Factors associated with utilization of intrauterine contraceptive devices (IUCD) among women of child bearing age seeking family planning services at Mangochi district hospital, Version 1.0
Loading...
Date
2022-05-19
Journal Title
Journal ISSN
Volume Title
Publisher
Kamuzu University of Health Sciences
Abstract
Type of study
This will be a descriptive cross-sectional study utilizing a mixed method approach.
The problem to be studied.
Intrauterine contraceptive method involves the use of copper-bearing intrauterine device (IUCD)
which is a small, flexible plastic frame with copper sleeves or wire around it. It is a highly effective,
reversible and long acting contraceptive method which offers long term pregnancy protection. A
specially trained health care provider inserts it into a woman’s uterus through the cervix.(1) If
inserted properly, this method proves to be very effective with pregnancy occurring once in every
100 women using an IUCD the first year, 6 per 1000 women who use IUCD perfectly and 8 per 1000
women as commonly used. This entails that 992 to 994 of every 1000 women using IUCD may not
become pregnant. It is the best long term family planning method because it is non-hormonal, has
less side effects and can easily be reversed (2).
An IUCD helps to prevent unplanned pregnancy, endometrial and cervical cancers and also reduces
risk of ectopic pregnancy. Once inserted, it does not attract extra cost or frequent visits to the hospital
and to keep it effective. Despite the stated benefits, only 1% of women in Malawi are utilizing it (3).
Furthermore, Mangochi District Hospital registered 0.48% usage of IUCD from October to
December 2021 hence the quest to find out factors associated with the utilization.(4) Objectives.
The study aims to assess utilization of Intra Uterine Contraceptive Devices among women of child
bearing age at Mangochi district hospital. Specifically the study seeks to; identify the competences
of health care workers (HCW) in providing IUCDs, Assess the knowledge of the women on IUCD
and to determine women’s perceptions towards use of the IUCD
Methodology
This is a descriptive cross-sectional study utilizing mixed methods approach. A sample of 171
participants will be recruited in this study using non probability sampling method.
Quantitative data will be collected using a structured questionnaire which will be administered by
the researchers while qualitative data will be collected using in-depth and focus group discussions
guides. The data will be analyzed using SPSS 23 and Nvivo for the quantitative and qualitative
components respectively.
Expected findings
The outcome variables shall be knowledge of women on intrauterine contraceptive devices (IUCD)
and their perceptions towards the use of IUCD with independent variables that shall be:
Competencies of health care workers in providing IUCDs. Other independent variables shall
include age, parity, educational level, religious affiliation and source of information.
Dissemination
The findings of the study will be disseminated to Kamuzu University of Health Sciences (KUHES)
Research and Ethics Committee, KUHES library, and Mangochi District council. Finally, a
manuscript will also be submitted to peer reviewed journals for publication.
Description
Type of study
This will be a descriptive cross-sectional study utilizing a mixed method approach.