Title: Acceptability of levonorgestrel subdermal implants versus tubal ligation for long-term contraception in a rural population of Zimbabwe.

POPLINE Document Number: 276727

Author(s):

Mitchel MJ
Thistle P

Source citation:

Contraception, 2004;70:483-486.

Abstract:

This prospective cohort study of 257 rural Zimbabwean women was designed to compare patient satisfaction with levonorgestrel subdermal implants (Norplant and reg;) versus tubal ligation (TL) as a method of long-term contraception. Women were equally satisfied with both methods. At 1 year, 96% of Norplant users and 97% of the TL group reported being “satisfied” or “very satisfied” and 98% of Norplant users, and 99% of the TL cohort would recommend their chosen method to a friend or relative. Rating scores at both 6 months and 1 year were high and equal, with women in each cohort rating their method, on average, as 9 out of 10. Norplant users were significantly more likely to rate birth spacing as a reason for satisfaction with their method, whereas women in the TL cohort were more likely to select multiparity. The 1-year continuation rate with Norplant was 90%, with 4% discontinuing in order to have more children. Selecting the most appropriate method depends primarily on the potential desire of the woman to have more children. (author's)

Keywords:

Zambia
Research Report
Cohort Analysis
KAP Surveys
Rural Population
Women in Development
Levonorgestrel
Contraceptive Implants
Tubal Ligation
Method Acceptability
Satisfaction
Africa, Southern
Africa, Sub Saharan
Africa
Developing Countries
Research Methodology
Surveys
Sampling Studies
Studies
Population Characteristics
Demographic Factors
Population
Economic Development
Economic Factors
Contraceptive Agents, Progestin
Contraceptive Agents, Female
Contraceptive Agents
Contraception
Family Planning
Contraceptive Methods
Female Sterilization
Sterilization, Sexual
Contraceptive Usage
Psychological Factors
Behavior
Index page