What happened to the IUD in Ghana?

What happened to the IUD in Ghana?
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加纳的宫内节育器发生了什么?

DOI:
10.2307/3583464
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发表时间:
2005
影响因子:
1
通讯作者:
J. Gyapong
J. Gyapong
中科院分区:
医学4区
文献类型:
--
作者:
I. Osei;H. Birungi;G. Addico;I. Askew;J. Gyapong

文献摘要

被引文献

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宫内避孕器 (IUD) 是一种安全且可逆的避孕方法,使用者只需付出很少的努力。一旦插入,它可以提供 10 年的防怀孕保护。然而,与其他避孕方法相比,其在加纳的使用停滞不前。因此,进行了一项探索性研究,以检查影响宫内节育器需求的客户、提供者和系统特征。通过二次分析、深度访谈、焦点小组讨论和模拟客户调查收集数据。对宫内节育器的需求停滞不前是由于客户对宫内节育器的看法和谣言。对过度失血和体重减轻的恐惧让潜在使用者望而却步。产品设计也被认为是不可接受的。对宫内节育器的需求创造很差,并且具有放置实际经验的提供者数量不足。与供应商的偏见导致使用量下降的观点相反,研究结果表明供应商对该产品持积极态度。
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.