Document Detail


Health care delivery practices in the rural part of the Yavatmal district regarding IUD insertion.
MedLine Citation:
PMID:  21372368     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A cross-sectional survey of Cu T users in a rural area of the Yavatmal district was carried out using stratified sampling, to identify interventions that can improve intrauterine device (IUD) service provision processes and their acceptance. The average age at Cu T insertion was 23.8 years. Cu T acceptance with one child was 55.5%. 80.8% of Cu Ts were inserted within 10 days of menstruation, while there were no post-partum Cu T insertions. 51.8% Cu Ts were inserted in PHC's. At the time of the survey, 48.2% users already have their Cu T removed. Only 22.7% couples utilized some alternate contraception after Cu T removal. Post-discontinuation contraceptive use was lower in a tribal area. 30% Cu T acceptors received less than two health checkups. 78.8% (58.1% in a tribal area and 84.9% in a non-tribal area) beneficiaries received information about Cu T from health workers. Only 6.6% Cu T acceptors received specific advice of checking the Cu T string. Utilization of private facility was more common among tribals. Reach of health service regarding Cu T need to be improved in tribal areas. Health service providers need to be more proactive, especially about utilization of the immediate post-partum period for Cu T insertion, clients counseling, and follow up of users.
Authors:
N N Ambadekar; K Z Rathod; Sanjay P Zodpey
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of public health     Volume:  54     ISSN:  0019-557X     ISO Abbreviation:  Indian J Public Health     Publication Date:    2010 Oct-Dec
Date Detail:
Created Date:  2011-03-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400673     Medline TA:  Indian J Public Health     Country:  India    
Other Details:
Languages:  eng     Pagination:  201-4     Citation Subset:  IM    
Affiliation:
Director, Public Health Education, Public Health Foundation of India, New Delhi, India.
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