Project

Sino-implant (II)

Over 200 million women in developing countries have an unmet need for safe and effective contraception. Hormonal contraceptive implants, introduced more than 30 years ago, are one of the most effective family planning methods developed to date. Despite their strong safety profile and popularity, their high cost has been a barrier in many countries until recently.

The Sino-implant (II) initiative has been at the forefront of helping to increase access to affordable, high-quality implants in resource-limited settings. As a long-acting family planning method, implants are ideal for women living in countries where access to health services is limited.

Sino-implant (II) is a highly effective, low-cost, subdermal contraceptive implant composed of two thin, flexible, silicone rods. Each rod contains 75 mg of levonorgestrel, a synthetic progesterone. The implants are inserted under the skin of a woman's arm by a trained health care provider. Annual pregnancy rates are below 1 percent, and the product is currently labeled for four years of use. Sino-implant (II) is manufactured in China by Shanghai Dahua Pharmaceuticals Co., Ltd. The product has been registered in more than 20 countries worldwide, and the manufacturing facility was deemed in compliance with WHO Good Manufacturing Practices (GMP).

FHI 360 provides technical assistance to facilitate the global introduction of Sino-implant (II), including conducting independent quality testing, negotiating public-sector price-ceiling agreements, supporting the World Health Organization prequalification application process and working with distributors to secure national regulatory approvals. FHI 360 also leads a new clinical trial in the Dominican Republic, which will supplement existing clinical evidence, and collaborated on post-marketing surveillance studies in four countries with support from the Bill & Melinda Gates Foundation and the U.S. Agency for International Development (USAID). FHI 360 works in close coordination with a number of organizations, including government officials, distributors and service delivery groups, to facilitate introduction at the country level.

For more information, please email us.

Resources

  • Contraceptive Technology Innovation brochure
    2016 — Throughout our 40-year history, FHI 360 has helped increase access to family planning by developing, evaluating and introducing a range of new contraceptive methods. Research is under way to develop innovative mid- to long-...
  • Sino-implant (II) Initiative: 2015 Quality Assurance Evaluation
    December 2015 — FHI 360 acts as an independent third party to assess the quality of Sino-implant (II). A quality assurance evaluation and monitoring program was implemented by FHI 360 to verify that Sino-implant (II) meets lot release...
  • Sino-implant (II) Initiative: 2014 Quality Assurance Evaluation
    December 2014 — FHI 360 acts as an independent third party to assess the quality of Sino-implant (II). A quality assurance evaluation and monitoring program was implemented by FHI 360 to verify that Sino-implant (II) meets lot release...
  • Sino-implant (II) Initiative: 2013 Quality Assurance Evaluation
    December 2013 — FHI 360 acts as an independent third party to assess the quality of Sino-implant (II), negotiate public-sector price-ceiling agreements, work with distributors to secure regulatory approvals and provide technical...
  • first page of brief
    December 2012 — Contraceptive implants are a highly effective, safe, long-acting and popular contraceptive method shown to be acceptable to women worldwide. They are also ideal for women with limited access to health care services...
  • Sino-implant (II) Initiative: 2012 Quality Assurance Evaluation
    December 2012 — FHI 360 acts as an independent third party to assess the quality of Sino-implant (II), negotiate public-sector price-ceiling agreements, work with distributors to secure regulatory approvals and provide technical...
  • Sino-implant (II): Dahua brochure
    2012 — This product brochure provides an overview of Sino-implant (II), Shanghai Dahua Pharmaceuticals, Ltd.’s two-rod contraceptive implant, also known as Zarin, Femplant, Trust and Simplant.
  • Sino-implant (II): Question and Answers for Clients
    2012 — This Q&A for clients serves as a reference document on Sino-implant (II), manufactured by Shanghai Dahua Pharmaceuticals, Ltd.
  • Sino-implant (II) Initiative: 2011 Quality Assurance Evaluation
    December 2011 — FHI 360 acts as an independent third party to assess the quality of Sino-implant (II), negotiate public-sector price-ceiling agreements, work with distributors to secure regulatory approvals and provide technical...
  • Implants Toolkit
    Hormonal implants consist of small, thin, flexible rods, each about the size of a matchstick, that contain levonorgestrel, a synthetic progesterone. They are a safe, highly effective and quickly reversible long-acting method that requires...
Funder: Bill & Melinda Gates Foundation
Duration: 2009 - 2018