Lessons learnt from the introduction of the contraceptive implant in South Africa

M. Pleaner*, C. Morroni, J. Smit, N. Lince-Deroche, M. F. Chersich, S. Mullick, D. Pillay, M. Makua, H. Rees

*Corresponding author for this work

Research output: Contribution to journalReview articleAcademicpeer-review

Abstract

In 2014, South Africa (SA) introduced the subdermal contraceptive implant with the aim of expanding the contraceptive method mix and availability of long-acting reversible methods in the public sector. Three years on, concerns have been raised about the decline in uptake, early implant removals and challenges in service delivery. This article explores the lessons learnt from the introduction of contraceptive technologies elsewhere and applies these to the SA context. Drawing on the World Health Organization’s conceptual framework for the introduction of new contraceptive methods, and subsequent literature on the topic, lessons are classified into six cross-cutting themes. Recommendations highlight the need for SA to review and explore strategies to strengthen current implant services, including the provision of improved provider training aimed at sensitive, client-centred approaches; increased community engagement; and improved systems for programmatic monitoring and evaluation. With implementation of these recommendations, worrying trends in the provision of implants could be reversed.

Original languageEnglish
Pages (from-to)933-938
Number of pages6
JournalSouth African Medical Journal
Volume107
Issue number11
DOIs
Publication statusPublished - 1 Nov 2017
Externally publishedYes

Cite this

Pleaner, M., Morroni, C., Smit, J., Lince-Deroche, N., Chersich, M. F., Mullick, S., ... Rees, H. (2017). Lessons learnt from the introduction of the contraceptive implant in South Africa. South African Medical Journal, 107(11), 933-938. https://doi.org/10.7196/SAMJ.2017.v107i11.12805