Checklist for Screening Clients Who Want to Initiate Contraceptive Implants

Family Health International, 2008

Contraceptive implants, such as Norplant, Jadelle, Sinoplant, and Implanon, are safe and effective for use by most women, including those who are at risk of cardiovascular disease, sexually transmitted infections (STIs), and HIV infection or those living with HIV. For some women, implants are generally not recommended because of the presence of certain medical conditions, such as some liver tumors or breast cancer. Women who desire to use implants must therefore be screened for certain medical conditions to determine if they are appropriate candidates.

Family Health International (FHI) has developed a simple checklist (218 KB) to help health care providers screen clients who have been counseled about contraceptive options and who have made an informed decision to use implants. The checklist is based on recommendations included in the Medical Eligibility Criteria for Contraceptive Use (WHO, 2004; updated 2008). It consists of 12 questions to identify medical conditions that would prevent safe use of implants or require further evaluation. It also provides further guidance and directions based on clients' responses. 

A French version of the implants checklist will be available soon. The Training and Reference Guide for a Screening Checklist to Initiate Implants is currently in development and will also be available soon. To request hard copies of the checklist or guide, please send us an e-mail.