Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica
Abstract Introduction Intrauterine devices are the most effective long-acting reversible contraceptives, but in many developing countries, such as Jamaica, these devices remain underutilized. Methods A cross-sectional informative intervention was conducted among women ≥ 18 years of age attending pos...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2021-01-01
|
| Series: | Reproductive Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12978-021-01075-1 |
| _version_ | 1818720122161856512 |
|---|---|
| author | Sarah G. Franklin Maya O’Neal Ambreanna Arneus Calvin Colvin Maung Aung Pauline E. Jolly |
| author_facet | Sarah G. Franklin Maya O’Neal Ambreanna Arneus Calvin Colvin Maung Aung Pauline E. Jolly |
| author_sort | Sarah G. Franklin |
| collection | DOAJ |
| description | Abstract Introduction Intrauterine devices are the most effective long-acting reversible contraceptives, but in many developing countries, such as Jamaica, these devices remain underutilized. Methods A cross-sectional informative intervention was conducted among women ≥ 18 years of age attending postnatal clinics in western Jamaica from May to August 2018. Data were collected using an investigator-administered questionnaire/pre-test followed by a 12-slide PowerPoint® presentation and a post-test. Results Most of the 299 women who participated were 18–29 years of age, with a mean age of 27.1 (SD ± 6.1) years. Most had their first pregnancy between ages 18 and 24 years, with mean age at first pregnancy of 20.2 (SD ± 4.0) years. Only 3.0% of participants reported current use of an intrauterine device; 3.5% reported using an intrauterine device in the past. For nearly every measure of knowledge of intrauterine devices, there was a significant change in the proportion of participants who got the correct answer from the pre-test to the post-test. The mean summed pre-test knowledge score was 9.54 (SD ± 3.46) and the post-test score was 15.23 (SD ± 1.92); the possible total score is 18. The difference between the mean scores (5.69 points) was also significant. Conclusion The intervention resulted in significant change in knowledge of intrauterine devices among the women and cleared up many misconceptions that may have contributed to reluctance of women to use intrauterine devices. Women of reproductive age in Jamaica should be counseled on contraceptive methods including intrauterine devices so that these devices can be considered in their contraceptive choices. |
| first_indexed | 2024-12-17T20:17:49Z |
| format | Article |
| id | doaj.art-6766333549aa4363b83080d4b8f55aa3 |
| institution | Directory Open Access Journal |
| issn | 1742-4755 |
| language | English |
| last_indexed | 2024-12-17T20:17:49Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Reproductive Health |
| spelling | doaj.art-6766333549aa4363b83080d4b8f55aa32022-12-21T21:34:01ZengBMCReproductive Health1742-47552021-01-011811610.1186/s12978-021-01075-1Effectiveness of an intrauterine device informative intervention among post-natal women in Western JamaicaSarah G. Franklin0Maya O’Neal1Ambreanna Arneus2Calvin Colvin3Maung Aung4Pauline E. Jolly5Department of Epidemiology, School of Public Health, University of Alabama at BirminghamDepartment of Epidemiology, School of Public Health, University of Alabama at BirminghamDepartment of Epidemiology, School of Public Health, University of Alabama at BirminghamDepartment of Epidemiology, School of Public Health, University of Alabama at BirminghamEpidemiology and Research Unit, Western Region Health Authority, Ministry of Health and WellnessDepartment of Epidemiology, School of Public Health, University of Alabama at BirminghamAbstract Introduction Intrauterine devices are the most effective long-acting reversible contraceptives, but in many developing countries, such as Jamaica, these devices remain underutilized. Methods A cross-sectional informative intervention was conducted among women ≥ 18 years of age attending postnatal clinics in western Jamaica from May to August 2018. Data were collected using an investigator-administered questionnaire/pre-test followed by a 12-slide PowerPoint® presentation and a post-test. Results Most of the 299 women who participated were 18–29 years of age, with a mean age of 27.1 (SD ± 6.1) years. Most had their first pregnancy between ages 18 and 24 years, with mean age at first pregnancy of 20.2 (SD ± 4.0) years. Only 3.0% of participants reported current use of an intrauterine device; 3.5% reported using an intrauterine device in the past. For nearly every measure of knowledge of intrauterine devices, there was a significant change in the proportion of participants who got the correct answer from the pre-test to the post-test. The mean summed pre-test knowledge score was 9.54 (SD ± 3.46) and the post-test score was 15.23 (SD ± 1.92); the possible total score is 18. The difference between the mean scores (5.69 points) was also significant. Conclusion The intervention resulted in significant change in knowledge of intrauterine devices among the women and cleared up many misconceptions that may have contributed to reluctance of women to use intrauterine devices. Women of reproductive age in Jamaica should be counseled on contraceptive methods including intrauterine devices so that these devices can be considered in their contraceptive choices.https://doi.org/10.1186/s12978-021-01075-1Contraceptive useIntrauterine deviceReproductive health |
| spellingShingle | Sarah G. Franklin Maya O’Neal Ambreanna Arneus Calvin Colvin Maung Aung Pauline E. Jolly Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica Reproductive Health Contraceptive use Intrauterine device Reproductive health |
| title | Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica |
| title_full | Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica |
| title_fullStr | Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica |
| title_full_unstemmed | Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica |
| title_short | Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica |
| title_sort | effectiveness of an intrauterine device informative intervention among post natal women in western jamaica |
| topic | Contraceptive use Intrauterine device Reproductive health |
| url | https://doi.org/10.1186/s12978-021-01075-1 |
| work_keys_str_mv | AT sarahgfranklin effectivenessofanintrauterinedeviceinformativeinterventionamongpostnatalwomeninwesternjamaica AT mayaoneal effectivenessofanintrauterinedeviceinformativeinterventionamongpostnatalwomeninwesternjamaica AT ambreannaarneus effectivenessofanintrauterinedeviceinformativeinterventionamongpostnatalwomeninwesternjamaica AT calvincolvin effectivenessofanintrauterinedeviceinformativeinterventionamongpostnatalwomeninwesternjamaica AT maungaung effectivenessofanintrauterinedeviceinformativeinterventionamongpostnatalwomeninwesternjamaica AT paulineejolly effectivenessofanintrauterinedeviceinformativeinterventionamongpostnatalwomeninwesternjamaica |