The introduction and use of Norplant implants in Indonesia

• Published in: Studies in family planning Vol. 29; no. 3; p. 291
• Main Authors: Tuladhar, J, Donaldson, P J, Noble, J
• Format: Journal Article
• Language: English
• Published: United States 01.09.1998
• Subjects: Adolescent; Adult; Developing Countries; Family Planning Services - utilization; Female; Humans; Indonesia; Levonorgestrel; Middle Aged; Patient Acceptance of Health Care - statistics & numerical data; Pregnancy; Quality Assurance, Health Care; Rural Population; Indonesia; Family Planning Programs; Contraceptive Agents; Organization And Administration; Contraceptive Agents, Progestin; Levonorgestrel; Research Methodology; Government Sponsored Programs; Sampling Studies; Informed Consent; Contraceptive Implants; Contraceptive Methods; Counseling; Quality Of Health Care; Clinic Activities; Research Report; Program Activities; Contraceptive Agents, Female; Programs; Family Planning Program Evaluation; Contraception; Family Planning; Studies; Surveys; Asia; Southeastern Asia; Health Services Evaluation; Acceptors > women; Developing Countries; Program Evaluation; Indonesia
• ISSN: 0039-3665
• DOI: 10.2307/172275

In this study, patterns of Norplant use in Indonesia are reviewed to assess the implications of this experience for the introduction of new contraceptive methods. Data from the Norplant Use-Dynamics Study and the 1994 Indonesia Demographic and Health Survey are analyzed, and patterns of acceptance, continuation, and removal are described. Acceptance of Norplant has increased steadily since it was first introduced. The method is now used by more than 5 percent of all married women of reproductive age. Continuation rates among Norplant users are higher than among users of the IUD. One factor behind high continuation rates may be that a substantial proportion of acceptors were not told that removal before five years was possible. Results indicate that deficits occurred in the quality of service delivery and that a need exists for improved provider training, better supervision, and clearer and better-enforced guidelines regarding women's right to have Norplant removed on demand.