Calculative Contraception
SSuur r vveeyyaabboouuttaawwaar r eenneessssaanndduussaaggeeppaatttteer r nnoof f IInnttr r aaUUtteer r iinnee CCoonnttr r aacceeppttiivveeDDeevviiccee((IIUUCCDD))iinnPPuunneecciittyy
In view of the International Women’s Day, a survey wasconducted with the aim to study the awareness and usage of IUCDs in Pune city. The target sample included 315 marriedwomen in the age group of 18 to 60 from various strata of society.Pune city was divided into six different zones & random samplingprocedure was used. 35 Gynaecologists from eminent hospitals inPune were also interviewed. The survey revealed that most of thewomen in Pune are aware of IUCDs but fall back on account of itsusage.IUCDs used in India are found to be of three basic types, Copper T (CuT), Multi load and hormone releasing devices. However there are variations of CuT like CuT 380A, CuT 200 etc. Thesurvey was aimed at finding out the devices which are usuallyrecommended by Gynaecologists and preferred by women. Itsobjective also included finding out the preferences of IUCDs over other measures of contraception like contraceptive pills, condoms(used by partner), surgical procedures & spermicidal creams.It was found that about 91% women were aware of IUCDs andtheir functions. The various sources of this awareness weredoctors, friends, relatives and media with the major source beingdoctors (Graph 1).Contraceptive pills were found to be more popular with women of age group 18-27 years and surgical procedures were preferred inthe age group of 38-47 years (Graph 4). However, both IUCDsand contraceptives are popular in age group 28-37 years, IUCDsranking higher than contraceptive pills (Graph 2).Among IUCD’s, Multiload was found to be negligibly used bywomen, the reason being its higher price in comparison to freelyavailable Copper T in government hospitals. However, it is highlyrecommended by doctors (Graph 3).The various contraceptive measures like contraceptive pills,condoms, IUCDs & surgical procedure are advised by doctors.The actual usage pattern among women was found to be asdepicted in Graph 2. Women prefer condoms over IUCDs andcontraceptive pills.The majority of doctors interviewed in the survey carried out 5-10IUCD procedures per month. Among the 35 doctors surveyed,50% agreed that some complications occur after installation andthe rest said otherwise.Few companies in India manufacture IUCDs (that too, onlyCopperT). Easy and affordable availability of Multiload willpopularize its usage, since doctors recommend it over CopperTdue to many aspects.
CONCLUSIONS AND SUGGESTIONS
1. Though a large percentage of women surveyed were aware of the IUCDs, few preferred using them.2. Women are reluctant to use IUCDs because of the doubts,apprehensions, lack of awareness and proper guidelinesregarding its use.
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N u m b e r o f w o m e n r e s p o n d e n t s
Doctors Media Friends &Relatives
Sources
Graph 1: Sources of awareness about IUCDs
Graph 2: Usage of various contraceptivemeasures among women
19.23%26.92%23.08%17.31%13.46%Contraceptive PillsCondomsIUCDsSurgical ProcedureNo usage
Graph 3: Recommendations for IUCDs bydoctors
38%3%11%48%CuTHormoneReleasingCuT 380AMultiload
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