Barriers to Intrauterine Device Uptake in a Rural Setting in Ghana

Robinson, Nuriya; Moshabela, Mosa; Owusu-Ansah, Lydia; Kapungu, Chisina; Geller, Stacie E.

doi:10.1080/07399332.2014.946511

Cited by 47 publications

(76 citation statements)

References 23 publications

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“…Lack of IUD‐specific knowledge has been reported in other studies as a barrier to use (Robinson et al. ). However, given that our antenatal interview participants were interviewed on the same day they received contraceptive counseling, their lack of knowledge may be an indication of incomplete or rushed counseling.…”

Section: Discussionmentioning

confidence: 87%

Women's Perspectives on Postpartum Intrauterine Devices in Tanzania

Huber‐Krum¹,

Hackett²,

Senderowicz³

et al. 2019

Studies in Family Planning

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Despite the numerous benefits of the postpartum copper intrauterine device (PPIUD), which is inserted within 48 hours after giving birth, it is underutilized in many resource-constrained settings, including Tanzania. We conducted in-depth interviews with 20 pregnant women who received contraceptive counseling during routine antenatal care in 2016-2017 and 27 postpartum women who had a PPIUD inserted in 2018 to understand reasons for use versus nonuse and continuation versus discontinuation. Primary motivators for using a PPIUD included: convenience, effectiveness, perceived lack of side effects, and duration of pregnancy protection. Barriers to use included: fear of insertion, concerns related to sexual experiences post-insertion, and limited knowledge. Women who had a PPIUD inserted continued use when their expectations matched their experience, while discontinuation resulted from unexpected expulsion and experience of unanticipated side effects. Frequent followup and guidance on side-effect management influenced women's decisions to continue use. To support uptake and continued utilization of the PPIUD, postpartum contraceptive counseling should explicitly address side effects and risk of expulsion.

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Section: Discussionmentioning

confidence: 87%

Women's Perspectives on Postpartum Intrauterine Devices in Tanzania

Huber‐Krum¹,

Hackett²,

Senderowicz³

et al. 2019

Studies in Family Planning

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“…This represents 39% of a total of 971,268 registered pregnancies countrywide (GHS, 2014). There were 23,130 cases of spontaneous and induced abortions among young women (10-24 years) reported within the same period (Robinson et al, 2016).…”

Section: Background Of the Studymentioning

confidence: 99%

Knowledge , Attitudes and Beliefs toward Contraceptive Use among Women and Men in the Ho Municipality in the Volta Region , Ghana

Sunnu¹,

Adatara²

2016

JMENAS

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Background: Acceptance of contraceptive use by men and women in developing countries is believed to be influenced by people's awareness, attitudes, and beliefs about contraceptive. Objective: The study investigated the knowledge, attitudes, and beliefs about contraceptive use among women and men among residents of the Ho Municipality in the Volta Region, Ghana. Materials and Methods: This study was a cross-sectional survey. A total of 340 respondents, men and women were randomly selected from the sub-municipalities in Ho for the study. The tool for data collection included structured questionnaires and an interview guide. Quantitative data was analyzed at the univariate and bivariate level using SPSS version 15.0 software, while qualitative data was analyzed thematically. Findings: The average age of the men was 28.06 years (SD=7.28) while that of the women was 30.41 years (SD=8.12). Knowledge of contraceptive methods was high: (151/161) 96.3% of men and (153/169) 90.5% of women were aware of contraceptive; however, this did not translate into high usage. Only 67 (41.6%) of men and 59 (34.9%) of women were current users of modern contraceptive. The major perceptions and beliefs regarding family planning contraceptive use from the perspectives of men and women in this study included contraceptives were harmful to the womb, contraceptives use will make you increase in weight, contraceptives use can make you infertile, contraceptives are meant for only married people, and contraceptives should only be used by women because they become pregnant Conclusion: In conclusion, the findings of this study showed that the awareness of contraceptives use among community members were high, however, the high level of awareness of contraceptives use did not translate into high usage among men and women in the study area as there was still low contraceptive use.

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“…; Robinson et al. ; Tibaijuka et al. ), but this does not explain low levels of use in areas where LARCS have been made more widely available.…”

mentioning

confidence: 99%

“…The need to attend a health facility during menstruation and undress has been identified as a barrier to choosing the IUD, but this does not apply immediately after delivery, when many women are in a health facility already and this should be an ideal time for IUD insertion (Robinson et al. ). Lack of knowledge about the IUD is still prevalent and itself forms a barrier (Robinson et al.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Barriers to Uptake of Postpartum Long‐Acting Reversible Contraception: Qualitative Study of the Perspectives of Ugandan Health Workers and Potential Clients

Willcox¹,

King²,

Fall³

et al. 2019

Studies in Family Planning

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Health workers have received training on delivering postpartum long-acting reversible contraceptives (LARCs) through several projects in Uganda, yet uptake still remains poor. To understand the reasons, and to gather suggestions for improving uptake, we conducted individual semi-structured interviews with a total of 80 postpartum parents, antenatal parents, health workers, and village health teams in rural south-west Uganda. Interviews were recorded, transcribed, translated, and analyzed using qualitative thematic analysis. Specific barriers to uptake of immediate postpartum contraception for women included: the need to discuss this option with their husband, the belief that time is needed to recover before insertion of a LARC, and fear that the baby might not survive. Furthermore, social consequences of side-effects are more serious in low-income settings. Suggestions for improving uptake of postpartum contraception included health education by "expert users," couples counseling during antenatal care, and improved management of side-effects.

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Barriers to Intrauterine Device Uptake in a Rural Setting in Ghana

Cited by 47 publications

References 23 publications

Women's Perspectives on Postpartum Intrauterine Devices in Tanzania

Women's Perspectives on Postpartum Intrauterine Devices in Tanzania

Knowledge , Attitudes and Beliefs toward Contraceptive Use among Women and Men in the Ho Municipality in the Volta Region , Ghana

Barriers to Uptake of Postpartum Long‐Acting Reversible Contraception: Qualitative Study of the Perspectives of Ugandan Health Workers and Potential Clients

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