ArticleContraception: X2021
"When it comes to time of removal, nothing is straightforward": A qualitative study of experiences with barriers to removal of long-acting reversible contraception in Western Kenya.
Article in Contraception: X, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.
What it found
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The trial behind it
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Who cites it
39 citing papers in PubMed.
- Postpartum Intrauterine Device Removal and Access to Removal in the 18 Months Following an Intervention in Tanzania, Sri Lanka, and Nepal.Studies in family planning · 2026Trial
- Assessing the association between a postpartum intrauterine device intervention and perceived pressure to adopt contraception in Sri Lanka.Contraception · 2026Trial
- The effect of a postpartum intrauterine device programme on choice of contraceptive method in Tanzania: a secondary analysis of a cluster-randomized trial.Health policy and planning · 2023Trial
- Healthcare Professionals' Self-Perceived Confidence in Contraceptive Implant Localisation and Removal Procedures in Catalonia: A Cross-Sectional Study.Open access journal of contraception · 2026Article
- Contemporary human rights violations in female sterilization care: legal and ethical considerations when coerced patients do consent.Monash bioethics review · 2025Article
- Discontinuation, switching and contraceptive failure patterns of long-acting reversible contraceptive users in Kenya: a quantitative study.Sexual and reproductive health matters · 2025Article
- 'When they force a woman, it's to save her life': Gendered vulnerability and contraceptive coercion.Journal of critical public health · 2025Article
- Thirty years of 'strange bedmates': The ICPD and the nexus of population control, feminism, and family planning.Population studies · 2025Article
- Piloting measures of provider-imposed contraceptive coercion among reproductive-aged contraceptive users in Kisumu, Kenya: a cross-sectional, population-based study.Contraception and reproductive medicine · 2025Article
- Provider confidence and willingness to insert and remove long-acting reversible contraception methods in Kenyan public facilities.Contraception · 2025Article
- Measuring Informed Choice for Contraception in Burkina Faso: Comparing self-rated and researcher-ascribed measures.Social indicators research · 2025Article
- Arabic speaking women's experience of postpartum contraceptive counselling in Sweden.Reproductive health · 2025Article
- Contraceptive Use and Discontinuation Among Adolescent Women in 55 Low- and Middle-Income Countries.Demography · 2025Article
- "I felt my rights were violated": Challenges with the discontinuation of provider-dependent contraceptive methods in Eastern Uganda.Contraception and reproductive medicine · 2025Article
- Proposed changes to framework to assess contraceptive autonomy based on phased in-depth interviews in northwest Tanzania.Reproductive health · 2025Article
- Thirty years after the Cairo declaration on population & development: have family planning measurements caught up?Frontiers in global women's health · 2025Article
- Measuring misaligned contraceptive use among reproductive-aged women in Kisumu, Kenya: a cross-sectional, population-based study.BMJ public health · 2025Article
- Keeping the "R" in LARC (long-acting reversible contraception): Measuring client-centered implant removal services in sub-Saharan Africa.PLOS global public health · 2025Article
- Barriers to contraceptive implant removal among current and prior implant users in Kisumu, Kenya: Results from a cross-sectional population-based survey.PLOS global public health · 2025Article
- Contraceptive Care Visit Objectives and Outcomes: Evidence From Burkina Faso, Pakistan, and Tanzania.Studies in family planning · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveBarriers to removal of long-acting reversible contraception (LARC) threaten reproductive self-determination, but their influence on contraceptive behaviors is not well understood. We describe perspectives of women in Western Kenya concerning LARC removal barriers. STUDY
designWe used a qualitative descriptive approach with conventional content analysis to analyze transcripts for content and themes from eight focus group discussions (
findingsOur primary themes concerned women's experience of LARC removal barriers and the impact on their behaviors and attitudes towards contraception. Women described providers being unwilling to remove LARC, regardless of rationale (including expiration, seeking pregnancy, or experiencing intolerable side effects) or demanding unaffordable fees. Women were reluctant to try LARC for fear of having to use the method for its entire lifespan even if they did not like it. Women saw LARC removal barriers as increasing their risk of unintended pregnancy through non-replacement of expired devices and fostering distrust in the health system.
conclusionBarriers to LARC removal may discourage utilization of LARC and contraceptive services generally, which can undermine women's efforts to achieve reproductive self-determination. IMPLICATIONS: Our findings affirm the importance of timely LARC removal to ensure that family planning programs uphold women's reproductive autonomy.
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