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April 05, 2006

Transition from Norplant to Jadelle

Since Norplant is being phased out, is there any developing country experience in the transition to either Jadelle or Implanon?

Yes. The transition at the Profamilia clinic in the Dominican Republic has been recently described and (at least in the context of this high quality, high volume clinic) the transition from Norplant to Jadelle went smoothly. The very experienced staff needed little training.

In a study of 249 women, 53% preferred Jadelle, primarily because of: the reduced number of implants; easier insertion and removal; and less visibility in the arm. Those who preferred Norplant did so mainly because of greater familiarity with it, but a few also because of the potential for longer use.

References:
Brache V et al. Transition from Norplant to Jadelle in a clinic with extensive experience providing contraceptive implants. Contraception 2006; 73:364-7.

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The "Pearls" offer answers to commonly asked questions about family planning. These "Pearls" are prepared by Dr. James D. Shelton, Senior Medical Scientist, Office of Population, United States Agency for International Development (USAID)

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