Program assessment of the introduction of multiload | 合法醫療器材資訊網

Thecopper-bearingIUDs—theCopperT380A(CuT380A)andMultiload375(ML375)—areapprovedfortenyearsandfiveyearsofuserespectively;thehormonal ...

Background: The Government of India is attempting to revive the IUD which is underutilized in India by introducing the Multiload-375 (ML-375) IUD. This study aimed to identify operational issues associated with the introduction of the ML 375 in public health facilities.

Study Design: The study was conducted across six states in India in a District Hospital and a Primary Health Centre.  Intervention activities included development of communication materials, a record-keeping system, and trainings on ML 375.  In-depth interviews were conducted later with service providers (n=66).

Results: Minimal training was needed to introduce the ML 375 because providers had previous experience with the CuT380A. About 62% providers preferred the insertion technique of the ML 375 compared to the CuT380A.  Myths and misconceptions among clients and providers and weak IUD counseling were ba...