Survey of knowledge, attitudes and practices surrounding the intrauterine device in South Africa.
BACKGROUND
The Copper T intrauterine device (IUD) is a safe, effective, reversible contraceptive that is used widely worldwide but little in South Africa. This study assesses the knowledge, attitudes and practices of potential IUD users and health care providers to inform strategies for expanding IUD use in South Africa.


METHODS
A descriptive, cross-sectional survey was conducted among 205 clients and 32 health care providers at 12 public sector clinics in two provinces.


RESULTS
Twenty-six percent of clients had heard of the IUD; of those, 9% had misconceptions or incorrect information that negatively influenced their opinion of the method. After being given a description of the Copper T IUD, 74% said they would consider using it. Provider knowledge about Copper T IUDs was inaccurate and inadequate. Providers held incorrect beliefs about IUD candidate selection and risks. Almost all providers said that they needed more training and information about the IUD.


CONCLUSIONS
If IUD use is to be expanded in South Africa, potential users will need education about the method and providers will need training on counseling and provision.
Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, USA. gutins@obgyn.ucsf.edu
Sarah A
SA
Gutin
Regina
R
Mlobeli
Margaret
M
Moss
Geoffrey
G
Buga
Chelsea
C
Morroni
D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel; D006801:Humans; D007435:Intrauterine Devices, Copper; D008875:Middle Aged; D010361:Patients; D012959:Socioeconomic Factors; D013019:South Africa; D055815:Young Adult