Reasons for requesting removal of the hormonal implant, Implanon NXT, at an urban reproductive health clinic in KwaZulu-Natal, South Africa

Beesham, Ivana; Smit, Jennifer; Beksinska, Malgorzata E.; Panday, Mala; Makatini, V; Evans, Shannon

doi:10.7196/samj.2019.v109i10.00012

Cited by 12 publications

(21 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The same finding was made in South Africa where Beesham et al report that 69.2% of the clients in their sample were single. 10 On the other hand, Keita et al find that the main users of modern methods of contraception were married women with a proportion of 90.71%. 14…”

Section: Marital Statusmentioning

confidence: 99%

“…Identical reasons for choice, however, at different proportions, have been reported in South Africa where, 64.2% of women chose to use NXT Implant because it is a long-acting method, and half 50% because they did not want to return frequently to the clinic for follow-up. 10 This enthusiasm for the use of the method could be due to the impact of the implementation of awareness campaigns carried out among populations on the benefits of longacting contraceptive methods.…”

Section: Reasons For the Choice Of Implantmentioning

confidence: 99%

See 1 more Smart Citation

Acceptability of contraceptive implants at the maternity ward of the Matam Communal Medical Center

Conté

Momo

Alpha

et al. 2022

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: World Health Organization (WHO), defines contraception as "the use of agents, devices, methods or procedures to decrease the likelihood of conception or avoid it". In Africa, only 24% of women of childbearing age have access to a modern contraceptive method. The objective of the study was to determine the frequency of use of the contraceptive implant, to describe the socio-demographic characteristics of the users, to identify the reasons for the choice of the method and to assess the degree of satisfaction of the clients.Methods: The study was conducted at the Matam Communal Medical Center on level 2 of the health pyramid in Guinea. This was a 12-month cross-sectional, descriptive and analytical study (June 2017 to May 2018), including all women admitted for desire for contraception and who agreed to choose the implant as a contraceptive method.Results: The study involved 512 clients. The proportion of female users was 26.21%. The average age was 27.8 years, the main users were women of liberal trade, married, multiparous. The main reasons for choice cited by clients were the effectiveness and long duration of action of the method, i.e. 35.2% and 30.9% respectively. The majority of providers of the method were represented by midwives (73.3%) and the degree of client satisfaction with the method was 97%.Conclusions: The implant is a long-acting method of contraction. It is frequently used at the Communal Medical Center of Matam. Its efficient use would involve effective counselling.

show abstract

Section: Marital Statusmentioning

confidence: 99%

Section: Reasons For the Choice Of Implantmentioning

confidence: 99%

Acceptability of contraceptive implants at the maternity ward of the Matam Communal Medical Center

Conté

Momo

Alpha

et al. 2022

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…This was followed by a desire to become pregnant. Studies in South Africa have found reasons for early removal of ENG implants were mainly side effects, predominantly bleeding and headaches [5][6][7] . While levonorgestrel (LNG) implants (Jadelle) are registered for use in South Africa [8] , these are not available in the public sector.…”

Section: Introductionmentioning

confidence: 99%

Contraceptive method preference and reasons for contraceptive discontinuation among women randomized to intramuscular depot medroxyprogesterone acetate, a copper intrauterine device or a levonorgestrel implant: Findings from Durban, South Africa

