ArticleSSM. Qualitative research in health2022
"She told me no, that you cannot change": Understanding provider refusal to remove contraceptive implants.
Article in SSM. Qualitative research in health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 44 citations in OpenAlex.
- 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
- The unravelling of person-centred care: The value and necessity of analysing power relations in contraceptive services.Health (London, England : 1997) · 2026Article
- When choice is not performative: the struggle for agency among women accessing family planning services in Senegal.Frontiers in global women's health · 2026Article
- Article
- Discontinuation, switching and contraceptive failure patterns of long-acting reversible contraceptive users in Kenya: a quantitative study.Sexual and reproductive health matters · 2025Article
- Contraceptive access in displacement settings: a quantitative study of Syrians displaced to Türkiye.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
- Healthcare provider perspectives on their role in perpetrating and perpetuating reproductive coercion: a qualitative study.BMC health services research · 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
- Measuring Informed Choice for Contraception in Burkina Faso: Comparing self-rated and researcher-ascribed measures.Social indicators research · 2025Article
- Provider confidence and willingness to insert and remove long-acting reversible contraception methods in Kenyan public facilities.Contraception · 2025Article
- A Measure Aligned With Reproductive Justice, Human Rights, and Sexual Well-Being…? Yes Please, and Here's Why.American journal of public health · 2025Article
- Using causal loop diagrams to examine the interrelationships between factors influencing family planning utilisation in urban east central Uganda.BMJ global health · 2025Article
- Readiness of health facilities to deliver family planning services and associated factors in urban east-central Uganda.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
- 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
- A comparison of acceptability of contraceptive vaginal rings, pills, and injectables among cisgender women in Kenya and Zimbabwe: protocol for a mixed-methods study.Gates open research · 2025Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
Enthusiasm for long-acting reversible contraception (LARC) is growing among donors and NGOs throughout the global reproductive health field. There is an emerging concern, however, that the push to insert these methods has not been accompanied by a commensurate push for access to method removal. We use data from 17 focus group discussions with women of reproductive age in an anonymized African setting to understand how users approach providers to request method removal, and how they understand whether or not such a request will be granted. Focus group participants described how providers took on a gatekeeping role to removal services, adjudicating which requests for LARC removal they deemed legitimate enough to be granted. Participants reported that providers often did not consider a simple desire to discontinue the method to be a good enough reason to remove LARC, nor the experience of painful side-effects. Respondents discussed the deployment of what we call legitimating practices, in which they marshalled social support, medical evidence, and other resources to convince providers that their request for removal was indeed serious enough to be honored. This analysis examines the starkly gendered nature of contraceptive coercion, in which women are expected to bear the brunt of contraceptive side-effects, while men are expected to tolerate no inconvenience at all, even vicarious. This evidence of contraceptive coercion and medical misogyny demonstrates the need to center contraceptive autonomy not only at the time of method provision, but at the time of desired discontinuation as well.
Indexed as
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.