Contraceptive Implants

Important Note, September 2015: The WHO has released the full revision to its Medical Eligibility Criteria, and expects to release revisions to the Selected Practice Recommendations for Contraceptive Use in 2016. This module will be updated to reflect those changes once the Selected Practice Recommendations are available. You may still use the existing TRP resources, but in the meantime, please consult the MEC Executive Summary, the revised MEC Wheel, or the full Medical Eligibility Criteria for important changes.

The Implants module is designed for the providers in developing countries who most often are tasked with providing FP services—primarily nurses and nurse-midwives, as well as primary care physicians—and assumes trainees will have a minimum level of clinical training.

In order to understand the design of the modules, it is helpful to see the diagram on page two. The basic design includes the following:

The Learning Objectives

By the end of the training, trainees should be able to:

  1. Describe the characteristics of implants in a manner that clients can understand:
    1. What implants are and how they work (mechanism and onset of action)
    2. Effectiveness
    3. Side effects
    4. Non-contraceptive health benefits
    5. Possible health risks (complications)
    6. Other characteristics (STI/HIV protection, ease of use, return to fertility, when to initiate and discontinue)
  2. Demonstrate the ability to:
    1. Screen clients for medical eligibility for implants
    2. Explain to clients the insertion, removal, and follow-up procedures
    3. Explain when to return to the clinic
    4. Address common concerns, misconceptions, and myths
    5. Conduct follow-up for implant clients in a way that enhances continuing safety, satisfaction, and acceptance
  3. Describe when to initiate use of implants (postpartum, switching from another method).
  4. Explain how to manage side effects.
  5. Identify conditions that require switching to another method.
  6. Identify clients in need of referral for implant-related complications.
  7. Demonstrate on anatomical models how to insert and remove implants.

Read the Quick Start guide below, if you haven't already--and then explore the tabs at right to walk through the Facilitator's Guide, illustrative examples, presentation slides, handouts, and more--all of which you are free to adapt for your training participants' needs.