Perceptions and Acceptability of NORPLANT Implants in Thailand

Satayapan, S; Kanchanasinith, K; Varakamin, Somsak

doi:10.2307/1965496

Cited by 35 publications

(10 citation statements)

References 1 publication

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“…As a result, many acceptors may have forgotten the matter which subsequently caused recall bias. But the percentage is approximately the same as those of other researchers [63][64][65]. The follow-up for both groups lasted 3 years.…”

Section: Lost-to-follow-upsupporting

confidence: 75%

A cohort study of Norplant implant: Side-effects and acceptance

1995

Adv Contracept

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Section: Lost-to-follow-upsupporting

confidence: 75%

A cohort study of Norplant implant: Side-effects and acceptance

1995

Adv Contracept

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“…Norplant like any other family planning methods is not free from side effects. Its major side effects is menstrual abnormalities which occur in 60%-100% of the women 9,10,11 . Such bleeding aberrations were mainly responsible for discontinuation in the first year of use 12,13,14 .…”

Section: Introductionmentioning

confidence: 99%

Contraception with Levonorgestrel Subdermal Implants ($Norplant^R$) in Benin-City, Nigeria: A 12-year Review

Aisien¹

2007

African Journal of Reproductive Health

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The case notes of 377 clients who accepted Norplant out of 11961 acceptors of family planning methods in the Department of Obstetrics and Gynaecology University of Benin Teaching Hospital, between January 1985 and December 1996 were retrieved and analysed at the end of 2004, for socio-demographic characteristics of the clients, side effects and complications reported and reasons for discontinuation in relation to duration of use. The daily register of the acceptors were analysed for new acceptors of other methods during the same period and confirmed with their case notes. The acceptance incidence of Norplant was 3.2%. The mean age and parity of the acceptors were 32.2 ± 4.5years and 3.9 ± 1.8 respectively. The duration of use ranged between 6 months and 13 years. 65% of the acceptors reported menstrual abnormalities. 48% of them reported reduced bleeding pattern, while 7.5% (25) discontinued method under 4years of use because of increased bleeding episodes. Other side effects reported were headache 6%, weight gain 3%, mastalgia 1.8%, decreased libido 1.8%, abdominal pain 1.5% and hypertension 1.2%. 20.4% (68) discontinued the use under 4years because of desire to have another baby. 38.6% (129) had implants removed at 5years, while 20.1% (67) continued the use for 6-13years before removal and replacement with another set. Husband's request for removal constituted 7.2% (24). The effectiveness was 100% as no pregnancy was reported during the study period. The continuation rate at 5years was 58.7%. 43 clients were however lost to follow up. Norplant was found to be an effective and acceptable method of long-term reversible contraception with minimal side effects. The low incidence was attributed to the fact that the implants were donor driven and not included in the country contraceptive logistic system. Norplant acceptors who continued the use after 5years did so, because they enjoyed it and did not want to part with them without replacement of new sets. Les dossiers ont été analysés pour identifier les caractéristiques socio-démographiques des clientes, les effets secondaires et les complications signalées et les raisons pour l'arrêt par rapport à la durée de l'emploi. Le registre quotidien d'accepteurs a été analysé pour identifier les nouveaux accepteurs d'autres méthodes pendant la même période avant de les confirmer avec leurs dossiers. L'incidence de l'acceptation de Norplant était de 3,2%. L'âge moyen et la parité des accepteurs étaient de 32,2 ± 4, 5 ans et 3, 9 ± 1, 8 respectivement. La durée de l'emploi variait entre six mois et 13 ans. 65% des accepteurs ont signalé les anomalies menstruelles. 48% parmi elles ont signalé une habitude d'une hémorragie réduite, alors que 7,5%(25) ont arrêté l'emploi de la méthode en moins de quatre ans à cause des crises d'hémorragie. Autres effets secondaires signalés étaient maux de tête 6%, prise de poids 3%, mastalgie 1,8%, baisse de la libido 1,8%, douleur abdominale 1,5%, hypertension 1,2%. 20,4% (68) ont arrête l'emploi en moins de 4 ans parce qu'elles voula...

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“…Therefore, the index ranges from 0 to 6. The scores are grouped into low (0, 1), medium (2, 3) and high (4,5,6). A composite variable is used instead of separate items because of problems of co-linearity among the individual items.…”

Section: Methodsmentioning

confidence: 99%

“…These clinical and related studies have also found Norplant implants to be highly acceptable in varied demographic and cultural settings [5][6][7]. As of early 1990, pre-introductory clinical trials of Norplant implants had been conducted in 46 countries.…”

Section: Introductionmentioning

confidence: 98%

Assessing potential demand for Norplant implants in Sri Lanka

1992

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This study assesses potential demand for Norplant implants using data from a population-based survey conducted in rural Sri Lanka. Overall, 35% of currently married non-sterilized women of childbearing age expressed interest in using the implants, 52% did not want to use the method, and 13% were unsure about using it. The demand was substantially higher (44% vs 28%) among younger age groups (less than 30 years) than among older age groups (30-44). The results showed that life-cycle variables (age, parity and marital duration) and fertility preference variables (desire for another child and desired birth-interval) were generally more important than socioeconomic variables in determining variations in potential demand for Norplant in Sri Lanka. Desired birth spacing was found to be a powerful indicator of the potential demand. The majority (85%) of respondents interested in using Norplant were also willing to absorb at least some of the cost of the implants. Among older age groups, those who were using modern temporary methods of contraception either exclusively or in combination with traditional methods had a higher demand for Norplant than non-users or exclusive users of traditional methods. For the younger women, however, potential demand did not vary significantly according to whether they were currently using a method or the type of method used.

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Perceptions and Acceptability of NORPLANT Implants in Thailand

Cited by 35 publications

References 1 publication

A cohort study of Norplant implant: Side-effects and acceptance

A cohort study of Norplant implant: Side-effects and acceptance

Contraception with Levonorgestrel Subdermal Implants ($Norplant^R$) in Benin-City, Nigeria: A 12-year Review

Assessing potential demand for Norplant implants in Sri Lanka

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