245793 Identifying and prioritizing determinants of Intra-uterine contraceptive device (IUCD) use in India

Tuesday, November 1, 2011: 10:30 AM

Kali Prosad Roy , Research & Metrics Department, Population Services International, New Delhi, India
Deepa Navin, PhD , Research & Metrics Department, Population Services International, New Delhi, India
Preena Loomba, MPH , Research & Metrics Department, Population Services International, New Delhi, India
Sanjeev Dham , Department Programs, Population Services International, New Delhi, India
Vivek Sharma, PhD , Research Department, Abt Associates India, New Delhi, India
Background

Contraceptive prevalence in India is mediocre, with only 56% of married women practicing any form of birth control. Barriers such as lack of knowledge and provider bias have been shown to be impediments in improving use. Since 2008, PSI-India has conducted an integrated behavior change program to improve the use of IUCDs.

Objectives

To determine contraceptive prevalence in study areas, identify determinants of use of IUCDs and to prioritize determinants for communication campaign.

Methods

6000 randomly selected women aged 20-34 residing in urban areas of 10 districts in Rajasthan, Delhi and Uttar Pradesh were interviewed. Determinants related to behaviour were classified according to opportunity, ability and motivation framework. Behavioral determinants were measured using multi-item scales. Step-wise multivariate logistic regression was used to identify the predictors of IUCD use.

Results

Overall current use of IUD was 3%. To identify the most likely segment, women with unmet need were further divided into those with intention to use any method in the future. On analysis, knowledge, beliefs, and perceived attributes were significantly associated with use. Of these, programme prioritized knowledge indicators based on Odds Ratio and SWOT analysis:

X IUD is as effective as sterilization (OR = 2.31), and X Side-effects subside within 3-4 months (OR = 2.63)

Programme Implications

Based on the results, the communication team used IUD as effective as sterilization as the key message for the behaviour change campaign that had a significant impact on women.

Learning Areas:
Communication and informatics
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research
Social and behavioral sciences

Learning Objectives:
- Identify the determinants of use of IUD. - Describe the relationship between the predictors and use of IUD among married in low socio-economic settings. - Articulate the process of identifying and prioritizing the determinants for use of IUD for evidence-based communication designing.

Keywords: Behavioral Research, International Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a member of the research team, I am representing the team on behalf of the authors. I currently oversee research studies, starting from design to data dissemination stage, helping program managers use research findings effectively.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.