Potential for Revitalisation of the Diaphragm for Family Planning in Uganda: A Rapid Assessment of the Feasibility of Introducing the SILCS Diaphragm

Imelda T. Kyamwanga, Eleanor Turyakira, Maggie Kilbourne-Brook, Patricia S. Coffey


This health systems assessment evaluated the feasibility of introducing a new contraceptive device, the SILCS single-size diaphragm, into the existing family planning method mix in Uganda. A total of 26 focus group discussions with 201 female and 77 male potential users and 98 key informant interviews with policymakers and providers were conducted between June and August 2010. Potential users, providers, and policymakers recognised that the SILCS Diaphragm could fill a gap in the method mix and expressed eagerness to make the SILCS Diaphragm available, particularly because it is nonhormonal and woman initiated. The diaphragm was viewed by all stakeholders as a method that would increase choice and could improve women’s reproductive health in Uganda. Like many countries, Uganda’s family planning programme is financially stretched, and clear support for the SILCS Diaphragm by end-users will need to be demonstrated before the product will be considered for publicsector introduction. Afr J Reprod Health 2014; 18[2]: 77-86).


Keywords: Diaphragm, family planning, Uganda, SILCS, introduction




Cette étude des systèmes de santé a évalué la faisabilité de l'introduction d'un nouveau dispositif contraceptif,  le diaphragme

SILCS à taille unique, dans la planification familiale qui existent  en Ouganda. Un total de 26 groupes de discussion y compris 201 femmes et 77 usagers potentiels masculins et 98 entrevues avec des informateurs clés avec les décideurs et les fournisseurs ont été menés entre juin et août 2010. Les usagers  potentiels, les fournisseurs et les responsables politiques ont reconnu que le diaphragme SILCS pourrait combler une lacune dans le mélange de méthodes et d'empressement manifesté pour rendre disponible la  diaphragme SILCS, en particulier parce qu'il est non hormonale et initié par les femmes. Le diaphragme a été considéré par toutes les parties prenantes comme une méthode qui permettrait d'accroître le choix et pourrait améliorer la santé génésique des femmes en Ouganda. Comme de nombreux pays, le programme de planification familiale de l'Ouganda est financièrement contraint et les usagers du diaphragme  SILCS  être démontrée avant que le produit sera considéré pour l'introduction dans le secteur public. Afr J Reprod Health 2014; 18[2]: 77-86).


Mots-clés: diaphragme,  planification familiale, Ouganda, SILCS, introduction

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