Abstract:
:Users of subdermal contraceptive implants report long duration of use, convenience, and high efficacy as liked features and bleeding irregularities, weight loss/gain, and headaches as disliked effects of these methods. Satisfied users tend to be women who do not experience side effects or women who value positive features and tolerate the side effects. Satisfaction of the users is also closely related to quality of services. Service delivery problems, such as lack of proper pre-insertion counseling, inadequacy in number and imbalance in the geographical distribution of providers who can insert and remove implants, and appropriately manage side effects have been observed in new programs. Insensitivity of some providers to side-effects, such as bleeding irregularities, and to requests for removal have caused user dissatisfaction and serious public concern. Care must be taken to provide implants in a context of high quality of care with adequate numbers and distribution of trained providers and a basic record-keeping and tracking system.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Ortayli Ndoi
10.1016/s0010-7824(01)00281-5subject
Has Abstractpub_date
2002-01-01 00:00:00pages
107-11issue
1eissn
0010-7824issn
1879-0518pii
S0010782401002815journal_volume
65pub_type
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