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.
Keywords
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© 2002 Elsevier Science Inc. Published by Elsevier Inc. All rights reserved.
