Contraceptive Research, Introduction, and Use -- Copyright -- Acknowledgments -- Contents -- 1 Introduction -- 2 Workshop Report -- EFFICACY AND SAFETY -- Efficacy -- Safety -- Major Health-Related Events -- Significant Health-Related Problems -- Silicone Biocompatibility -- Progestin Effects on Vaginal HIV Transmission -- WHO USES NORPLANT AND HOW -- User Populations -- Method Continuation and Discontinuation -- Side Effects as Factors -- User Satisfaction -- Barriers to Discontinuation -- Cost and Cost-Effectiveness
Effects of Media Coverage and Litigation on Norplant UseINSERTION AND REMOVAL: EXPERIENCE AND IMPLICATIONS -- Technical Aspects -- Case Experiences -- Rates of Complicated Removals -- Implications -- CONSUMER PERSPECTIVES -- Communication and Quality of Care -- Quality of Care -- Informed Decision-Making -- Importance -- Content -- Special Challenges -- Potential for Abuse -- Consumer Involvement -- NEW APPROACHES -- Reproductive Health Technologies Project's Boom and Bust Initiative -- The WHO Strategic Approach to Contraceptive Introduction
A ''Government Standards Defense3 Workshop Summary and Analysis -- DATA REVIEW -- Efficacy -- Safety -- User Profiles -- Side Effects -- Continuation and Discontinuation -- User Satisfaction -- Postmarketing Surveillance -- Cost-Effectiveness -- LESSONS LEARNED -- NEXT STEPS: AREAS FOR CONSIDERATION AND ACTION -- Areas for Strengthening or Expansion -- 1. Clinical Research -- 2. Market Research -- 3. Pre-introduction -- 4. Informed Decision-Making -- 5. Postmarketing Surveillance -- Areas for New Initiative -- 6. Credentialing
7. Core Guidelines for Long-Acting Contraceptives8. Costs -- 9. Product Liability -- FINAL COMMENT -- ENDNOTES -- Appendixes -- A Presentation Summaries -- Presentation 1 -- Background -- Methodology -- Findings -- Age and Educational Levels -- Major Health-Related Events -- Significant Health-Related Problems -- Continuation and Removals -- Efficacy -- Conclusions -- Presentation 2 -- Background -- Methodology -- Findings -- Pregnancy and Continuation Rates -- Reasons for Discontinuation -- Removal Difficulties
