Guatemala | IUD and infection prevention equipment available in maternity and district hospitals; limited PPIUD equipment and gaps in provider IUD/PPIUD skills | Low levels of IUD procurement at the national level | Some demand for interval IUD services; little demand for PPIUD services | LARCs not included in the national family planning strategy;PPIUD not in the national guidelines for hospital providers |
Laos | Average of 8 years since last IUD training among public family planning providers | Challenges in provincial forecasting and delayed transport of contraceptives to the provincial level resulted in IUD stock-outs | 72% of women had heard of IUDs; high prevalence of myths and misconceptions | 2012 moratorium on IUD service delivery in the private sector;lack of national LARC strategy |
Mali | 59% of public-sector family planning providers in surveyed facilities had never inserted an IUD | Inconsistent IUD availability at the health center level | 53% of women had never heard of IUDs; high reluctance to undergo an IUD procedure that they considered invasive | IUD service delivery restricted to doctors and selected midwives;lack of national LARC strategy |
Uganda | 65% of surveyed public facilities had at least 1 provider trained in IUD insertion; limited IUD insertion equipment | Lack of district supply monitoring mechanism linked to stock-outs at secondary health facilities | 70% of women were aware of IUDs; low IUD demand attributed to myths and misconceptions | Inactive family planning commodity security working group |