What happened to the IUD in Ghana?
The intrauterine contraceptive device (IUD) is a safe and reversible contraceptive method that requires little effort on the part of the user. Once inserted, it offers 10 years of protection against pregnancy. However, its use in Ghana has stagnated in relation to other contraceptive methods. An exploratory study was, therefore, conducted to examine the client, provider and system characteristics that affect the demand for IUD. Data were gathered through secondary analysis, in-depth interviews, focus group discussions and simulated client survey. The stagnating demand for IUD is attributed to clients' perceptions and rumours about IUD. The fear of excessive bleeding and weight loss discourages potential users. The product design was also perceived to be unacceptable. Demand creation for the IUD has been poor and the number of providers with practical experience of insertion is insufficient. Contrary to the belief that providers' bias contributes to the decline in use, findings show that providers have a favourable attitude towards the product.
Health Research Unit, Ghana Health Services.
I
I
Osei
H
H
Birungi
G
G
Addico
I
I
Askew
J O
JO
Gyapong
D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D017280:Condoms; D004608:Eligibility Determination; D005260:Female; D005869:Ghana; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007434:Intrauterine Devices / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care; D034121:Reproductive Health Services / Q000191:economics