Introduction of the contraceptive implant in South Africa: Successes, challenges and the way forward Mullick S(1), Chersich MF(1), Pillay Y(2), Rees H(1). In 2014, the contraceptive implant was introduced into public sector facilities in South Africa (SA). Cost: The Mirena costs about R2 000 in South Africa’s private sector, excluding the fee for inserting the device. CONTRACEPTIVE IMPLANT ROLLOUT IN SOUTH AFRICA. EWN - South African news: access breaking news alerts, sport, business, entertainment, opinion, multimedia and cartoons. Implants and vaginal rings, which are not readily available in South Africa, prevent pregnancy by delivering contraceptive hormones to the body from their site of application. Gregory Petro University of Cape Town. Share About CROI; Africa: Burundi: Africa (31%) 22.9%: Women can be refused service by providers, and it is dissaproved of by church leaders. Injectable . In this commentary we explore two country-level case studies with differing experiences with the contraceptive implant: Kenya and South Africa. So what should you do if your contraception is about to expire but you can't get an appointment to replace it with another implant? Three years on, concerns have been raised about the decline in uptake, early implant removals and challenges in service delivery. Contraceptives are mostly used to help prevent women from becoming pregnant. Session Title. It releases the hormone progestogen into your bloodstream to prevent pregnancy and lasts for 3 years. Barrier methods: Male or female condoms. In Africa, 24% of women of reproductive age have an unmet need for modern contraception. The hormone also makes it harder for the man’s sperm to get into the womb. Now, research may finally reveal why three years after Implanon NXT was introduced in the country, women still aren’t lining up for the scientifically-proven and seemingly easy-to-use birth control. This study explored primary healthcare provider and HIV/contraception expert stakeholder perspectives on South Africa’s public sector provision of contraceptive implants to women living with HIV. Keywords: Contraceptive implant, South Africa, uptake, misconceptions, violence Acknowledgements The authors thank all the participants in this study and the research staff at the Desmond Tutu HIV Foundation who assisted with implementing this work, including Sheily Ndwayana, Siyaxolisa Sindelo, Noluthando Ntlapo and Flora Thobela. Implant contraceptive: What it is, how it works, and whether it’s right for you. The contraceptive device – which is a sub-dermal implant lasting three years - is expected to decrease the number of unwanted and teenage pregnancies and reduce the number of maternal deaths in the country. 2. However, this relatively high contraceptive prevalence rate masks problems with service delivery; equitable access, and correct, consistent, and continuous use of contraception especially among certain groups such as young or … Use of the implant has since declined, but currently accounts for ~7% of all contraceptive use – a not insignificant In South Africa contraceptive products are provided free of charge to citizens at provincial hospitals and clinics. You need a prescription to obtain birth control from a chemist. The contraceptive implant works by slowly releasing a hormone (progestin) in your blood and the hormone stops the body releasing an egg each month. Several thousand healthcare workers were trained, and demand was generated for the method, achieving high uptake. In South Africa it is policy to put new patients, ... a subdermal contraceptive implant that is said to be 99% effective in protecting women against pregnancy for up to three years. Well, you shouldn't worry, reassures the doctor. To be as effective as they can be you must take them during the 24 hours after you had sex, after this time, their ability to be effective declines. Eyewitness News ... New contraceptive implant launched. https://www.westerncape.gov.za/service/contraception-family-planning Several thousand healthcare workers were trained, and demand was generated for the method, achieving high uptake. Implants are small, rubber-like rods placed under the skin of the arm, while vaginal rings are placed into the vagina. Introduction of the contraceptive implant in South Africa: Successes, challenges and the way forward . perspectives on South Africa’s public sector provision of contraceptive implants to women living with HIV. What is it: The injectable contraceptives usually contain the hormone progestin and are given via a shot in the arm every two to three months. Inserting the implant is a simple procedure that is conducted by a trained professional, after counselling. Author information: (1)Wits Reproductive Health and HIV Institute, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa (2)National Department of Health, Pretoria, South Africa The efficacy of emergency contraceptives change drastically depending on how long after unprotected sex you take them. By S Mullick, M F Chersich, Y Pillay and H Rees. In South Africa, the contraceptive prevalence rate for all women of reproductive age (15–49 years) who are using a modern contraceptive method is 64.6%. The evidence that one of South Africa's most commonly used contraceptives‚ the Depo-Provera injection‚ increases the risk of contracting HIV is "accumulating". Background: This