Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study

Introduction: IUDs are safe, effective, and used worldwide to prevent unintended pregnancy. However, uptake in Haiti is low. There are limited data on IUD choice and experience in low resource settings; anecdotal reports from providers in Haiti have suggested that Haitian women are unlikely to choos...

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Autores principales:	Marie Boller, Meredith Jean-Baptiste, Christophe Millien, Theophile Renise, Marisa Nádas
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2018
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/878e2b3aff4943759a086935d82ccfb6
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spelling	oai:doaj.org-article:878e2b3aff4943759a086935d82ccfb62021-12-02T03:41:20ZPerceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study2214-999610.29024/aogh.2375https://doaj.org/article/878e2b3aff4943759a086935d82ccfb62018-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2375https://doaj.org/toc/2214-9996Introduction: IUDs are safe, effective, and used worldwide to prevent unintended pregnancy. However, uptake in Haiti is low. There are limited data on IUD choice and experience in low resource settings; anecdotal reports from providers in Haiti have suggested that Haitian women are unlikely to choose to use or be satisfied with the IUD. The objective of this study is to explore the perceptions of a cohort of IUD users in Mirebalais, Haiti. Methods: In June and July 2015, an IRB-approved mixed methods study of women over age eighteen with hormonal or copper IUDs inserted at Hôpital Universitaire de Mirebalais (HUM) was performed in Mirebalais, Haiti. Results: Twenty-one eligible women participated, out of 58 women identified as eligible. Most women (81%) reported using the copper IUD; most (86%) had used the IUD for 6 months or more. Over half were under 30 years old (62%) and most had completed primary school or less (76%). Almost all (91%) reported prior pregnancies; 65% did not desire more children. The majority of participants were satisfied with the IUD, with 70% being very satisfied and 25% somewhat satisfied. Most women (71%) reported no very bothersome side effects, and would recommend the IUD to others (86%). Qualitative data highlighted positive perceptions of the IUD among users, as well as misperceptions and lack of knowledge regarding the IUD among members of their communities. Conclusion/Implications: Understanding of culture-specific perceptions is critical in addressing barriers to IUD uptake. Our findings indicate that IUDs can be an acceptable contraceptive method for women in Haiti, and suggest the possibility that increased access to the IUD may lead to increased acceptance of this method.Marie BollerMeredith Jean-BaptisteChristophe MillienTheophile ReniseMarisa NádasUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 84, Iss 4, Pp 663-669 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Marie Boller Meredith Jean-Baptiste Christophe Millien Theophile Renise Marisa Nádas Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study
description	Introduction: IUDs are safe, effective, and used worldwide to prevent unintended pregnancy. However, uptake in Haiti is low. There are limited data on IUD choice and experience in low resource settings; anecdotal reports from providers in Haiti have suggested that Haitian women are unlikely to choose to use or be satisfied with the IUD. The objective of this study is to explore the perceptions of a cohort of IUD users in Mirebalais, Haiti. Methods: In June and July 2015, an IRB-approved mixed methods study of women over age eighteen with hormonal or copper IUDs inserted at Hôpital Universitaire de Mirebalais (HUM) was performed in Mirebalais, Haiti. Results: Twenty-one eligible women participated, out of 58 women identified as eligible. Most women (81%) reported using the copper IUD; most (86%) had used the IUD for 6 months or more. Over half were under 30 years old (62%) and most had completed primary school or less (76%). Almost all (91%) reported prior pregnancies; 65% did not desire more children. The majority of participants were satisfied with the IUD, with 70% being very satisfied and 25% somewhat satisfied. Most women (71%) reported no very bothersome side effects, and would recommend the IUD to others (86%). Qualitative data highlighted positive perceptions of the IUD among users, as well as misperceptions and lack of knowledge regarding the IUD among members of their communities. Conclusion/Implications: Understanding of culture-specific perceptions is critical in addressing barriers to IUD uptake. Our findings indicate that IUDs can be an acceptable contraceptive method for women in Haiti, and suggest the possibility that increased access to the IUD may lead to increased acceptance of this method.
format	article
author	Marie Boller Meredith Jean-Baptiste Christophe Millien Theophile Renise Marisa Nádas
author_facet	Marie Boller Meredith Jean-Baptiste Christophe Millien Theophile Renise Marisa Nádas
author_sort	Marie Boller
title	Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study
title_short	Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study
title_full	Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study
title_fullStr	Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study
title_full_unstemmed	Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study
title_sort	perceptions of intra-uterine device users in mirebalais, haiti: a mixed methods study
publisher	Ubiquity Press
publishDate	2018
url	https://doaj.org/article/878e2b3aff4943759a086935d82ccfb6
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Perceptions of Intra-Uterine Device Users in Mirebalais, Haiti: A Mixed Methods Study

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