Figures & Tables
Tables
- TABLE 1
Modern CPR and Long-Acting Reversible Contraceptive CPR, Nampula and Sofala Provinces, Mozambique, 2015
Modern CPR% IUD CPR% Implant CPR% Mozambique 25.5 0.8 1.7 Nampula 21.8 0.3 1.0 Sofala 14.4 0.5 1.3 Abbreviations: CPR, contraceptive prevalence rate, IUD, intrauterine device.
- TABLE 2.
Demographic Characteristics of LARC Removal Clients,a Nampula and Sofala Provinces, Mozambique, December 2018–May 2019
Nampula (n=336) No. (%) Sofala (n=459) No. (%) Total (N=795) No. (%) Age, years (N=791) ≤19 46 (13.7) 52 (11.4) 98 (12.4) 20–24 93 (27.8) 147 (32.2) 240 (30.2) 25–29 94 (28.1) 121 (26.5) 215 (27.2) 30–34 51 (15.2) 71 (15.6) 122 (15.4) ≥35 51 (15.2) 65 (14.3) 116 (14.7) Marital status (N=792) Married 88 (26.3) 260 (56.9) 348 (43.9) Living in union 40 (11.9) 36 (7.9) 76 (9.6) Divorced/separated/widowed 9 (2.7) 12 (2.6) 21 (2.6) Never married nor lived in union 198 (59.1) 149 (32.6) 347 (43.8) Parity (N=794) Nulliparous 58 (17.8) 31 (6.8) 89 (11.2) 1–2 143 (42.6) 264 (57.6) 407 (51.3) 3+ 135 (40.2) 163 (35.6) 298 (37.5) Method Two-rod levonorgestrel implant 251 (74.7) 342 (74.5) 593 (74.6) One-rod etonogestrel implant 10 (3.0) 11 (2.4) 21 (2.6) Intrauterine device (copper) 38 (11.3) 30 (6.5) 68 (8.6) Method unknownb 37 (11.0) 76 (16.6) 113 (14.2) - TABLE 3.
Type of Facilities Visited by Clients Seeking Long-Acting Reversible Contraceptive Method Removal and Reported Reason for Removal, Nampula and Sofala Provinces, Mozambique, December 2018–May 2019
Nampula (n=336)
No. (%)Sofala (n=459) No. (%) Total (N=795) No. (%) Facility category Provincial hospital 32 (9.5) 29 (6.3) 61 (7.7) District hospital 35 (10.4) 114 (24.8) 149 (18.7) Urban health center 227 (67.6) 247 (53.8) 474 (59.6) Rural health center 42 (12.5) 69 (15.0) 111 (14.2) Reason for removala,b On schedule/expired 92 (28.2) 136 (30.5) 228 (29.5) Side effectsc 96 (29.4) 103 (23.1) 199 (25.8) Desire to be pregnant 58 (17.8) 119 (26.7) 177 (22.9) Switch method 29 (8.9) 32 (7.2) 61 (7.9) Other adverse eventsd 32 (9.8) 11 (2.5) 43 (5.6) Family oppositione 6 (1.8) 19 (4.3) 25 (3.2) Method failure 5 (1.5) 8 (1.8) 13 (1.7) Others 8 (2.5) 18 (4.0) 26 (3.4) ↵a N=772. When multiple responses were given, only the first reason was recorded.
b Missing information: Nampula: Reason for Removal=10; Sofala: Reason for Removal=13.
↵c Vaginal bleeding, vaginal discharge, headache, or weight gain or loss.
↵d Arm discomfort/pain or back pain.
↵e Husband/in-law opposition or mother opposition.
- TABLE 4.
Duration of Use by Long-Acting Reversible Contraceptive Method, Nampula and Sofala Provinces, Mozambique, December 2018–May 2019
Duration of Use Nampula, No. (%) Sofala, No. (%) Total, No. (%) One-rod etonogestrel (n=19) Within first 3 months 6 (66.7) 2 (20.0) 8 (42.1) Before expiration 3 (33.3) 7 (70.0) 10 (52.6) On schedule/expired (33–36 months) 0 (0) 0 (0) 0 (0) After expiration 0 (0) 1 (10.0) 1 (5.3) Two-rod levonorgestrel implant (n=576) Within first 3 months 29 (11.7) 28 (8.5) 57 (9.9) Before expiration 179 (72.5) 259 (78.7) 438 (76.0) On schedule/expired (57–60 months) 17 (6.9) 20 (6.1) 37 (6.4) After expiration 22 (8.9) 22 (6.7) 44 (7.6) Intrauterine device (copper) (n=66) Within first 3 months 14 (37.8) 2 (6.9) 16 (24.2) Before expiration 21 (56.8) 27 (93.1) 48 (72.7) On schedule/expired (117–120 months) 0 (0) 0 (0) 0 (0) After expiration 2 (5.4) 0 (0) 2 (3.0) All methods (n=661) Within first 3 months 49 (16.7) 32 (8.7) 81 (12.3) Before expiration 203 (69.3) 293 (79.6) 496 (75.0) On schedule/expired 17 (5.8) 20 (5.4) 37 (5.6) After expiration 24 (8.2) 23 (6.3) 47 (7.1) - TABLE 5.
