This paper is an evaluation of acceptability and use-experience with t
he contraceptive device Norplant at the University of Nigeria Teaching
Hospital, Enugu, Eastern Nigeria. Over a period of 36 months, 173 wom
en (8% of the clinic population) accepted the implant. Use of Norplant
was concentrated among high-parity women, and the proportion of Norpl
ant users was highest among women aged 30-34 years. Comparing Norplant
and IUD users, we found Norplant users to be significantly less highl
y educated with <1% of Norplant users having tertiary education compar
ed to 25% of new IUD users. The continuation rate with Norplant was 89
% at three years, suggesting this method has the potential for improvi
ng the low contraceptive prevalence in this region.