Background: The use of modern family planning methods is subpar in Nigeria as only 12% of married and 28% of sexually active unmarried women currently use modern contraception.This study aims to examine factors influencing re-uptake of family planning following removal among women who received implants and IUD removal services in Nigeria.
Method: A retrospective study of Impact and IUD removal reported in Marie Stopes database. Data for 4,550 clients who had received implants or IUD removal services from Marie Stopes Nigeria's outreach between January 2018 to February 2020 were analysed.
results: Implant removal accounted for about 85% of removal services while IUD removal accounted for 15%. Half of the women (50%) took up removal services because the method expired, 15% desired to get pregnant, 22% experienced side effects while 13% had other reasons. On average, IUDs were removed after 8years and 6months of use while the implants. 104 months and 47 months respectively among those whose device expired. Similarly, IUD and Implants were removed after an average of 30 months and 24 months respectively among those desired to have children.
The overall rate of FP re-uptake among the 4,550 women was 72% while 28% did not re-use or switched to other methods after removal. Almost half (45%) of the women who did not re-uptake any FP methods desired to get pregnant while 31% discontinued due to side effects. Similarly, among the 3861 (91%) who removed Implants, 52% re-inserted implants while 15% switched to IUD, 4% to short term methods, 2% to permanent methods, and 27% did not re-take any FP methods.
Conclusion: The prevalence of implant and IUCD reuse among clients of MSION supported facilities in Nigeria is high (72%). This is indicative of the women's satisfaction with the method, and the quality of service received.
