Over the last decade, the use of contraceptive hormonal implants has risen worldwide,
especially in Sub-Saharan Africa and Asia. These implants are easy-to-use and reliable,
providing women and couples another option for effective, reversible contraception. By
2015, more than 10.5 million implants were distributed in resource-constrained environment
s throughout Africa and Asia, a 130% increase from three years prior in 2012.
With an increase in the use of hormonal contraceptive implants, the need to ensure
access to quality implant removal services (an integral aspect of quality services) is
evident. To expand these services, EngenderHealth is working with the Global Implant
Removals Task Force to identify best practices for implant removals, including those
related to capacity building, service provision, and research and data collection.
Notably, EngenderHealth’s Expand Family Planning project (ExpandFP) has systematically implemented interventions to expand implant insertion and removal services (as well as other family planning services) in the Democratic Republic of the Congo, Tanzania, and Uganda. The project utilizes EngenderHealth’s Supply–Enabling Environment–Demand (SEED)Programming Model, engaging a holistic approach to ensure that proper supply, enabling environment, and demand components are in place to ensure access to implant insertions, removals, and other family planning services. Between January 2014 and June 2016, ExpandFP worked to engage communities, improve service capacity through training and supervision, and increase service delivery to help more than 135,000 women obtain hormonal implants. ExpandFP also facilitated access to removal services for over 4,000 women. In a three country study on client perceptions of quality and choice, a large majority of implant adopters interviewed said they were given essential information on the benefits of implants, on when and where to get the implant removed, and on their right to removal at any time.
EngenderHealth has released Contraceptive Hormonal Implant Removal Services: Experiences
from the ExpandFP Project in the Democratic Republic of the Congo, Tanzania, and Uganda, a brief developed to assist those engaged in family planning policy and program planning, implementation, and management to understand what needs to be in place to ensure access to removal services. The brief also expands on recent increases in implant use, as well as on the ExpandFP experience described above.