The introduction of DMPA in Viet Nam result after 5 years

ABSTRACT

From October 2001 to May 2002, the study on the introduction of DMPA in Viet Nam was conducted by Ministry of Health and DMPA in Thanh Hoa, Yen Bai and Dong Thap of 871 DMPA users. Commune health station is a good delivery point to provide DMPA service. DMPA should be provided at this level throughout the country, 96.5% of DMPA clients at commune level were satisfied with the method. Major reasons for DMPA acceptance are its convinience and easy use (62%), high effectiveness (58%), no health effect (55%) and no impact on sexual relationship (39%). However, DMPA discontinuation rate is still high between 10-70% according to specific site and duration of use. Reason for discontinuation is mainly adverse effect (80.2%), of which amenorrhea and menstrual disorder account for the most with 33.2% and 43,4% respectively.