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Closing the Gap: Ensuring Access to and Quality of Contraceptive Implant Removal Services is Essential to Rights-based Contraceptive Care

Howlett, R, Gertz, AM, Kgaswanyane, T, Petro, G, Mokganya, L, Malima, S, Maotwe, T, Pleaner, M and Morroni, Chelsea ORCID: https://orcid.org/0000-0002-2026-6039 (2019) 'Closing the Gap: Ensuring Access to and Quality of Contraceptive Implant Removal Services is Essential to Rights-based Contraceptive Care'. African Journal of Reproductive Health, Vol 23, Issue 4, pp. 19-26.

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Howett et al Implant Removals in SSA Commentary AJRH 2019- Final Manuscript.docx - Accepted Version

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Abstract

The use of the subdermal contraceptive implant is increasing globally, and particularly so in lower- and middle-income countries in sub-Saharan Africa. For initiation or discontinuation of the implant, users need to have access to services for insertion and removal by healthcare providers. Providing access to safe and effective contraceptive implant removal services presents both clinical and programmatic challenges. The most challenging implant removal cases, termed -difficult removals‖, place additional demands upon removal services. In this commentary, we outline challenges for the provision of removal services. Based on our experience in this field, we make recommendations on how healthcare providers and health services can plan for these challenges. Through maximising the provision of comprehensive and accessible implant removal services, including those for difficult removals, implant users can be empowered to discontinue their use of this method of contraception if they choose, thus upholding the principles of rights-based contraceptive care.

Item Type: Article
Subjects: WP Gynecology > Contraception > WP 630 Contraception
WP Gynecology > Contraception > WP 640 Contraceptive devices (General and female)
Faculty: Department: Clinical Sciences & International Health > International Public Health Department
Digital Object Identifer (DOI): https://doi.org/10.29063/ajrh2019/v23i4.3
Depositing User: Rachel Dominguez
Date Deposited: 02 Apr 2020 14:31
Last Modified: 02 Apr 2020 14:37
URI: https://archive.lstmed.ac.uk/id/eprint/14108

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