INTRODUCTIONSpacing methods is one of the key strategies in the Family Planning Component of the RMNCH+A programme to bring about a decrease in the birth rates. 1 Intra Uterine Contraceptive Devices (IUCD) which are among the safest and most effective reversible contraceptives available, are affordable, convenient to use, do not require re-supply visits and are very costeffective.2 In order to popularize IUCDs, we have to understand the various factors which can influence the decision regarding its use. For this, it is imperative that related data over different time zones and different regions be regularly analysed and compared.The present study analyses the various sociodemographic factors of IUCD acceptors in the family planning OPD of a medical college. Also, service component like timing of insertion and wastage of Copper-T during insertion was studied. ABSTRACTBackground: Intra uterine contraceptive devices (IUCD) used as a spacing method is one of the main strategies of the family welfare programme, as they are among the safest and most effective, affordable and convenient reversible contraceptives available. The objectives of the study were to study the socio-demographic details of beneficiaries accepting Cu-T in the family planning OPD of the medical college, relation of IUCD insertion time with respect to menses or delivery and its outcome. Methods: After IEC approval, a descriptive, complete enumeration study of recorded data from IUD register from 2006 to 2015 (n=1141) was carried out from the IUCD registers of the family planning out-patient department (OPD) of a medical college. Results: Beneficiaries had a significantly lower literacy rate (p<0.05) and a lower employment rate (p<0.01) than their husbands. 447 (39.4%) women accepted IUCD before 1 year from their last delivery. In 20 women, IUCDs were expelled, while in 32 (2.8%), they were wasted. The difference between the couples having no male children and those having at least 1 male child opting for IUCD was statistically highly significant (p<0.01). Conclusions: Cu-T is being well utilised as a spacing method in the Family Welfare Component of the Reproductive and Child Health Programme. Evidence of Preference for a male child can be seen in this study.
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