This study examines the importance of availability and accessibility of family planning services in relation to current contraceptive use in Nepal. The proportion of women who knew of a family planning services outlet in Nepal increased sharply between 1976 and 1981, from 6 percent to 33 percent. The Contraceptive Prevalence Survey data of 1981 indicate that an inverse relationship exists between the prevalence of current contraceptive use and travel time to an outlet. Unfortunately, a majority of current users in Nepal still need more than one hour to reach an outlet. The effects of education and place of residence on contraceptive use become weaker when the analysis is confined to women who have access to an outlet within a half-hour's travel time.
From 1987 to 1997, approximately four million Indonesian women had a Norplant insertion. Concerns have been raised about the timely removal of the implant within a few days of the user's request or at the end of the recommended five years of use and about the possibility of a large and rapidly increasing backlog of removal cases developing. This study of 2,979 Indonesian women in 14 provinces, all of whom had had Norplant inserted five or more years before they were interviewed, reveals that 66 percent had obtained removal by the end of the fifth year of use and 90 percent had done so by the end of the sixth year of use. The data from this study strongly suggest that no large backlog of removal cases exists, particularly after the sixth year of use. The major reason for the underreporting of removals is probably clients' use of nurse/midwives, of caregivers in the private sector, and of mass safari camps, because records from each of these sources are poor or nonexistent.
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