MSV’s researches

Dynamics of IUD use in Vietnam: implications for family planning services at primary health care level

Objective: To describe the dynamics of intrauterine device (IUD) use in Viet Nam and the implications for family planning (FP) services.

Methods
: A retrospective study was conducted among all women of reproductive age who received IUD services in 2006-2009 at six commune health stations in Thai Nguyen, Khanh Hoa and Vinh Long Provinces.  Women were interviewed about their IUD use and switching behaviours.  

Results:
Of the 1,316 study participants, 12.1% had discontinued IUD use at 12 months after insertion, 19.4% at 24 months and 26.9% at 36 months.  The highest rates of discontinuation were among women aged >40 years and farmers or manual workers.  Among 434 women who had an IUD removed, 49% cited health concerns as the main reason. Following removal, 70% switched to another contraceptive method (n=306).  Of these, 15% switched to withdrawal. 12% waited >2 months before adopting a new method. Dissatisfaction with IUD services was associated with high rates of discontinuation.

Conclusion:
High discontinuation rates, delays to adopting new methods, and switching to withdrawal may contribute to unintended pregnancy among commune health station (CHS) users in Viet Nam.  Women’s occupation and satisfaction with services were predictors of discontinuation, highlighting the importance of service quality for FP services at CHS level in Viet Nam.
 
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