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Related Experiment Videos

Norplant expansion in Kenya.

J E Bradley1, J Dwyer, K J Levin

  • 1EngenderHealth, 440 Ninth Avenue, New York, NY 10001, USA.

African Journal of Reproductive Health
|December 11, 2002
PubMed
Summary

Norplant, a long-acting contraceptive, can be successfully expanded in developing countries with proper training and client support. Careful service expansion in Kenya demonstrated its cost-effectiveness and acceptability.

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Area of Science:

  • Reproductive Health
  • Family Planning Programs
  • Contraceptive Technology

Background:

  • Norplant is a widely used long-acting contraceptive, but its adoption faces challenges.
  • Effective implementation requires provider training, client counseling, and accessible removal services.
  • International donor support has declined due to perceived costs and issues in developed nations.

Purpose of the Study:

  • To examine the expansion of Norplant services in Kenya from 1992 to 1996.
  • To assess client access to services, removal issues, and cost-effectiveness.
  • To identify strategies for minimizing problems and maintaining cost-effectiveness during service expansion.

Main Methods:

  • Analysis of Norplant service expansion in Kenya.
  • Evaluation of client access to insertion and removal services.
  • Assessment of cost-effectiveness compared to other contraceptive methods.

Main Results:

  • Norplant services were successfully expanded to over 70 sites in Kenya.
  • Early removal rates were limited, and removal posed few problems.
  • Norplant proved to be a cost-effective addition to the family planning method mix.

Conclusions:

  • Well-supervised expansion of Norplant services in developing countries can ensure quality and accessibility.
  • Norplant can be a valuable and cost-effective contraceptive option when implemented with attention to service delivery.
  • Addressing provider training, client counseling, and removal services is crucial for successful long-term use.

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