Perceptions of IUD Users in Mirebalais, Haiti [2N]

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Abstract

INTRODUCTION:

IUDs are safe, effective, and used worldwide to prevent unintended pregnancies. However, uptake in Haiti is low, and anecdotal reports from providers in Haiti indicate that Haitian women are unlikely to choose to use or be satisfied with the IUD. In 2013, Hopital Universitaire de Mirebalais (HUM) organized an IUD staff training and subsequently began offering IUDs. The objective of this study is to explore the perceptions of a cohort of IUD users in Mirebalais, Haiti.

METHODS:

In July 2015, a cross-sectional study was performed in Mirebalais, Haiti with individual interviews. Women over 18 who had received a copper or hormonal IUD at HUM were eligible to participate.

RESULTS:

Fifty-nine women were eligible and 22 women participated. The copper IUD was used by 82% of participants; 86% had used the IUD for 6 months or more. 59% were under 30 years old, and 77% had not completed secondary school. Almost all (91%) reported prior pregnancies; 67% did not desire more children. The majority of participants were satisfied with the IUD, with 70% being very satisfied and 25% somewhat satisfied. The three most commonly cited reasons for choosing the IUD were its long duration of action (55%), preference over other forms of family planning (46%), and provider recommendation (27%). Most women (73%) reported no very bothersome side effects and would recommend the IUD to others (86%).

CONCLUSION:

Our results indicate that IUDs can be compatible with Haitian culture. This will inform future family planning programming, broadening long-acting reversible contraceptive options in Haiti.

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