Influence Of Health Care Providers On Clients Selection Of Intrauterine Devices As A Method Of Family Planning In Nairobi.

Abstract

Intra uterine device (IUD) is a reversible long-term method of contraception. Effectiveness is close t0100% since controlled studies find failure rates of 1-3%.lt is a safe method of family planning but it's not being utilized by many women. According to FHI, more than 70% of women using modern contraception use injectables or pills, therefore a lesser percentage use IUD and yet this being a safe & cost-effective method, could be of great help to many women in family planning. Providers of IUD services could be of influence in utilization of this method. It's important to assess the influence they could have in order to improve the services and use of this method. The specific objectives of this study include; -finding out if providers give adequate and clear information on IUD use to clients -to determine how attitude & experience of IUD use among providers influence its utilization -to determine provider needs that can be met for them to have a positive influence on IUD use The independent variables include; knowledge of IUD use by provider, contraceptive preference of provider, concern of provider regarding population growth. Dependent variables; number of acceptors, IUCD insertions in the clinics. Controlled variables; client religion! cultural issues, spouse's influence The study population includes the providers working in FP clinics and women seeking family planning services in these clinics. Questionnaires will be administered to the volunteers in these clinics. Data will also be collected by observation whereby researcher granted permission will sit in FP sessions without interruption and take observation notes. Questionnaires will be checked for completeness and information appropriateness at the point of collection. Data will be coded and entered into SPSS version 'fffor analysis.