P-39 Factors influencing early Implanon removal among family planning clinic patients at Georgetown Public Hospital Corporation primary health care facilities from August to November 2023
Author(s):
S L Scott, K Fraser-Barclay, R Permual
Year of Presentation:
2025
Objective: To identify the factors influencing early removal
of Implanon among women of reproductive age visiting
the Family Planning Clinics of the GPHC’s primary health
care facilities for Implanon removal thirty (30) months (2.5
years) or less after insertion.
Methods: A descriptive cross-sectional study was conducted with 35 participants from family planning clinics at GPHC primary care sites. Structured interviews with a validated tool were conducted for data collection, focusing on demographics, reasons for removal, and duration of Implanon use. Data analysis was performed using Microsoft Excel and SPSS.
Results: The study included 33 women aged 18-45 years, with the majority from Enmore Polyclinic. A 45.5% rate of early Implanon removal was revealed, primarily attributed to medical side effects, particularly heavy bleeding. The average duration of use before early removal was approximately 14.6 months (SD = 8.8 months). Statistical analysis demonstrated significant correlations between the reasons for removal and the duration of use (p = 0.000).
Conclusion: Early Implanon removal is significantly influenced by medical side effects, highlighting the need for better pre-insertion counselling and ongoing education. Tailored strategies to manage side effects and diversify contraceptive options could improve Implanon retention rates and user satisfaction.