Providing access to family planning services in low- and middle-income countries (LMICs) is a major focus of the global health community [1]. The World Bank estimates that only 45% of the demand for contraceptive services in Sub-Saharan Africa is satisfied [2]. The availability of long-term contraceptive methods is particularly important for women who prefer to space pregnancies by two or more years.
Intrauterine and subcutaneous implant contraceptive methods are the most effective reversible contraception methods available [3]. Subcutaneous implants are single (or double) rods that contain etonogestrel and are inserted subdermally on the inner side of a woman's nondominant arm [4]. Single-rod devices (e.g., Implanon and Nexplanon) can prevent pregnancy for up to 3 yr while two-rod devices (e.g., Jadelle and Sino-implant) can prevent pregnancy for up to 5 yr. In addition, implants do not require maintenance or effort on the part...
