Twelve month follow‐up of a contraceptive implant outreach service in rural Papua New Guinea

Abstract

Twelve month implant follow-up data in this study showed high continuation rates and high levels of satisfaction among a rural population in PNG. Implants have the potential to lower maternal morbidity and mortality and simultaneously address the unmet need for contraception in these communities.

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

“…Bleeding side-e ects [23,38,39,[81][82][83][84][85] Headache [38] None Mild Severe [14] CME mainly because of limited nurse training in insertion and suboptimal access in family planning clinics. [15] In addition, the longstanding question of whether depot medroxyprogesterone acetate (DMPA) increases women's risk for HIV acquisition will soon be answered by the Evidence for Contraceptive Options and HIV Outcomes (ECHO) study.…”

“…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.…”

“…Counselling focused on the particular effi cacy and benefits of LARCs is able to lower the rates of pregnancy and abortion in adolescents and young women. [56] In one large study, two-thirds of youth were still using a LARC after 2 years, compared with Bleeding side-e ects [23,38,39,[81][82][83][84][85] Headache [38] Continuation rates all women (12 months) [23,37,40,82,83,86] Continuation rates adolescents and women <25 years (12 months) [7,57,87] Continue implant Removal …”

Community attitudes and gendered influences on decision making around contraceptive implant use in rural Papua New Guinea

“…There is a growing body of evidence in support of long acting reversible contraception, and in particular the contraceptive implant, becoming the preferred method of contraception in LMICs given their high efficacy rates, cost effectiveness, mild side effect profile, low complication rate, non-user-dependent administration, minimally invasive design and technical simplicity for insertion and removal [2,14,15]. Since 2013 there have been concerted efforts to improve access of contraceptive implants across PNG via outreach programs led by local health authorities and non-government organisations [2,16].…”

“…In one rural community on Karkar Island outreach programs were expansively conducted between 2013 and 2014 [16]. These programs successfully increased implant uptake on the island and boosted contraceptive use by 12% [11,16].…”