TABLE 5.

Experience Seeking Removals Among Participants Who Asked a Provider for an Implant or IUD Removal in 3 Districts of Senegala

Implant

(n=438)

IUD

(n=160)

Location of first removal attempt, %
 Same place as insertion81.580.7
 Different place18.519.4
Reported facing challenges accessing facility or at facility53.555.1
Challenges faced,b,c %
 Long line/long wait67.175.6
 Difficulty getting away from house29.431.4
 Difficulty finding money to pay for transport and services23.819.8
 Provider was not available17.810.5
 Difficulty finding transport10.84.7
Outcome of first removal attempt, %
 Method removed, reported satisfied to remove53.363.6
 Method removed, reported would have preferred to keep4.03.9
 Still has method, reported satisfied to keep9.99.7
 Still has method, reported would have preferred to remove32.222.7
 Partial/failed removal0.70.0
Reasons provider did not remove at first interaction,b,d %
 Provider counseled to keep method33.950.0
 Qualified provider not available30.622.0
 Equipment/supplies not available for removal12.02.0
 Consultation period over/client arrived late to clinic11.52.0
 Provider refused to remove6.614.0
Outcome of most recent removal attempt, %
 Method removed, reported satisfied to remove81.082.1
 Method removed, reported would have preferred to keep6.96.4
 Still has method, reported satisfied to keep5.96.4
 Still has method, reported would have preferred to remove5.75.1
 Partial/failed removal0.50.0
Number of attempts until complete removal, mean (SD)1.4 (0.7)1.3 (0.5)
  • Abbreviations: IUD, intrauterine device; SD, standard deviation.

  • a Data are from in-person survey participants. Nonresponses varied across items; small amounts of data are missing.

  • b Multiple responses possible, spontaneous mention; responses with values of ≥10% reported.

  • c Among participants who reported facing a challenge accessing facility or at facility.

  • d Among participants who reported still having method after first removal attempt.