What happened to the IUD in Ghana?
Identifieur interne : 000462 ( PubMed/Corpus ); précédent : 000461; suivant : 000463What happened to the IUD in Ghana?
Auteurs : I. Osei ; H. Birungi ; G. Addico ; I. Askew ; J O GyapongSource :
- African journal of reproductive health [ 1118-4841 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- geographic : Ghana.
- economics : Reproductive Health Services.
- prevention & control : HIV Infections.
- utilization : Intrauterine Devices.
- Adolescent, Adult, Attitude of Health Personnel, Condoms, Eligibility Determination, Female, Health Knowledge, Attitudes, Practice, Humans, Patient Acceptance of Health Care.
Abstract
The intrauterine contraceptive device (IUD) is a safe and reversible contraceptive method that requires little effort on the part of the user. Once inserted, it offers 10 years of protection against pregnancy. However, its use in Ghana has stagnated in relation to other contraceptive methods. An exploratory study was, therefore, conducted to examine the client, provider and system characteristics that affect the demand for IUD. Data were gathered through secondary analysis, in-depth interviews, focus group discussions and simulated client survey. The stagnating demand for IUD is attributed to clients' perceptions and rumours about IUD. The fear of excessive bleeding and weight loss discourages potential users. The product design was also perceived to be unacceptable. Demand creation for the IUD has been poor and the number of providers with practical experience of insertion is insufficient. Contrary to the belief that providers' bias contributes to the decline in use, findings show that providers have a favourable attitude towards the product.
PubMed: 16485588
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pubmed:16485588Le document en format XML
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Askew</name></author><author><name sortKey="Gyapong, J O" sort="Gyapong, J O" uniqKey="Gyapong J" first="J O" last="Gyapong">J O Gyapong</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:16485588</idno><idno type="pmid">16485588</idno><idno type="wicri:Area/PubMed/Corpus">000462</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000462</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">What happened to the IUD in Ghana?</title><author><name sortKey="Osei, I" sort="Osei, I" uniqKey="Osei I" first="I" last="Osei">I. Osei</name><affiliation><nlm:affiliation>Health Research Unit, Ghana Health Services.</nlm:affiliation></affiliation></author><author><name sortKey="Birungi, H" sort="Birungi, H" uniqKey="Birungi H" first="H" last="Birungi">H. Birungi</name></author><author><name sortKey="Addico, G" sort="Addico, G" uniqKey="Addico G" first="G" last="Addico">G. Addico</name></author><author><name sortKey="Askew, I" sort="Askew, I" uniqKey="Askew I" first="I" last="Askew">I. Askew</name></author><author><name sortKey="Gyapong, J O" sort="Gyapong, J O" uniqKey="Gyapong J" first="J O" last="Gyapong">J O Gyapong</name></author></analytic><series><title level="j">African journal of reproductive health</title><idno type="ISSN">1118-4841</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Attitude of Health Personnel</term><term>Condoms</term><term>Eligibility Determination</term><term>Female</term><term>Ghana</term><term>HIV Infections (prevention & control)</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Intrauterine Devices (utilization)</term><term>Patient Acceptance of Health Care</term><term>Reproductive Health Services (economics)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Reproductive Health Services</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Intrauterine Devices</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Attitude of Health Personnel</term><term>Condoms</term><term>Eligibility Determination</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Patient Acceptance of Health Care</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The intrauterine contraceptive device (IUD) is a safe and reversible contraceptive method that requires little effort on the part of the user. Once inserted, it offers 10 years of protection against pregnancy. However, its use in Ghana has stagnated in relation to other contraceptive methods. An exploratory study was, therefore, conducted to examine the client, provider and system characteristics that affect the demand for IUD. Data were gathered through secondary analysis, in-depth interviews, focus group discussions and simulated client survey. The stagnating demand for IUD is attributed to clients' perceptions and rumours about IUD. The fear of excessive bleeding and weight loss discourages potential users. The product design was also perceived to be unacceptable. Demand creation for the IUD has been poor and the number of providers with practical experience of insertion is insufficient. Contrary to the belief that providers' bias contributes to the decline in use, findings show that providers have a favourable attitude towards the product.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16485588</PMID><DateCreated><Year>2006</Year><Month>02</Month><Day>20</Day></DateCreated><DateCompleted><Year>2006</Year><Month>03</Month><Day>10</Day></DateCompleted><DateRevised><Year>2006</Year><Month>12</Month><Day>08</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1118-4841</ISSN><JournalIssue CitedMedium="Print"><Volume>9</Volume><Issue>2</Issue><PubDate><Year>2005</Year><Month>Aug</Month></PubDate></JournalIssue><Title>African journal of reproductive health</Title><ISOAbbreviation>Afr J Reprod Health</ISOAbbreviation></Journal><ArticleTitle>What happened to the IUD in Ghana?</ArticleTitle><Pagination><MedlinePgn>76-91</MedlinePgn></Pagination><Abstract><AbstractText>The intrauterine contraceptive device (IUD) is a safe and reversible contraceptive method that requires little effort on the part of the user. Once inserted, it offers 10 years of protection against pregnancy. However, its use in Ghana has stagnated in relation to other contraceptive methods. An exploratory study was, therefore, conducted to examine the client, provider and system characteristics that affect the demand for IUD. Data were gathered through secondary analysis, in-depth interviews, focus group discussions and simulated client survey. The stagnating demand for IUD is attributed to clients' perceptions and rumours about IUD. The fear of excessive bleeding and weight loss discourages potential users. The product design was also perceived to be unacceptable. Demand creation for the IUD has been poor and the number of providers with practical experience of insertion is insufficient. Contrary to the belief that providers' bias contributes to the decline in use, findings show that providers have a favourable attitude towards the product.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Osei</LastName><ForeName>I</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Health Research Unit, Ghana Health Services.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Birungi</LastName><ForeName>H</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>Addico</LastName><ForeName>G</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Askew</LastName><ForeName>I</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Gyapong</LastName><ForeName>J O</ForeName><Initials>JO</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Nigeria</Country><MedlineTA>Afr J Reprod Health</MedlineTA><NlmUniqueID>9712263</NlmUniqueID><ISSNLinking>1118-4841</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017280" MajorTopicYN="N">Condoms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004608" MajorTopicYN="N">Eligibility Determination</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007434" MajorTopicYN="Y">Intrauterine Devices</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="N">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="Y">Patient Acceptance of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D034121" MajorTopicYN="Y">Reproductive Health Services</DescriptorName><QualifierName UI="Q000191" MajorTopicYN="N">economics</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2006</Year><Month>2</Month><Day>21</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2006</Year><Month>3</Month><Day>11</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2006</Year><Month>2</Month><Day>21</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16485588</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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