IUDs as EC? Limited awareness and high reported acceptability: evidence from Argentina

Pichardo, Margaret S.; Arribas, L Gil; Coccio, Elina; Heredia, Graciela; Jagroep, Sherani R; Palermo, Tia

doi:10.1016/j.contraception.2014.05.012

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…While acceptability of contraceptives, including oral contraception, 18 emergency contraception, 19 and the intrauterine device (IUD) is high country-wide, 20–22 to date a thorough national-level assessment of the acceptability and continuation rates of contraceptive implants has not been undertaken. The only national survey on sexual and reproductive health was completed in 2013 (Argentina, 2011–2012 survey) and the implants were not yet available in the public health system at that time.…”

Section: The Context Of Unintended Adolescent Pregnancy Prevention In...mentioning

confidence: 99%

Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study

Maceira

Oizerovich

Perrotta

et al. 2023

Sexual and Reproductive Health Matters

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A new public policy was instituted in Argentina for free distribution of subdermal contraceptive implants to women aged 15–24 years old in the public healthcare system. The objective of this study is to determine the extent to which this population adhered to the implant, as well as predictors of continuation. The retrospective cohort study was based on a telephone survey of a random sample of 1101 Ministry of Health-registered implant users concerning the continuation of use, satisfaction with the method and side-effects, and reasons for removal. Descriptive statistics and multivariate regression analysis were used to explore the association between adherence and having received contraceptive counselling, satisfaction, and side effects. We found high levels of adherence (87%) and satisfaction (94%). Common reported side effects were amenorrhoea or infrequent bleeding, perceived weight gain, increased menstrual bleeding and headaches. Multivariate regression analysis indicates that, among adolescents, having received contraceptive counselling increased comfort, while frequent bleeding at six months hindered trust. Participants who had a history of a prior delivery or who had themselves primarily chosen the method were less likely to request the removal of the implant. Our results support the public policy of free implant distribution in the public health sector. This is a sustainable public policy that contributes to equity and access to effective contraception. It is appropriate for adolescents and young women and will also reduce unintended pregnancies. Our results suggest that counselling patients is key prior to insertion of the implant, as it improves acceptability and continuation.

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Section: The Context Of Unintended Adolescent Pregnancy Prevention In...mentioning

confidence: 99%

Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study

Maceira

Oizerovich

Perrotta

et al. 2023

Sexual and Reproductive Health Matters

View full text Add to dashboard Cite

show abstract

“…The Argentinian Ministry of Health reported that Argentinians have contraception options available, 4 but recent Argentinian studies revealed health-care students and providers are unprepared to counsel patients on contraception and legal abortion. 5,6 A 2010 Human Rights Watch report 7 revealed unlawful impediments to care, including provider conscientious objection and spousal authorisation. Despite legal protections, Argentinian women lack access to free contraception and legal abortion services.…”

mentioning

confidence: 99%

Abortion in Argentina

Garcia

2019

The Lancet

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Knowledge of and Interest in the Copper Intrauterine Device Among Women Seeking Emergency Contraception

Edwards

Panjwani

Pendrith

et al. 2018

Journal of Obstetrics and Gynaecology Canada

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IUDs as EC? Limited awareness and high reported acceptability: evidence from Argentina

Cited by 3 publications

References 18 publications

Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study

Acceptability and continuation of use of the subdermal contraceptive implant among adolescents and young women in Argentina: a retrospective cohort study

Abortion in Argentina

Knowledge of and Interest in the Copper Intrauterine Device Among Women Seeking Emergency Contraception

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