study explored primary healthcare provider and HIV/contraception expert stakeholder perspectives on South Africa's public sector provision of contraceptive implants to women living with HIV. Contraceptives. The contraceptive implant (Nexplanon) is a small flexible plastic rod that's placed under the skin in your upper arm by a doctor or nurse. How an implant works. Abstract Number. Nonhormonal contraceptives include condoms, diaphragms, sponges, spermicides, and cervical caps. 1. According to a study done by Nwachukwu and Obasi in Nigeria in 2008, modern birth control methods were used by 30% of respondents. Session Number. View Webcast. Gregory Petro 1. Conference Dates and Location. Following an initial high uptake, its use declined considerably amid reports of early removals and frequent side-effects. forecasting for contraceptives specifically, current challenges include the lack of a uniform “supplier-to-end user” system for tracking movement of contraceptive commodities and a subsequent disconnect between suppliers’ statistics and the end -user statistics. Cite . In 2014, South Africa (SA) introduced the subdermal contraceptive implant with the aim of expanding the contraceptive method mix and availability of long­acting reversible methods in the public sector. 3. Inserting the implant is a simple procedure that takes about five minutes. Find out where to get contraception, such as contraception clinics, GP surgeries and young people's services. CONTRACEPTION AND HIV. The implant has been available in Kenya for over 25 years, and prevalence What are contraceptives used for? In 2014, the contraceptive implant was introduced into public sector facilities in South Africa (SA). Here, we explain what it is, how it works and where to get it. About same size than a matchstick, the implant is placed just below the skin of your upper arm where it constantly releases the hormone progestogen in small doses from a reservoir into your blood stream. Many are secretive about contraceptive use. 108. The contraceptive implant works by slowly releasing a hormone (progestin) in your blood and the hormone stops the body releasing an egg each month. Implant contraceptive ‘to curb teen pregnancies’ Published on February 28, 2014. Several thousand healthcare workers were trained, and demand was generated for the method, achieving high uptake. S-07. Use it right! Inserted in about the time it takes to make two-minute noodles, South Africa’s latest contraceptive implant promised to help women avoid unwanted pregnancies for up to three years. In Uganda, NGOs are trying to make contraceptives more available in rural areas. Contraceptive implant use in sub-Saharan Africa has increased five-fold from 2011 to 2018 .Since the 2014 introduction of the etonogestrel implant (Implanon NXT) in South Africa, over 800,000 had been inserted through 2015 , mostly by trained nurses and doctors in the government healthcare sector .The majority of implant removals are routine and can be performed by … Presenting Author and Institution. Authors. The contraceptive implant might sound a little space age initially but really it’s a highly effective, easy to hide contraceptive. Study design We performed a retrospective review of cases referred to our clinic for removal of nonpalpable, deep, migrated, or damaged implants, or failed removals from March to August 2017. The implant contraceptive is relatively new to South Africa, and for that reason there’s a lot of mystery and uncertainty surrounding it. Meeting Report: Contraceptive Implant Roll Out in South Africa . To assess etonogestrel contraceptive implant location and outcomes among women referred for “difficult” removal to a specialist clinic in South Africa. Cameroon: Africa: Cambodia: Asia: Canada: North America (except Saskatchewan) (LNG only) Canada (Quebec) North America: Cape Verde: Africa One salient benefit a contraceptive and sanitary care app offers young women in South Africa is privacy. Hormonal contraceptives are available as pills (oral contraceptives), injections, implants, intrauterine devices, patches, and vaginal rings. Rwanda and Uganda have the highest unmet need for contraception rates. As with menstruation, going to a hospital to get contraceptives as a young woman can be frowned upon as these topics are still largely taboo and women stigmatised for them. Contraceptive implant use has been rapidly increasing across much of sub-Saharan Africa (SSA) over the past decade; however, this uptake has not been uniform. Use of the implant has since declined, but currently accounts for ~7% of all contraceptive use – a not insignificant achievement for a ‘new’ method. We investigated the contraceptive service-impact of official advice against provision of implants to women using the HIV antiretroviral drug, efavirenz, issued by the South African National Department of Health (NDoH) in 2014. Abstract Body. Tembisa – Health Minister, Dr Aaron Motsoaledi, has launched a new contraceptive device, which is available to women, free at all state hospitals.. Efficacy: Between six and 12 pregnancies per 100 women using it for a year. Introduction. Efficacy changes over time as follows: March 8-11, 2020 | Boston, Massachusetts. In 2014, the contraceptive implant was introduced into public sector facilities in South Africa (SA). 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