The Copper-T 380A IUD: a ten-year alternative to female sterilisation in India.
High unmet need for limiting contraception persists in most states of India despite wide access to sterilisation. Qualitative evidence from a rural community in which child mortality is high and women's autonomy is low suggests that women may seek reversibility in a contraceptive even if they have finished childbearing. This paper describes the introduction of the Copper-T 380A--a contraceptive with an effective life span of ten years--as an alternative to female sterilisation in a rural area of the state of Rajasthan, in a clinic linked to an outreach programme. The intervention addressed women's apprehensions, ensured service standards and guaranteed women's right to have the Copper-T removed at will. Data on 216 insertions over 34 months revealed a preference for the Copper-T 380A among older women and women who had achieved desired family size, especially among tribal women. More than a quarter of the 30 removals in that period were for non-medical reasons, such as family opposition, child death or remarriage. As a long-term but reversible option, the Copper-T 380A allows women room to change their minds in relation to future childbearing until they have reached menopause. Including this option in family planning services can help to meet a portion of the unmet need for contraception among women not willing to choose sterilisation, while reducing dependence on doctors and expensive equipment.
Iyengar
K
K
Action Research Training for Health, 39 Fatehpura, Udaipur 313 004, India.
Iyengar
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SD
D000293:Adolescent; D000328:Adult; D003657:Decision Making; D005193:Family Planning Services; D006801:Humans; D007194:India; D007435:Intrauterine Devices, Copper / Q000706:statistics & numerical data; D009042:Motivation; D013245:Sterilization, Reproductive