Removal Outcome by Long-Acting Reversible Contraceptive Method, Nampula and Sofala Provinces, Mozambique, December 2018–May 2019
Levonorgestrel Implant (n=593)
No. (%)Etonogestrel Implant (n=21)
No. (%)Copper Intrauterine Device (n=67)
No. (%)Unknown Methoda(n=114)
No. (%)Total
(N=795)
No. (%)Not removed following counseling -- -- -- 112 (98.2) 112 (14.1) Removed: no difficulty 579 (97.6) 21 (100) 64 (95.5) -- 664 (83.5) Removed: with difficulty 9 (1.5) 0 (0) 1 (1.5) -- 10 (1.3) Removed: significant difficulty 0 (0) 0 (0) 0 (0) -- 0 (0) Attempted but not removed: referred 4 (0.7) 0 (0) 1 (1.5) -- 5b (0.6) Not removed: referred 1 (0.2) 0 (0) 1 (1.5) 2c (1.8) 4 (0.5) ↵a Method of use at the time of the visit was not captured in the standard removal addendum for clients whose method was not removed.
↵b Two clients were referred for removal; data missing for three clients about referral or rescheduled appointment.
↵c Missing data for two clients who were referred for difficult removals.
- TABLE 6.
Family Planning Outcomes of Clients Who Had Long-Acting Reversible Contraceptive Method Successfully Removed, Nampula and Sofala Provinces, Mozambique, December 2018–May 2019
Nampula (n=302) Sofala (n=371) Total (N=673) No. (%) No. (%) No. (%) Family planning counseling provision Not counseled 46 (15.2) 142 (38.3) 188 (27.9) Counseled only 16 (5.3) 36 (9.7) 52 (7.7) Counseled and chose a method 141 (46.7) 92 (24.8) 233 (34.6) Counseled and referred for a method 2 (0.7) 1 (0.3) 3 (0.4) Counseled and refused a method 97 (32.1) 100 (27.0) 197 (29.3) Method uptake by client Long-acting reversible contraceptive (continuers) 18 (12.8) 21 (22.8) 39 (16.7) Short-acting reversible contraceptive (switchers) 116 (82.3) 71 (77.2) 187 (80.3) Tubal ligation (switchers) 7 (5.0) 0 (0) 7 (3.0) - TABLE 7.
Clients Who Had LARC Method Removed and Selected a LARC, Nampula and Sofala Provinces, Mozambique, December 2018–May 2019
Method Removed Levonorgestrel Implant (n=33) No. (%) Etonogestrel Implant (n=0) No. (%) Copper IUD (n=6) No. (%) Total (N=39) No. (%) Selected levonorgestrel implant 21 (63.6) 0 (0) 4 (66.7) 25 (64.1) Selected etonogestrel implant 2 (6.1) 0 (0) 2 (33.3) 4 (10.3) Selected copper IUD 10 (30.3) 0 (0) 0 (0) 10 (25.6) Abbreviations: IUD, intrauterine device, LARC, long-acting reversible contraceptive.
- TABLE 8.
FP Status of Clients Who Sought LARC Method Removal for Vaginal Bleeding, Nampula and Sofala Provinces, Mozambique, December 2018–May 2019
Nampula (n=80)
No. (%)Sofala (n=86)
No. (%)Total (N=166)
No. (%)Non-user 31 (38.7) 27 (31.4) 58 (34.9) LARCs (not removed) 14 (17.5) 30 (34.9) 44 (26.5) LARCs (continuers and switchers) 2 (2.5) 1 (1.2) 3 (1.8) Short-acting reversible contraceptive (switchers) 33 (41.3) 28 (32.5) 61 (36.8) Tubal ligation (switchers) 0 (0) 0 (0) 0 (0) Abbreviation: LARC, long-acting reversible contraceptive.
- TABLE 9.
Health Care Provider Reported Ease and Time Taken in Recording in the Removal Addendum at Each LARC Removal Visit, Nampula and Sofala Provinces, Mozambique, December 2018–May 2019
Nampula (n=33)
No. (%)Sofala (n=31)
No. (%)Total (N=64)
No. (%)Ease in recording No problems 27 (81.8) 31 (100) 58 (90.6) Difficulty 3 (9.1) 0 (0) 3 (4.7) Did not respond 3 (9.1) 0 (0) 3 (4.7) Time taken, minutes/visit ≤2 9 (27.3) 20 (64.5) 29 (45.3) 3–5 17 (51.5) 8 (25.8) 25 (39.1) 6–9 5 (15.2) 0 (0) 5 (7.8) Did not respond 2 (6.1) 3 (9.7) 5 (7.8) Abbreviation: LARC, long-acting reversible contraceptive.
Additional Files
Supplemental material
- Supplement 1 -
Supplement 1
- Supplement 2 -
Supplement 2
- Supplement 3 -
Supplement 3
- Supplement 1 -