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Rates of IUCD discontinuation and its associated factors among the clients of a social franchising network in Pakistan.
BMC Womens Health 2012; 12:8BW

Abstract

BACKGROUND

Modern Intrauterine contraceptive device (IUCD) is very safe, highly effective reversible and inexpensive family planning method which offers 5-10 years of protection against pregnancy. The contraceptive use in Pakistan has been merely 30% for over a decade with IUCD being the least used method. Higher discontinuation rates are documented in developing countries; however no such data is available for Pakistan. Marie Stopes Society (MSS) established a social franchise outlets network branded as 'SURAJ' (Sun) in Pakistan to provide quality family planning services. This study attempts to determine IUCD discontinuation rates and its associated risk factors. Using a semi-structured questionnaire, a cross-sectional study was conducted with 3000 clients who availed IUCD services from Suraj provider 6, 12 and 24 month back,. Data were analyzed in SPSS 17.0; adjusted prevalence ratios were calculated to see associations between discontinuation and its risk factors.

CASE PRESENTATION

We found that 22.7% of the IUCD acceptors experienced some health problem; while the overall discontinuation rate was 18.9% with average time of usage of 7.4 (SD ± 5.8) months before discontinuation. Half of them showed health concerns (49.8%); of which a majority (70.2%) returned to Suraj provider for IUCD removal. Women living in Punjab, residing at a travelling time of 30-60 minutes and no previous use of contraceptive are more likely to discontinue IUCD. However, among total women 81.7% still expressed willingness to avail IUCD services from Suraj provider in future, if needed.

CONCLUSION

The findings suggest a need for training the providers and field workers to prevent early discontinuation of IUCD among the Suraj clients and by addressing the health concerns through proper counseling, continued follow-up and immediate medical aid/referral in case of complications.

Authors+Show Affiliations

Marie Stopes Society, 21-C, Commercial Area, Old Sunset Boulevard, Phase II, Defense Housing Authority, 75500 Karachi, Pakistan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22458444

Citation

Azmat, Syed Khurram, et al. "Rates of IUCD Discontinuation and Its Associated Factors Among the Clients of a Social Franchising Network in Pakistan." BMC Women's Health, vol. 12, 2012, p. 8.
Azmat SK, Shaikh BT, Hameed W, et al. Rates of IUCD discontinuation and its associated factors among the clients of a social franchising network in Pakistan. BMC Womens Health. 2012;12:8.
Azmat, S. K., Shaikh, B. T., Hameed, W., Bilgrami, M., Mustafa, G., Ali, M., ... Ahmed, A. (2012). Rates of IUCD discontinuation and its associated factors among the clients of a social franchising network in Pakistan. BMC Women's Health, 12, p. 8. doi:10.1186/1472-6874-12-8.
Azmat SK, et al. Rates of IUCD Discontinuation and Its Associated Factors Among the Clients of a Social Franchising Network in Pakistan. BMC Womens Health. 2012 Mar 29;12:8. PubMed PMID: 22458444.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rates of IUCD discontinuation and its associated factors among the clients of a social franchising network in Pakistan. AU - Azmat,Syed Khurram, AU - Shaikh,Babar Tasneem, AU - Hameed,Waqas, AU - Bilgrami,Mohsina, AU - Mustafa,Ghulam, AU - Ali,Muhammad, AU - Ishaque,Muhammad, AU - Hussain,Wajahat, AU - Ahmed,Aftab, Y1 - 2012/03/29/ PY - 2011/09/19/received PY - 2012/03/29/accepted PY - 2012/3/31/entrez PY - 2012/3/31/pubmed PY - 2012/8/7/medline SP - 8 EP - 8 JF - BMC women's health JO - BMC Womens Health VL - 12 N2 - BACKGROUND: Modern Intrauterine contraceptive device (IUCD) is very safe, highly effective reversible and inexpensive family planning method which offers 5-10 years of protection against pregnancy. The contraceptive use in Pakistan has been merely 30% for over a decade with IUCD being the least used method. Higher discontinuation rates are documented in developing countries; however no such data is available for Pakistan. Marie Stopes Society (MSS) established a social franchise outlets network branded as 'SURAJ' (Sun) in Pakistan to provide quality family planning services. This study attempts to determine IUCD discontinuation rates and its associated risk factors. Using a semi-structured questionnaire, a cross-sectional study was conducted with 3000 clients who availed IUCD services from Suraj provider 6, 12 and 24 month back,. Data were analyzed in SPSS 17.0; adjusted prevalence ratios were calculated to see associations between discontinuation and its risk factors. CASE PRESENTATION: We found that 22.7% of the IUCD acceptors experienced some health problem; while the overall discontinuation rate was 18.9% with average time of usage of 7.4 (SD ± 5.8) months before discontinuation. Half of them showed health concerns (49.8%); of which a majority (70.2%) returned to Suraj provider for IUCD removal. Women living in Punjab, residing at a travelling time of 30-60 minutes and no previous use of contraceptive are more likely to discontinue IUCD. However, among total women 81.7% still expressed willingness to avail IUCD services from Suraj provider in future, if needed. CONCLUSION: The findings suggest a need for training the providers and field workers to prevent early discontinuation of IUCD among the Suraj clients and by addressing the health concerns through proper counseling, continued follow-up and immediate medical aid/referral in case of complications. SN - 1472-6874 UR - https://www.unboundmedicine.com/medline/citation/22458444/Rates_of_IUCD_discontinuation_and_its_associated_factors_among_the_clients_of_a_social_franchising_network_in_Pakistan_ L2 - https://bmcwomenshealth.biomedcentral.com/articles/10.1186/1472-6874-12-8 DB - PRIME DP - Unbound Medicine ER -