Nigerian study offers insights on the successful introduction of Norplant

AVSC News. 1992 Mar;30(1):1, 3.

Abstract

PIP: The results of a recently completed study indicate that Nigerian women find Norplant to be an acceptable and effective method of contraception. In 1989, the Association for Voluntary Surgical Contraception (AVSC) initiated a 2-year study of Norplant use in Nigeria. Conducted in 5 hospitals, the study compared the characteristics of Norplant acceptors with those of women choosing other modern contraceptive methods (injectables, IUDs, or sterilization). 6994 women, 18% of whom chose Norplant, took part in the study. The study found that those women choosing Norplant tended to be young and have fewer children than the women who opted for sterilization. On average, Norplant users, were 30 years of age and had 4 living children. Most were married, lived in urban areas, and had either a primary or secondary level or education. 54% of Norplant users expressed a desire for more children in the future. The women reported choosing Norplant because of its efficacy, convenience of use, and long-term protection. Because of the thorough counseling on the possible side effects of Norplant (mainly menstrual irregularities), most women were able to cope well with them. After 6 months of use, more than 95% of Norplant users said that they would recommend the method to a friend. And at the conclusion of the 2-year study, only 12% of the women had discontinued the use. The reason most commonly cited for removal was menstrual problems, followed by the desire for another pregnancy. Soon, Nigeria is expected to grant Norplant formal approval. AVSC plans to work with the country's Ministry of Health in expanding the availability of the method.

MeSH terms

  • Africa
  • Africa South of the Sahara
  • Africa, Western
  • Age Factors*
  • Birth Intervals*
  • Contraception
  • Contraception Behavior
  • Demography
  • Developing Countries
  • Family Planning Services*
  • Health Planning
  • Nigeria
  • Organizations
  • Patient Acceptance of Health Care*
  • Population
  • Population Characteristics
  • Research*
  • Statistics as Topic*
  • Voluntary Health Agencies*