TIPS FOR SUCCESS FOR IUCD UPTAKE– UGANDA SITE CLEMENSIA NAKABIITO,MBCHB,MED MU-JHU CARE LTD KAMPALA SITE UGANDA
TIPS FOR SUCCESS
This is at three levels: Community Baseline Follow up
Community/Screening
It all starts from community Rapid assessment of the community
perspectives Dispelling the fears depending on the
needs Overview of what is offered at site
and why
At Baseline extensive/comprehensive Family
Planning counseling skills counsel on all the available methods
even if participant comes when she is already on a method
- consideration weight ,previous/current medical history and experience on previously used methods to enable participant make the best choice
At Baseline Con’t Explain the participant the facts about
IUCD: -It has no hormones -You will be having your periods monthly. -You can conceive at any time you want
once the IUCD is removed.
At Baseline Con’t
We have support from (MoH), Mulago Referral Hospital and other NGO who provide us with the methods.
Sensitization from the media through radio and Television adverts,-bil boards(- Some participants come already aware of the methods as a result of the –”the smart choice”
Availability of supplies- enables the staff to provide the services on site and real time
The staff experience -The well trained and experienced staff
At Baseline Con’t
IUCD Satisfied participants act as their peers
Continued care/support is key .
At Follow up Ongoing sensitization/Extensive
counseling skills Some staff are Role Models using the
same MOH Adverts Unbiased Service provider
At Follow up Con’t Methods readily available on site with the
support from MOH through Mulago providers
S/E of other methods –Emphasis' on advantages of the IUCD over hormonal
On going training of service providers.
At Follow up Con’t Peer influence-participant share influence
in the lounge and describe or discuss the advantages of using the IUCD.
Through Adherence workshops-participants sharing experiences in using IUCD and those have not ever used IUCD have myths demythitified
At Follow up Con’t Support from experience-well trained staff Participants have not had complains from
other participants Those on Depo for along time are
switching to IUCD due to on going counseling
They come with knowledge i.e. adverts on radios and television so the country is also doing a lot of support
Summary
Information is key Continued counseling very important Good Participant Care is complementary All is Blessed by the good political will
from the President
Acknowledgements
The CAT team and all of you here MTN is funded by NIAID (5U01AI068633), NICHD and NIMH, all of the U.S. National Institutes of Health
Thanks