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. 1998 Dec;88(12):1846-9.
doi: 10.2105/ajph.88.12.1846.

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

D Kalmuss  1 , A Davidson, L Cushman, S Heartwell, M Rulin
Affiliations

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

D Kalmuss et al. Am J Public Health. 1998 Dec.

Abstract

Objectives: This study examined the prevalence and effects of potential barriers to removal of levonorgestrel implants (Norplant) among low-income women.

Methods: 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.

Results: In a multivariate analysis, only 1 of the 4 potential barriers--cost--significantly impeded Norplant discontinuation.

Conclusions: 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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