Exploring Knowledge, Attitudes and Practices Regarding the Intrauterine Contraceptive Device (IUD) among Family Planning Acceptors in Windhoek, Khomas Region, Namibia

Frieda Ndeshipanda FN Taapopi, Lucille Bertha LB Van der Westhuizen

Abstract

The intrauterine contraceptive device (IUD) is one of the contraceptive methods that are under-utilized in many African countries, including Namibia. The aim of this study was to explore and describe knowledge, attitudes and practices regarding the IUD among family planning (FP) acceptors in Khomas Region, Namibia. A non-experimental, quantitative, exploratory, descriptive study was conducted at nine health facilities in Windhoek. A probability sampling technique was applied to select the sample which was calculated using the Epi Info version 7, Statcalc. A total of 582 FP acceptors were interviewed, using a structured questionnaire. Descriptive statistical analyses were done and results presented in percentages, proportions and displayed in tables, graphs. Overall, about half of FP acceptors were not aware of the IUD, while almost all knew the injectables and oral contraceptive pills. FP acceptors lacked adequate specific knowledge content of the IUD. This study did not only establish limited awareness of the IUD among FP acceptors but also inadequate knowledge on IUD characteristics, benefits, common-side effects, which woman can use an IUD and associated myths. Therefore, this study recommends to Ministry of Health and Social Services and its partners to sensitize and educate family planning users on the IUD in order to increase demand and utilization. (Afr J Reprod Health 2019; 23[4]: 75-80).

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References

United Nations (UN), Department of Economic and Social Affairs, Population Division. World contraceptive patterns. 2013. http://www.un.org/en/development/desa/population

/publications/family/contraceptive-wallchart- 2013.shtml.

Buhling KJ, Zite NB, Lotke P and Black K, for the INTRA Writing Group. World use of intrauterine

contraception: A review. Contraception 2017; 95:519-528.

[https://doi.org/10.1016/j.contracetion.2013.11.011 ]

The DHS Program Demographic and Health Surveys. DHS Program STATcompiler

https://www.statcompiler.com/en/

Ministry of Health and Social Services (MoHSS), ICF International. Namibia demographic and health

survey 2013. Windhoek: MoHSS, 2014; 1-530.

Briggs P, Kovacs G and Guillebaud J, eds. Contraception. A casebook from menarche to

menopause. New York: Cambridge University Press, 2013:1-249. [https://doi.org/10.1017/CB09781107323469] [ISBN: 11073234609781107323469]

McVeigh E, Guillebaud J and Momburg R. Oxford handbook of reproductive medicine and family

planning. Oxford University Press, 2013. http://public.eblib.com/choice/publicfullrecord.aspx

?p=1630600.

Madden T, Cortez S, Kuzemchak M, Kaphingst KA and Politi MC. Accuracy of information about the

intrauterine device on the internet. AM J Obstet Gynecol 2016; 214(4):499.e1-499.e6. [doi:101016/j.ajog.2015.10.928] [PMCID: PMC4808607]

Ministry of Health and Social Services (MoHSS). National guidelines on family planning. Windhoek:

MoHSS, 2012;1-137.

Eko JE, Osonwa KO, Osuchukwu NC and Offiong DA. Prevalence of contraceptive use among women of

the reproductive age in Calabar, Metropolis, southern Nigeria. Int J Humanities Social Sci

Invention 2013; 2(6):27-34. http://www.academia.edu/3998107/International_Journal_of_Humanities_and_Social_Science_Invent ion_IJHSSI.

Mayi-Tsonga S, Obiang PA, Minkobame U, Ngouafo D, Ambounda N and De Souza MH. Introduction of

postabortion contraception, prioritizing long-acting reversible contraceptives in the principal maternity

hospital of Gabon. Int J Gynecol Obstet 2014; 126:s45-s48. [https://doi.10.1016/j.ijgo.2014.03.012] [PMID:

Mbuthia FW. Intrauterine device uptake among women seeking family planning services at Mbagathi and

Mama Lucy Kibaki hospitals in Nairobi County, Kenya. 2015; http://irlibrary.ku.ac.ke/handle/123456789/13346

Jogiya PD, Lodhiya K and Chavada P. Assessment of awareness and beliefs regarding intrauterine device

amongst its former users attending tertiary care centre in Gujarat. Int J Med Res Health Sci 2015;

(2):332-338 [https://doi.10.5958/2319- 5886.2015.00062.4] [ISSN: 2319-5886]

Gedeon J, Hsue SN, Walsh M, Sietstra C, MarSan H and Foster AM. Assessing the experiences of intrauterine device users in a long-term conflict setting: a qualitative study on the Thailand-Burma border. Confl Health 2015; 9(1):6. [https://dx.doi.org/10.1186/s13031-015-0034-9] [PMCID: PMC4330595]

Chhabra HK, Mohanty IR, Mohanty NC, Thamke P and Deshmukh YA. Impact of structured counselling on

choice of contraceptive method among postpartum women. J Obstet Gynaecol India 2016; 66(6):471-

[doi:10.1007/s13224-015-0721-x] [PMCID: PMC5080220]

Mohammed A, Woldeyohannes D, Feleke A and Megabiaw B. Determinants of modern contraceptive utilization among married women of reproductive age group in North Shoa Zone, Amhara region, Ethiopia. Reproductive health 2014; 11(13): [https://dx.doi.org/10.1186/1742- 4755-11-13] [ISSN: 1742-4755]

Rosen HE, Lynam PF, Carr C, Reis V, Ricca J, Bazant ES and Bartlett LA. Direct observation of respectful maternity care in five countries: a crosssectional study of health facilities in East and Southern Africa. BMC Pregnancy and Childbirth 2015; 15(1):306. [https://doi.10.1186/s12884-015-

-4] [ISSN: 1471-2393]

Warren CE, Abuya T, Kanya L, Obare F, Njuki R, Temmerman M and Bellows B. A cross sectional

comparison of postnatal care quality in facilities participating in a maternal health voucher program

versus non-voucher facilities in Kenya. BMC Pregnancy and Childbirth 2015; 15(1):153.

[http://dx.doi.org/10.1186/s12884-015-0588-y] [ISSN: 1471-2393].

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