Intrauterine devices (IUDs) have many positive attributes for clients, including high effectiveness and long duration of effectiveness. They are used very widely globally, yet not in Africa.
A number of factors contribute to this low use, but the perspective of providers is one major cause. Some providers have incorrect beliefs about high health risks associated with IUDs. Also, while IUD insertion is not terribly difficult compared with many medical procedures, provision of IUDs takes considerable wherewithal: competence, self-confidence, supplies and equipment, and, most importantly, sufficient time. In the context of a …