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Research

Multiple Strategies Needed to Increase the Use of the Intrauterine Device

USAID-supported research from Family Health International and the Kenya Ministry of Health highlights the importance of targeting the factors associated with supply and demand when attempting to increase the use of contraceptives.

In the study, scientists determined how an intervention to promote the intrauterine device (IUD) among clinic-based providers and community-based distribution (CBD) agents would affect uptake of the IUD. The CBD agents were included, in part, in an attempt to increase the demand for the IUD within the communities they served.

Forty-five public-health facilities from five districts in Kenya were included in the study. In each district, one district nurse or deputy was trained as a "detailer" to educate and motivate the providers and the CBD agents about the IUD. The scientists found that promoting the IUD among both providers and CBD agents modestly increased uptake when compared with no promotion. Promoting the IUD among only providers or only CBD agents did not have the same effect.

The intervention was considered too expensive for the small outcome it achieved and is therefore not recommended for replication.

Read more about the study, published in the Journal of Biosocial Science.

Source
Wesson J, Olawo A, Bukusi V, et al. Reaching providers is not enough to increase IUD use: a factorial experiment of 'academic detailing' in Kenya. J Biosoc Sci 2007;April 20:1-14.