A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town

 

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dc.contributor.advisor van der Spuy, Zephne Margaret en_ZA
dc.contributor.author Van Zijl, Shelsley en_ZA
dc.date.accessioned 2014-11-07T13:49:31Z
dc.date.available 2014-11-07T13:49:31Z
dc.date.issued 2007 en_ZA
dc.identifier.citation Van Zijl, S. 2007. A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town. University of Cape Town. en_ZA
dc.identifier.uri http://hdl.handle.net/11427/9341
dc.description Includes bibliographical references (leaves 97-106). en_ZA
dc.description.abstract [Background]The IUD is a highly effective, reliable, and safe contraceptive method that is under-utilised in many countries due to persistent fears that it causes pelvic infection. Reliable evidence of the safety of this contraceptive method has not been enough to effect a change in use. The aim of this study was to assess the knowledge and acceptability of the IUD among clients and providers in the Family Planning services in Cape Town and to attempt to identity obstacles to use. [Methods] A descriptive cross-sectional survey was conducted at eight Family Planning clinics in Cape Town. Two hundred and sixteen clients aged between 18 and 50 years, and 30 providers from the same clinics, were interviewed using structured questionnaires. [Results] Awareness of the IUD among clients was low - 81 women (41%) had heard of this contraceptive method. Ever and current use were very low. Only 9 women (4%) had ever used an IUD and 3 women were still using this method. Both the women who were interested in using this method in the future (n=77; 36%) and the women who were ambivalent or not interested in future use (n=139; 64%) cited a lack of knowledge as an obstacle to use. Although most providers were aware of the availability of the IUD (n=26; 87%). their factual knowledge was limited. Infection (n=14; 47%) and increased menstrual bleeding (n=12; 40%) were frequently mentioned as disadvantages. Referrals for and insertions of the IUD were low, and this method was often not discussed with women considering tubal ligation. Providers identified lack of client knowledge, myths and rumours among clients, lack of skilled providers to insert the device, and lack of promotion of the IUD, as significant obstacles to greater use of this method. [Conclusion] Although the IUD is available in the public sector services, it is not being utilized. Better education of both clients and providers is essential in order to improve accessibility and acceptability of this highly effective and cost effective contraceptive method. en_ZA
dc.language.iso eng en_ZA
dc.subject.other Public Health en_ZA
dc.title A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town en_ZA
dc.type Masters Thesis
uct.type.publication Research en_ZA
uct.type.resource Thesis en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Department of Public Health and Family Medicine en_ZA
dc.type.qualificationlevel Masters
dc.type.qualificationname MPH en_ZA
uct.type.filetype Text
uct.type.filetype Image
dc.identifier.apacitation Van Zijl, S. (2007). <i>A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine. Retrieved from http://hdl.handle.net/11427/9341 en_ZA
dc.identifier.chicagocitation Van Zijl, Shelsley. <i>"A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2007. http://hdl.handle.net/11427/9341 en_ZA
dc.identifier.vancouvercitation Van Zijl S. A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Department of Public Health and Family Medicine, 2007 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/9341 en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Van Zijl, Shelsley AB - [Background]The IUD is a highly effective, reliable, and safe contraceptive method that is under-utilised in many countries due to persistent fears that it causes pelvic infection. Reliable evidence of the safety of this contraceptive method has not been enough to effect a change in use. The aim of this study was to assess the knowledge and acceptability of the IUD among clients and providers in the Family Planning services in Cape Town and to attempt to identity obstacles to use. [Methods] A descriptive cross-sectional survey was conducted at eight Family Planning clinics in Cape Town. Two hundred and sixteen clients aged between 18 and 50 years, and 30 providers from the same clinics, were interviewed using structured questionnaires. [Results] Awareness of the IUD among clients was low - 81 women (41%) had heard of this contraceptive method. Ever and current use were very low. Only 9 women (4%) had ever used an IUD and 3 women were still using this method. Both the women who were interested in using this method in the future (n=77; 36%) and the women who were ambivalent or not interested in future use (n=139; 64%) cited a lack of knowledge as an obstacle to use. Although most providers were aware of the availability of the IUD (n=26; 87%). their factual knowledge was limited. Infection (n=14; 47%) and increased menstrual bleeding (n=12; 40%) were frequently mentioned as disadvantages. Referrals for and insertions of the IUD were low, and this method was often not discussed with women considering tubal ligation. Providers identified lack of client knowledge, myths and rumours among clients, lack of skilled providers to insert the device, and lack of promotion of the IUD, as significant obstacles to greater use of this method. [Conclusion] Although the IUD is available in the public sector services, it is not being utilized. Better education of both clients and providers is essential in order to improve accessibility and acceptability of this highly effective and cost effective contraceptive method. DA - 2007 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2007 T1 - A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town TI - A survey to assess knowledge and acceptability of intrauterine devices (IUD) among family planning clients and providers in the Family Planning services in Cape Town UR - http://hdl.handle.net/11427/9341 ER - en_ZA


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