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Contraceptive Implant Discontinuation in Huambo and Luanda, Angola

Journal Article
(Published September, 2017)
Qui, M. (Author),
Juarez, J. (Author),
de Carvalho, A. (Author),
Juliana, F.J.C. (Author),
Nhamba, L. (Author),
Neves, I. (Author)
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45 in-depth interviews and six focus groups were conducted among former and current contraceptive implant clients and family planning nurses in eight clinics in provinces of Huambo and Luanda, Angola. Data collectors transcribed and translated key information from Portuguese into English. A combined deductive/inductive approach to code and analyze data.  Participants described adverse side effects, desire for pregnancy, partner dissatisfaction, quality of care, alternative or lack of information, and religion as motives for discontinuation. Adverse side effects, including prolonged bleeding, amenorrhea, and headaches were most commonly cited by both clients and providers. 
Motives for discontinuation reflect existing findings from other studies in similar settings, in particular the influence of adverse side effects and desire for pregnancy as motivating factors. We contextualize these findings in the Angolan
setting to tease out the relationship between cultural norms of ideal family size and the perceived role of women in regards to fertility and child-bearing. We suggest that programs enter into dialog with communities to address these
concerns, rather than working exclusively on improving service delivery and quality.
Citation: 
Qiu M, Juarez J, de Carvalho A, Juliana FJC, Nhamba L, Neves I, et al. Contraceptive Implant Discontinuation in Huambo and Luanda, Angola: A Qualitative Exploration of Motives. Matern Child Health J. 2017:9