Postpartum IUCD: Opportunities for a Languishing Innovation

Barbara Deller from the MCHIP Family Planning team led a roundtable session at the 38th Annual International Conference on Global Health in Washington, DC, about Postpartum IUCD. The presentation focused on findings from a 2010 follow-up study about PPIUCD services and women’s experience with PPIUCD insertion in Embu, Kenya. Some key lessons include:

  • Providers were knowledgeable about PPFP and PPIUCD, found clients to be satisfied, and reported misconceptions at the community level about PPIUCD
  • Women had experienced a positive life change since having PPIUCD and would promote its usage in their communities
  • Money is not a barrier to use
  • According to clients, manual insertion did not result in more pain, and data collected did not indicate a higher expulsion rate for manual insertion. 

Some recommended steps to take following this research include:

  • Policymakers and ministry officials need to invest more effort in roll-out and expansion of this PPIUCD initiative as it requires sustainable resources for long-term commitment.
  • Service providers, hospital managers, and program implementers need to support nurse/midwives because they can confidently provide quality PPIUCD services and counseling for PPFP. 
  • Negative attitudes and misconceptions related to the IUCD could be addressed through community-based activities, particularly through sharing positive experiences from satisfied PPIUCD users.

     

Click here to view the presentation.


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