Postpartum intrauterine contraceptive device – What influences its use? A qualitative study from Bengaluru urban district, India
Introduction: The postpartum family planning program was introduced in 2009, and free services are being provided by the Government of India. However, the unmet need for family planning continues to be high in Karnataka (6.5%) with the unmet need for spacing at 3.8%. This may be due to a lack of und...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Indian Journal of Community and Family Medicine |
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| Online Access: | https://journals.lww.com/10.4103/ijcfm.ijcfm_104_23 |
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| author | Anissa Mary Thomas Thattil Naveen Ramesh Sobin Sunny Sagnik Chakraborty Sukesh Gerard Francis Joseph Scaria Archana Siddaiah |
| author_facet | Anissa Mary Thomas Thattil Naveen Ramesh Sobin Sunny Sagnik Chakraborty Sukesh Gerard Francis Joseph Scaria Archana Siddaiah |
| author_sort | Anissa Mary Thomas Thattil |
| collection | DOAJ |
| description | Introduction:
The postpartum family planning program was introduced in 2009, and free services are being provided by the Government of India. However, the unmet need for family planning continues to be high in Karnataka (6.5%) with the unmet need for spacing at 3.8%. This may be due to a lack of understanding of the cultural, religious, and socioenvironmental factors in determining the utilization of postpartum intrauterine contraceptive devices (PPIUCDs) services. This study therefore attempted to understand factors which influence the acceptance of PPIUCD from the user, provider, and community perspectives in rural Bengaluru.
Material and Methods:
A qualitative study was conducted in the Government Taluk Hospital, Anekal, Bengaluru Urban District, Karnataka, India. Two focus group discussions and six key informant interviews were conducted, and data analysis was done using a thematic framework approach. The primary themes identified in our study were “client dependent,” “healthcare dependent,” and “solutions to the identified barriers.”
Results:
Two novel domains that emerged from the data analysis were that of “fear of side effects” and “family dynamics.” The attitude toward and use of PPIUCD was found to be the result of an interplay between the following: educational status, religion, misconceptions, fear of side-effects, poor reproductive autonomy, male child preference, increased client involvement, increasing women empowerment, and knowledgeable healthcare providers.
Conclusion:
The determinants of PPIUCD acceptance function at individual, family, and community levels. These need to be tackled to address the unmet need for family planning and spacing. Accurate information must be provided while simultaneously addressing the fears and misconceptions of clients. |
| format | Article |
| id | doaj-art-22c8802229e949fbaf21dcf861958946 |
| institution | Kabale University |
| issn | 2395-2113 2666-3120 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Community and Family Medicine |
| spelling | doaj-art-22c8802229e949fbaf21dcf8619589462025-01-07T05:57:57ZengWolters Kluwer Medknow PublicationsIndian Journal of Community and Family Medicine2395-21132666-31202024-12-0110212312810.4103/ijcfm.ijcfm_104_23Postpartum intrauterine contraceptive device – What influences its use? A qualitative study from Bengaluru urban district, IndiaAnissa Mary Thomas ThattilNaveen RameshSobin SunnySagnik ChakrabortySukesh GerardFrancis Joseph ScariaArchana SiddaiahIntroduction: The postpartum family planning program was introduced in 2009, and free services are being provided by the Government of India. However, the unmet need for family planning continues to be high in Karnataka (6.5%) with the unmet need for spacing at 3.8%. This may be due to a lack of understanding of the cultural, religious, and socioenvironmental factors in determining the utilization of postpartum intrauterine contraceptive devices (PPIUCDs) services. This study therefore attempted to understand factors which influence the acceptance of PPIUCD from the user, provider, and community perspectives in rural Bengaluru. Material and Methods: A qualitative study was conducted in the Government Taluk Hospital, Anekal, Bengaluru Urban District, Karnataka, India. Two focus group discussions and six key informant interviews were conducted, and data analysis was done using a thematic framework approach. The primary themes identified in our study were “client dependent,” “healthcare dependent,” and “solutions to the identified barriers.” Results: Two novel domains that emerged from the data analysis were that of “fear of side effects” and “family dynamics.” The attitude toward and use of PPIUCD was found to be the result of an interplay between the following: educational status, religion, misconceptions, fear of side-effects, poor reproductive autonomy, male child preference, increased client involvement, increasing women empowerment, and knowledgeable healthcare providers. Conclusion: The determinants of PPIUCD acceptance function at individual, family, and community levels. These need to be tackled to address the unmet need for family planning and spacing. Accurate information must be provided while simultaneously addressing the fears and misconceptions of clients.https://journals.lww.com/10.4103/ijcfm.ijcfm_104_23contraceptionfertilityperceptionspostpartumpostpartum intrauterine contraceptive devicequalitative |
| spellingShingle | Anissa Mary Thomas Thattil Naveen Ramesh Sobin Sunny Sagnik Chakraborty Sukesh Gerard Francis Joseph Scaria Archana Siddaiah Postpartum intrauterine contraceptive device – What influences its use? A qualitative study from Bengaluru urban district, India Indian Journal of Community and Family Medicine contraception fertility perceptions postpartum postpartum intrauterine contraceptive device qualitative |
| title | Postpartum intrauterine contraceptive device – What influences its use? A qualitative study from Bengaluru urban district, India |
| title_full | Postpartum intrauterine contraceptive device – What influences its use? A qualitative study from Bengaluru urban district, India |
| title_fullStr | Postpartum intrauterine contraceptive device – What influences its use? A qualitative study from Bengaluru urban district, India |
| title_full_unstemmed | Postpartum intrauterine contraceptive device – What influences its use? A qualitative study from Bengaluru urban district, India |
| title_short | Postpartum intrauterine contraceptive device – What influences its use? A qualitative study from Bengaluru urban district, India |
| title_sort | postpartum intrauterine contraceptive device what influences its use a qualitative study from bengaluru urban district india |
| topic | contraception fertility perceptions postpartum postpartum intrauterine contraceptive device qualitative |
| url | https://journals.lww.com/10.4103/ijcfm.ijcfm_104_23 |
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