Factors Influencing Early Implanon Removal Among Family Planning ClinicPatients at Georgetown Public Hospital Corporation Primary Health Care Facilitiesfrom August to November 2023
Introduction
Family planning is crucial for public health, offering different methods of
contraception, including the subdermal implant, and Implanon. Implanon is widely used
as a long-acting reversible contraceptive (LARC) due to its effectiveness and ease of use.
Despite its benefits, early removal rates due to side effects and other factors are a
concern.
Objectives
To identify the factors influencing the removal of Implanon 30 months (2 and
a half years) or less after insertion among women of reproductive age visiting the family
planning clinics of GPHC’s primary health care facilities.
Method
A descriptive cross-sectional study was conducted with 35 participants from
family planning clinics at GPHC primary care sites. Structured interviews with a
validated tool were conducted for data collection, focusing on demographics, reasons for
removal, and duration of Implanon use. Data analysis was performed using Microsoft
Excel and SPSS.
Results
The study included 33 women aged 18-45 years, mostly from Enmore Polyclinic.
A 45.5% rate of early Implanon removal was revealed, primarily attributed to medical side
effects, specifically heavy vaginal bleeding. The average duration of use before early
removal was approximately 14.6 months. Statistical analysis demonstrated a significant
correlation between the reasons for removal and the duration of use with a p-value of
0.000.
Conclusion
Early Implanon removal is significantly influenced by medical side effects,
highlighting the need for better pre-insertion counseling and ongoing education.
Tailored strategies to manage side effects and diversify contraceptive options could
improve Implanon retention rates and user satisfaction.
Recommendations
Enhanced counseling and education efforts regarding Implanon and
potential side effects, customized care based on socio-demographic data, improved
healthcare provider training, and diversified contraceptive options should be included in
family planning services.
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