IUD-Related knowledge and practice among women in Afghanistan: A cross-sectional survey study
DOI:
https://doi.org/10.56101/rimj.v3i1.100Keywords:
Intra-uterine device, Contraception, Knowledge, Practice, Women, AfghanistanAbstract
Background: Intrauterine Devices (IUDs) are T-shaped devices that can be inserted into the uterus to provide contraception. IUDs are a form of long-term contraception that are effective birth control methods with few adverse effects. The purpose of this study is to reveal the current baseline for the knowledge and practice of Afghan women toward intrauterine devices and identify the related sociodemographic factors.
Methods: This cross-sectional survey was conducted from October 2022 to December 2022 among married women aged at least 18 years old living in Herat province of Afghanistan. A total of 1000 females in Herat were asked, and 411 agreed to participate in this study (response rate=41.1%).
Results: Only one-fourth of the participants responded that health care workers are their primary source of information on health issues (25.3%). More than nine-tenths of the participants had poor knowledge level of IUD (91.5%) while only one-twentieth of participants were using IUD (5.8%). Number of children, education level, occupation, and economic status were found to be significantly associated with participants’ knowledge on IUD.
Conclusion: Government and health organizations should provide trainings focused on increase of knowledge on IUD and its related issues. The programs should also persuade women to use IUD and its safety. Training should be targeted not only to women, but to family practice physicians, nurse and midwifery practitioners and other providers who offer family planning counseling and services.
References
Intrauterine devices (IUD) - world health organization [Internet]. [cited 2023Feb17]. Available from: https://cdn.who.int/media/docs/default-source/universal-health-coverage-compendium-documents/who_dashboard_nov_2020_04122020-3-_12-iud.pdf?sfvrsn=e184780b_13
Bansode OM, Sarao MS, Cooper DB. Contraception. StatPearls Publishing; 2022 [cited 2023Feb17]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK536949/
Lanzola EL, Ketvertis K. Intrauterine Device. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 [cited 2023 Feb 17]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK557403/
Danna K, Jaworski G, Rahaivondrafahitra B, Rasoanirina F, Nwala A, Nqumayo M, et al. Introducing the hormonal Intrauterine Device in Madagascar, Nigeria, and Zambia: results from a pilot study. Reprod Health. 2022 Jan 6;19:4.
Mittal S. Emergency contraception: which is the best? Minerva Ginecol [Internet]. 2016 [cited 2023 Feb 17];68(6):687–99. Available from: https://pubmed.ncbi.nlm.nih.gov/27082029/
Family Planning - A Global Handbook for Providers [Internet]. World Health Organization. World Health Organization; [cited 2023Feb17]. Available from: https://www.who.int/publications-detail-redirect/9780999203705
Matos JE, Balkaran BL, Rooney J, Crespi S. Preference for Contraceptive Implant Among Women 18-44 years old. Womens Health Rep (New Rochelle) [Internet]. 2021 [cited 2023 Feb 17];2(1):622–32. Available from: https://pubmed.ncbi.nlm.nih.gov/35141710/
Central Statistics Organization Ansari Watt, Kabul, Afghanistan , Ministry of Public Health Wazir Akbar Khan, Kabul, Afghanistan , & The DHS Program ICF Rockville, Maryland, USA. 2017 Jan. Afghanistan Demographic and Health Survey 2015. [cited 2023 Feb 17] available from https://www.rhsupplies.org/uploads/tx_rhscpublications/Afghanistan_-_2017.pdf
Siddiqui M, Fatima K, Ali SN, Fatima M, Naveed W, Siddiqui F, et al. Prevalence and Predictors of Contraception Usage in Karachi, Pakistan. Cureus. 12(10):e11265.
Sharma A, McCabe E, Jani S, Gonzalez A, Demissie S, Lee A. Knowledge and attitudes towards contraceptives among adolescents and young adults. Contracept Reprod Med. 2021 Jan 5;6:2.
Mishra N, Panda M, Pyne S, Srinivas N, Pati S, Pati S. Barriers and enablers to adoption of intrauterine device as a contraceptive method: A multi-stakeholder perspective. J Family Med Prim Care. 2017;6(3):616–21.
Borges ALV, Araújo KS, Santos OA dos, Gonçalves RFS, Fujimori E, Divino E do A. Knowledge about the intrauterine device and interest in using it among women users of primary care services. Rev Latino-Am Enfermagem [Internet]. 2020 Feb 14 [cited 2023 Feb 17];28. Available from: http://www.scielo.br/j/rlae/a/MBdtsctXQTtVZhMX6rmyQzB/?lang=en
Dereje N, Engida B, Holland RP. Factors associated with intrauterine contraceptive device use among women of reproductive age group in Addis Ababa, Ethiopia: A case control study. PLoS One [Internet]. 2020 [cited 2023 Feb 17];15(2):e0229071. Available from: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0229071
UNESCO stands with all Afghans to ensure youth and adults in Afghanistan, especially women and girls, achieve literacy and numeracy by 2030 [Internet]. UNESCO. UNESCO; [cited 2023Apr22]. Available from: https://www.unesco.org/en/articles/unesco-stands-all-afghans-ensure-youth-and-adults-afghanistan-especially-women-and-girls-achieve
Anderson N, Steinauer J, Valente T, Koblentz J, Dehlendorf C. Women's social communication about IUDs: a qualitative analysis. Perspectives on sexual and reproductive health. 2014 Sep;46(3):141-8.
Alsharif SS, Saeed RI, Alskhairi RF, Almuwallad SA, Mandili FA, Shatla M, Alskhairi R, Almuwallad S, Mandili F, Shatla Sr M. Knowledge, Attitude, and Practice of Contraception Use Among Childbearing Women in Makkah Region, Saudi Arabia. Cureus. 2023 Feb 10;15(2).
Jatlaoui TC, Riley HE, Curtis KM. The safety of intrauterine devices among young women: a systematic review. Contraception. 2017 Jan 1;95(1):17-39.
Madden T, Allsworth JE, Hladky KJ, Secura GM, Peipert JF. Intrauterine contraception in Saint Louis: a survey of obstetrician and gynecologists' knowledge and attitudes. Contraception. 2010 Feb 1;81(2):112-6.
Whitaker AK, Johnson LM, Harwood B, Chiappetta L, Creinin MD, Gold MA. Adolescent and young adult women's knowledge of and attitudes toward the intrauterine device. Contraception. 2008 Sep 1;78(3):211-7.
Gosavi A, Ma Y, Wong H, Singh K. Knowledge and factors determining choice of contraception among Singaporean women. Singapore medical journal. 2016 Nov;57(11):610.
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Parwin Ahmadi, Mahsa Ahmadi, Shashank Timilsina
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.