et al, 1994;Ortayli, 2002). The most salient programme corrections proposed are attention to counselling, assurance of removal on request, infection prevention, and increased sensitivity to the disruption of women's lives caused by unpredictable vaginal bleeding (Chikamata and Miller, 2002).…”

Section: Programmatic Issuesmentioning

confidence: 99%

“…Different cadres of health professionals including physicians, nurse-midwives, nurses and other paramedical personnel can safely provide implants (Affandi et al, 1987a). Their training should be competency-based; the trainees should be authorized for implant services only after they have demonstrated that they can manage all aspects of this service (Chikamata and Miller, 2002). Moreover, training of healthcare providers should be an ongoing process, particularly in settings where staff turnover is high.…”

Section: Requirements For Quality Implant Servicesmentioning

confidence: 99%

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Implantable contraceptives for women

Meirik

2002

Contraception

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Progestogen-only implantable contraceptives are used by increasing numbers of women worldwide. This review outlines the evidence accumulated on these methods to date. Reviews of toxicological evaluations, clinical trials, endocrinological, epidemiological and social science studies, as well as operations research and economic evaluation were undertaken in preparation for an Expert Consultation convened by the World Health Organization in 2001. At the meeting, these reviews were further evaluated and the research results summarized in this consensus paper. A large body of evidence demonstrates the high contraceptive effectiveness and safety of the 5-year levonorgestrelreleasing implants Norplant and Jadelle. Information on the 3-year etonogestrel-releasing implant Implanon is more limited, but suggests that this implant has a high contraceptive effectiveness and a satisfactory safety pro®le. Information available on levonorgestrel-releasing implants manufactured and approved in China suggests that their clinical performance is satisfactory, but was insuf®cient to allow their full safety assessment. For all implants, there is insuf®cient information on their use by women with medical conditions. Provision of contraceptive implants requires good quality family planning services and speci®c provider training.

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Health services at the clinic level and implantable contraceptives for women

Cited by 7 publications

References 25 publications

Efficacy and Safety of Long-Acting Reversible Contraception

Efficacy and Safety of Long-Acting Reversible Contraception

Menstrual irregularity and compliance in contraception: comparison between oral contraceptives and etonogestrel contraceptive implant

Implantable contraceptives for women

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