Introducing the hormonal Intrauterine Device in Madagascar, Nigeria, and Zambia: results from a pilot study

Reproductive Health

Bakoly Rahaivondrafahitra¹  Francia Rasoanirina¹  Grace Jaworski²  Sarah Thurston²  Amanda Kalamar²  Pierre Moon²  Kendal Danna²  Ashley Jackson³  Gina Smith⁴  Masauso Nqumayo⁴  Anthony Nwala⁵ 

[1] PSI Madagascar: Immeuble Arboretum-ex Village Des Jeux de la Francophonie Ankorondrano, 101, Antananarivo, Madagascar;Population Services International (PSI), 1120 19th St NW #600, 20036, Washington, DC, USA;Population Services International (PSI), 1120 19th St NW #600, 20036, Washington, DC, USA;WCG Cares, 12400 High Bluff Drive, Suite 600, 92130, San Diego, CA, USA;SFH Zambia, Plot No. 549 Ituna Rd, Ridgeway, Lusaka, Zambia;Society for Family Health (SFH) Nigeria, Justice Ifeyinwa Nzeako House, #8 Port Harcourt Crescent, Area 11, Garki, Abuja, Nigeria;

关键词: Hormonal IUD;    Hormonal IUS;    LNG-IUS;    LARC;    Continuation;    Satisfaction;    Acceptability;   

DOI  :  10.1186/s12978-021-01300-x

来源: Springer

【 摘 要 】

BackgroundThe hormonal Intrauterine Device (IUD) is a highly effective contraceptive option growing in popularity and availability in many countries. The hormonal IUD has been shown to have high rates of satisfaction and continuation among users in high-income countries. The study aims to understand the profiles of clients who choose the hormonal IUD in low- and middle-income countries (LMICs) and describe their continuation and satisfaction with the method after 12 months of use.MethodsA prospective longitudinal study of hormonal IUD acceptors was conducted across three countries—Madagascar, Nigeria, and Zambia—where the hormonal IUD had been introduced in a pilot setting within theof a broad mix of available methods. Women were interviewed at baseline immediately following their voluntary hormonal IUD insertion, and again 3 and 12 months following provision of the method. A descriptive analysis of user characteristics and satisfaction with the method was conducted on an analytic sample of women who completed baseline, 3-month, and 12-month follow-up questionnaires. Kaplan–Meier time-to-event models were used to estimate the cumulative probability of method continuation rates up to 12 months post-insertion.ResultsEach country had a unique demographic profile of hormonal IUD users with different method-use histories. Across all three countries, women reported high rates of satisfaction with the hormonal IUD (67–100%) and high rates of continuation at the 12-month mark (82–90%).ConclusionsRates of satisfaction and continuation among hormonal IUD users in the study suggest that expanding method choice with the hormonal IUD would provide a highly effective, long-acting method desirable to many different population segments, including those with high unmet need.

【 授权许可】

CC BY