The Acceptability of Implanon in Muslim-Majority Asian  Countries: A Systematic Review

Nik Asyraf  Nik Azis; Mohamed S.  Zulfarina; Nurul ‘Izzah  Ibrahim; Alia Syamim  Zahari; Aisyah  Sulaiman; Ng Xue  Min; Azura  Abdullah; Alina  Ali; Norhalili Mohamad  Tamiri; Isa  Naina-Mohamed

doi:10.18502/ijph.v54i10.20123

Nik Asyraf Nik Azis National Population and Family Development Board (LPPKN), No 12B, Jalan Raja Laut, Chow Kit, 50350 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
Mohamed S. Zulfarina Department. of Pharmacology, Medical Faculty, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia
Nurul ‘Izzah Ibrahim Department. of Pharmacology, Medical Faculty, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia
Alia Syamim Zahari National Population and Family Development Board (LPPKN), No 12B, Jalan Raja Laut, Chow Kit, 50350 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
Aisyah Sulaiman National Population and Family Development Board (LPPKN), No 12B, Jalan Raja Laut, Chow Kit, 50350 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
Ng Xue Min National Population and Family Development Board (LPPKN), No 12B, Jalan Raja Laut, Chow Kit, 50350 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
Azura Abdullah National Population and Family Development Board (LPPKN), No 12B, Jalan Raja Laut, Chow Kit, 50350 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
Alina Ali National Population and Family Development Board (LPPKN), No 12B, Jalan Raja Laut, Chow Kit, 50350 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
Norhalili Mohamad Tamiri National Population and Family Development Board (LPPKN), No 12B, Jalan Raja Laut, Chow Kit, 50350 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur, Malaysia
Isa Naina-Mohamed Department. of Pharmacology, Medical Faculty, Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia

DOI: https://doi.org/10.18502/ijph.v54i10.20123

Keywords: Implanon; Contraception; Acceptability; Muslim; Asia

Abstract

Background: We conducted a systematic review which aimed to assess acceptability of implanon used based on reported side effects, continuation rates and user satisfaction in Muslim-majority Asian countries.

Methods: We followed PRISMA guideline and searched SCOPUS and Medline databases for original articles that dealt with implanon, conducted in Muslim-majority Asian countries and had either continuation rates or side effects or satisfaction rate. The risk of bias of the selected studies was assessed using ROBINS-I V2 Risk of Bias tool.

Results: The literature search successfully identified 7 potentially relevant articles, whereby 5 of them met the inclusion criteria. 5 articles were retained in the final synthesis with 619 total participants. Implanon’s documented side effects such as menstrual irregularity and weight gain, is tolerable due to its high efficacy. Implanon has low discontinuation rates among users and has a high satisfaction rate.

Conclusion: Implanon is widely accepted in Muslim-majority Asian countries with a positive impact on family planning.