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The Acceptability of Implanon in Muslim-Majority Asian Countries: A Systematic Review
Nik Asyraf Nik Azis1, Mohamed S Zulfarina2, Nurul 'Izzah Ibrahim2
1National Population and Family Development Board (LPPKN), No 12B, Jalan Raja Laut, Chow Kit, 50350 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia.
Background:
We conducted a systematic review which aimed to assess acceptability of implanon used based on reported side effects, continuation rates and user satisfaction in Muslim-majority Asian countries.
Methods:
We followed PRISMA guideline and searched SCOPUS and Medline databases for original articles that dealt with implanon, conducted in Muslim-majority Asian countries and had either continuation rates or side effects or satisfaction rate. The risk of bias of the selected studies was assessed using ROBINS-I V2 Risk of Bias tool.
Results:
The literature search successfully identified 7 potentially relevant articles, whereby 5 of them met the inclusion criteria. 5 articles were retained in the final synthesis with 619 total participants. Implanon's documented side effects such as menstrual irregularity and weight gain, is tolerable due to its high efficacy. Implanon has low discontinuation rates among users and has a high satisfaction rate.
Conclusion:
Implanon is widely accepted in Muslim-majority Asian countries with a positive impact on family planning.
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