et al. 2022

View full text Add to dashboard Cite

Objectives: The use of intrauterine devices (IUDs) and contraceptive implants in South Africa is low with limited data on patterns of use and reasons for discontinuation. We describe contraceptive preferences and reasons for discontinuation among women enrolled in the Evidence for Contraceptive Options and HIV Outcomes (ECHO) Trial from one trial site. Study design: ECHO, conducted between 2015 and 2018, enrolled and randomized sexually active women, aged 16 to 35, and desiring contraception, to intramuscular depot medroxyprogesterone acetate (DMPA-IM), a copper intrauterine device (copper-IUD) or a levonorgestrel (LNG) implant; follow-up was 12 to 18 months. We interviewed 829 women at the Durban, South Africa trial site at ECHO Trial exit to ascertain contraceptive preferences at randomization. Reasons for randomized contraceptive discontinuation were collected at ECHO Trial exit and 6 months later. Data were analyzed descriptively. Results: At the final ECHO Trial visit, among women using their randomized contraceptive method (n = 757), 21% discontinued DMPA-IM, 20% discontinued LNG implant and 22% discontinued the copper-IUD. About a quarter from each group discontinued due to problems with bleeding. Among women continuing their randomized contraceptive at trial exit (n = 597), 25% discontinued DMPA-IM within 6 months of exiting the study, 8% discontinued LNG implant and 4% discontinued copper-IUD. A third of women reported wanting to be assigned DMPA-IM at randomization, 20% wanted the LNG implant and 18% the copper-IUD. Conclusions: Despite some women having preferences about which contraceptive they might be randomized to, discontinuation rates for all three methods at ECHO Trial exit and 6-month post-trial follow-up were low.

show abstract

“…The implant has a lifespan of 3-5 years of contraceptive effectiveness, depending on model, after which it should be replaced. Users may also opt to discontinue before its full lifespan has elapsed due to problematic side effects (most commonly heavy or irregular vaginal bleeding) and desire to conceive (7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Experiences of Accessing and Providing Contraceptive Implant Removal Services in Gaborone, Botswana: A Qualitative Study Among Implant Users and Healthcare Providers

Howett

Krogstad

Badubi

et al. 2021

Front. Glob. Womens Health

View full text Add to dashboard Cite

Introduction: This study explored implant user and healthcare provider experiences of accessing and providing contraceptive implant removal services in Gaborone, Botswana, following introduction of the implant in the public sector in 2016. We sought to understand reasons for satisfaction and dissatisfaction with services and their potential impact on wider perceptions of the implant, including influence on future uptake.Methods: Qualitative data were collected through in-depth interviews. Participants comprised ten women who had previously undergone implant removal, and ten providers whose work included provision of implant insertion and removal. Data were analyzed using thematic content analysis.Results: Seven of the ten users in this study had experienced a delay between initial request and undergoing implant removal. This interval ranged from <1 week to 3 months. Users identified the principal barriers to accessing implant removal services as lack of access to trained removal providers, inconvenient appointment times, and provider resistance to performing removal. Nine of the ten providers in this study had experienced barriers to providing implant removal, including insufficient training, lack of equipment, lack of time, and lack of a referral pathway for difficult removals. Despite experiencing barriers in accessing removal, users' perceptions of the implant remained generally positive. Providers were concerned that ongoing negative user experiences of removal services would damage wider perceptions of the implant.Conclusion: Introduction of the contraceptive implant in Botswana has been an important strategy in increasing contraceptive choice. Following an initial focus on provision of insertion services, the development of comparable, accessible removal services is critical to ensuring that the implant remains a desirable contraceptive option and is vital to upholding women's reproductive health rights. The experiences of users and providers in this study can inform the ongoing development of services for implant insertion and removal in Botswana and other lower-resource settings.

show abstract

Reasons for requesting removal of the hormonal implant, Implanon NXT, at an urban reproductive health clinic in KwaZulu-Natal, South Africa

Cited by 12 publications

References 7 publications

Acceptability of contraceptive implants at the maternity ward of the Matam Communal Medical Center

Acceptability of contraceptive implants at the maternity ward of the Matam Communal Medical Center

Contraceptive method preference and reasons for contraceptive discontinuation among women randomized to intramuscular depot medroxyprogesterone acetate, a copper intrauterine device or a levonorgestrel implant: Findings from Durban, South Africa

Experiences of Accessing and Providing Contraceptive Implant Removal Services in Gaborone, Botswana: A Qualitative Study Among Implant Users and Healthcare Providers

Contact Info

Product

Resources

About