Provider views on the acceptability of an IUD checklist screening tool.
BACKGROUND
Family Health International developed a simple checklist to help family planning providers apply the new medical eligibility criteria (MEC) of the World Health Organization (WHO) for the use of the intrauterine device (IUD) contraceptive method.


METHODS
One hundred thirty-five providers in four countries participated in focus groups to field test the checklist. Before participating in a discussion about the checklist, each provider was given a copy of the checklist, its instructions and hypothetical client scenarios. Providers used the checklist to answer questions about the client scenarios in order to determine if they understood the checklist and if they would correctly determine IUD eligibility for women in updated categories of eligibility on the basis of the checklist.


RESULTS
Providers found the checklist easy to use and thought that it would enhance identification of eligible IUD users. Nevertheless, many providers relied on prior knowledge of IUD eligibility rather than the checklist recommendations. Providers only correctly determined eligibility for new categories of IUD use 69% of the time.


CONCLUSIONS
The IUD checklist is a useful job tool for providers, but training and effective dissemination of the WHO MEC should precede its introduction to ensure that it is correctly used.
Wesson
Jennifer
J
Family Health Institute, Family Health International, NC 27713, USA. jwesson@fhi.org
Gmach
Rebecca
R
Gazi
Rukhsana
R
Ashraf
Ali
A
Méndez
José Figueroa
JF
Olenja
Joyce
J
Nguer
Rokhaya
R
Janowitz
Barbara
B
D003267:Contraception / Q000379:methods*; D003906:Developing Countries; D004608:Eligibility Determination / Q000379:methods*; D005193:Family Planning Services / Q000379:methods*; D005260:Female; D006801:Humans; D007435:Intrauterine Devices, Copper