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 insertion | 81.5 | 80.7 |
| Different place | 18.5 | 19.4 |
| Reported facing challenges accessing facility or at facility | 53.5 | 55.1 |
| Challenges faced,b,c % | ||
| Long line/long wait | 67.1 | 75.6 |
| Difficulty getting away from house | 29.4 | 31.4 |
| Difficulty finding money to pay for transport and services | 23.8 | 19.8 |
| Provider was not available | 17.8 | 10.5 |
| Difficulty finding transport | 10.8 | 4.7 |
| Outcome of first removal attempt, % | ||
| Method removed, reported satisfied to remove | 53.3 | 63.6 |
| Method removed, reported would have preferred to keep | 4.0 | 3.9 |
| Still has method, reported satisfied to keep | 9.9 | 9.7 |
| Still has method, reported would have preferred to remove | 32.2 | 22.7 |
| Partial/failed removal | 0.7 | 0.0 |
| Reasons provider did not remove at first interaction,b,d % | ||
| Provider counseled to keep method | 33.9 | 50.0 |
| Qualified provider not available | 30.6 | 22.0 |
| Equipment/supplies not available for removal | 12.0 | 2.0 |
| Consultation period over/client arrived late to clinic | 11.5 | 2.0 |
| Provider refused to remove | 6.6 | 14.0 |
| Outcome of most recent removal attempt, % | ||
| Method removed, reported satisfied to remove | 81.0 | 82.1 |
| Method removed, reported would have preferred to keep | 6.9 | 6.4 |
| Still has method, reported satisfied to keep | 5.9 | 6.4 |
| Still has method, reported would have preferred to remove | 5.7 | 5.1 |
| Partial/failed removal | 0.5 | 0.0 |
| 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.