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A diagnostic study to evaluate the prevalence of clinical and non-clinical delivery of Norplant in the Indonesian family planning program.
In: Operations research family planning database project summaries, [compiled by] Population Council. New York, New York, Population Council, 1993 Mar.  p. (INS-14)Indonesia's national family planning (FP) program constituted the largest introduction of Norplant in the world; the first 5-year removals were scheduled for late 1991. The ANE operations research/technical assistance (OR/TA) project is conducting a use dynamics study to examine Norplant's use in the field. To prepare for that study and to get early information on program functioning, the National Family Planning Coordinating Board (BKKBN) and the Population Council, in conjunction with Andalas University in West Sumatra and BKS-PENFIN in West Java, undertook a diagnostic study in the fall of 1991 at a cost of US $6,250. Field teams investigated 6 clinics in each of the 2 provinces, interviewing service providers and examining records. 10 acceptors from each clinic (total 120) were visited in their homes to determine the feasibility of locating them and whether they were still using implants. About 70% of acceptors in each province had been served by nonclinical sources, either "safaris" or mobile teams. The 4-year life-table continuation rate was 78%. No written information specifically devoted to Norplant was available to providers or to clients. All physicians and nurse-midwives, as well as many nurses, had some training in Norplant insertion and removal. Contrary to expectation, clinical staff, records, and logistics all seemed generally adequate for 5-year removal. Results were used to address issues raised, and a final report has been completed. The feasibility of the use-dynamics study was confirmed. Available records generally matched official records, although significant gaps were found. The study allowed questionnaires and field procedures to be refined.