Discussion
This study of PPIUCD use in India showed that most
women were satisfied with their choice of immediate insertion
of an IUCD and that the rates of problems and complications
were relatively low. Most of the women made
the decision to use a PPIUCD as a method of contraception
during the antenatal period or before delivery, signifying
the importance of counseling in the antenatal period
and before delivery. While about 54% of the women used
the method for spacing their pregnancy, the remaining
women accepted this method even though they did notwant any more children. The large proportion of women
accepting the method to limit future childbearing indicates
the important place PPIUCDs hold, as a long-acting reversible
method, within the basket of PPFP methods.
A majority of women (87.6%) reported the acceptance
of PPIUCD as a contraceptive method due in part to the
fact that it is a long acting method. Additionally, 22% of
women accepting a PPIUCD cited the free-of-charge
services as one reason for choosing the method. Some
women, about 12.7%, also stated that they were at least
partially influenced by the infrequent follow-up trips to
he facility when choosing the PPIUCD, while 20.5%
considered the non-hormonal nature of the method
when choosing. Of importance, only half of women had
heard of the IUCD before they were counseled at the
facility and only 7% had ever used one. This implies
that a vast majority of clients accepting PPIUCD
services are first time users of IUCDs, underscoring
how offering services like PPIUCDs shifts the PPFP
method mix through access to long-acting reversible
methods