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Potential barriers to the removal of Norplant among family planning clinic patients

Kalmuss, D.; Davidson, A.; Cushman, L.; Heartwell, S.; Rulin, M.

American Journal of Public Health 88(12): 1846-1849

1998

ISSN/ISBN: 0090-0036
PMID: 9842386
DOI: 10.2105/ajph.88.12.1846
Document Number: 283704
This study examined the prevalence and effects of potential barriers to removal of levonorgestrel implants (Norplant) among low-income women. A sample of 687 women who received Norplant at hospital-based family planning clinics were interviewed before Norplant insertion and 6 months after Norplant insertion (or at Norplant removal if removal occurred earlier). Those who continued to use Norplant were reinterviewed at 2 years or at removal. In a multivariate analysis, only 1 of the 4 potential barriers--cost--significantly impeded Norplant discontinuation. Family planning clinics need to make clear that they follow a policy of Norplant removal on demand, regardless of the patient's ability to pay.

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