Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study
| Autor: | Christophe Millien, Theophile Renise, Marie Boller, Marisa Nádas, Meredith Jean-Baptiste |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
medicine.medical_specialty Low resource Infectious and parasitic diseases RC109-216 Positive perception 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Lack of knowledge 030212 general & internal medicine Retrospective Studies Original Research 030219 obstetrics & reproductive medicine business.industry Pregnancy Unplanned Retrospective cohort study General Medicine medicine.disease Haiti Family medicine Cohort Female Perception Public aspects of medicine RA1-1270 Intra-uterine device business Attitude to Health Unintended pregnancy Intrauterine Devices |
| Zdroj: | Annals of Global Health, Vol 84, Iss 4, Pp 663-669 (2018) Annals of Global Health |
| ISSN: | 2214-9996 |
| DOI: | 10.29024/aogh.2375 |
| Popis: | Introduction: IUDs are safe, effective, and used worldwide to prevent unintended pregnancy. However, uptake in Haiti is low. There are limited data on IUD choice and experience in low resource settings; anecdotal reports from providers in Haiti have suggested that Haitian women are unlikely to choose to use or be satisfied with the IUD. The objective of this study is to explore the perceptions of a cohort of IUD users in Mirebalais, Haiti. Methods: In June and July 2015, an IRB-approved mixed methods study of women over age eighteen with hormonal or copper IUDs inserted at Hopital Universitaire de Mirebalais (HUM) was performed in Mirebalais, Haiti. Results: Twenty-one eligible women participated, out of 58 women identified as eligible. Most women (81%) reported using the copper IUD; most (86%) had used the IUD for 6 months or more. Over half were under 30 years old (62%) and most had completed primary school or less (76%). Almost all (91%) reported prior pregnancies; 65% did not desire more children. The majority of participants were satisfied with the IUD, with 70% being very satisfied and 25% somewhat satisfied. Most women (71%) reported no very bothersome side effects, and would recommend the IUD to others (86%). Qualitative data highlighted positive perceptions of the IUD among users, as well as misperceptions and lack of knowledge regarding the IUD among members of their communities. Conclusion/Implications: Understanding of culture-specific perceptions is critical in addressing barriers to IUD uptake. Our findings indicate that IUDs can be an acceptable contraceptive method for women in Haiti, and suggest the possibility that increased access to the IUD may lead to increased acceptance of this method. |
| Databáze: | OpenAIRE |
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