ArticleContraception2025
Provider confidence and willingness to insert and remove long-acting reversible contraception methods in Kenyan public facilities.
Article in Contraception, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors.
Funding
Abstract
objectiveUse of long-acting reversible contraception (LARC) in Kenya has grown over the last decade, yet emerging evidence points to challenges in LARC removal. The objective of this paper is to document provider training in LARC insertion/removal and to better understand provider experience, confidence, and willingness to both insert and remove LARC. STUDY
designIn this paper we present a descriptive analysis of self-reported data from family planning providers working in all 137 public-sector healthcare facilities in Kisumu County (Western Kenya). We assess the frequency of public-sector provider training, experience, confidence, and willingness to insert and remove LARC, as well as the association between confidence and willingness to provide these services.
resultsA substantial proportion of providers in our study lacked training in the insertion and removal of both implants and intrauterine devices (IUDs). Overall, providers reported that they were more experienced, confident, and willing to insert implants rather than remove them. A fifth of providers trained in IUD insertion were not confident in their ability to insert IUDs and nearly 10% were not willing to perform insertion. In contrast, 8% of providers trained in IUD insertion were not confident in their ability to remove IUDs and 6% were not willing to remove them. Provider confidence was significantly associated with willingness to insert/remove both implant and IUD. Less than two-thirds of facilities demonstrated stock of the implant (61%) or IUD (58%).
conclusionResults raise important concerns about reproductive autonomy within the larger environment of family planning programs that heavily promote LARC use. Within Kisumu, public-sector providers require greater supplies and support to maintain confidence and ensure their willingness to engage in LARC insertion and removal in equal measure. IMPLICATIONS: We find that many providers at public sector healthcare facilities in Kisumu, Kenya lacked training in LARC insertion and removal. Providers reported that they were more experienced, confident, and willing to insert rather than remove implants, which poses a potential threat to reproductive autonomy.
Indexed as
Identifiers
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.