Barriers of IUD acceptance: An Appraisal Through Qualitative Research from West Bengal

Abstract

Background: Intra-uterine contraceptive device is one of the most commonly used reversible method of contraception worldwide. In West Bengal Cu-T acceptance is decreasing in majority of the districts. Objectives: To determine the underlying factors for low acceptance of IUCD. Methodology: A qualitative study was carried out in Paschim Mednipur and Howrah districts of West Bengal in 2009 by organising seven Focus Group Discussions (FGD) in each district. Three FGDs among beneficiaries’ i. e eligible couples, 3 FGDs among service providers and one FGD among health administrators were undertaken in each district.
Results: Beneficiaries experienced complications like bleeding, pain, misplacement etc. Fear of weakness, white discharge, occurrence of cancer existed. Providers highlighted lack of privacy, need for Cu-T re-orientation training, shortage of IEC material and inadequate time spent by doctor for motivation, rumour among clients. Administrators opined that sustenance of Behaviour Change Communication, training of ANMs would be useful.
Conclusion: Different rumours& myth in the society responsible for low acceptance of Cu-T may be removed through strengthening the Behaviour Change Communication involving Doctors also.