TABLE 2. Key Findings of the Pilot Country Baseline Market Assessments
Service Delivery QualityCommodity Supply ChainDemandPolicy
GuatemalaIUD and infection prevention equipment available in maternity and district hospitals; limited PPIUD equipment and gaps in provider IUD/PPIUD skillsLow levels of IUD procurement at the national levelSome demand for interval IUD services; little demand for PPIUD servicesLARCs not included in the national family planning strategy;PPIUD not in the national guidelines for hospital providers
LaosAverage of 8 years since last IUD training among public family planning providersChallenges in provincial forecasting and delayed transport of contraceptives to the provincial level resulted in IUD stock-outs72% of women had heard of IUDs; high prevalence of myths and misconceptions2012 moratorium on IUD service delivery in the private sector;lack of national LARC strategy
Mali59% of public-sector family planning providers in surveyed facilities had never inserted an IUDInconsistent IUD availability at the health center level53% of women had never heard of IUDs; high reluctance to undergo an IUD procedure that they considered invasiveIUD service delivery restricted to doctors and selected midwives;lack of national LARC strategy
Uganda65% of surveyed public facilities had at least 1 provider trained in IUD insertion; limited IUD insertion equipmentLack of district supply monitoring mechanism linked to stock-outs at secondary health facilities70% of women were aware of IUDs; low IUD demand attributed to myths and misconceptionsInactive family planning commodity security working group
  • Abbreviations: IUD, intrauterine device; LARC, long-acting reversible contraceptive; PPIUD, postpartum IUD.