Barriers to Intrauterine Device Uptake in a Rural Setting in Ghana
Robinson, N.; Moshabela, M.; Owusu-Ansah, L.; Kapungu, C.; Geller, S.
Health Care for Women International 37(2): 197-215
2016
ISSN/ISBN: 0739-9332 PMID: 25153448 DOI: 10.1080/07399332.2014.946511Document Number: 650790
Long-acting reversible contraception is an underutilized method in low-resource areas. Our study aims to: (a) assess knowledge and attitudes around contraception; (b) identify barriers to intrauterine device (IUD) uptake; and (c) develop interventions to address this gap in contraceptive care. We conducted focus group discussions with pregnant, postpartum, and reproductive-aged women, males, and health care workers in rural Ghana. Lack of IUD-specific knowledge, provider discomfort with insertion, and incomplete contraceptive counseling contribute to lack of IUD use. Participant- and provider-related barriers contribute to poor uptake of IUDs within the community. Targeted interventions are necessary to improve IUD use.