NDLI: Lessons learnt from the introduction of the contraceptive implant in South Africa

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Lessons learnt from the introduction of the contraceptive implant in South Africa

Content Provider	Semantic Scholar
Author	Pleaner, Melanie Morroni, Chelsea Smit, Jennifer Ann Lince-Deroche, Naomi Chersich, Matthew F. Mullick, Saiqa Pillay, Diantha Makua, Mogalagadi Rachel Rees, Helen V.
Copyright Year	2017
Abstract	In 2014, South Africa (SA) introduced the subdermal contraceptive implant with the aim of expanding the contraceptive method mix and availability of long-acting reversible methods in the public sector. Three years on, concerns have been raised about the decline in uptake, early implant removals and challenges in service delivery. This article explores the lessons learnt from the introduction of contraceptive technologies elsewhere and applies these to the SA context. Drawing on the World Health Organization’s conceptual framework for the introduction of new contraceptive methods, and subsequent literature on the topic, lessons are classified into six cross-cutting themes. Recommendations highlight the need for SA to review and explore strategies to strengthen current implant services, including the provision of improved provider training aimed at sensitive, client-centred approaches; increased community engagement; and improved systems for programmatic monitoring and evaluation. With implementation of these recommendations, worrying trends in the provision of implants could be reversed.
Starting Page	933
Ending Page	938
Page Count	6
File Format	PDF HTM / HTML
DOI	10.7196/SAMJ.2017.v107i11.12805
PubMed reference number	29399422
Journal	Medline
Volume Number	107
Issue Number	11
Journal	South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
Alternate Webpage(s)	http://www.scielo.org.za/pdf/samj/v107n11/07.pdf
Alternate Webpage(s)	https://doi.org/10.7196/SAMJ.2017.v107i11.12805
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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