Acceptability and promotion strategies for LNG-IUS in Ghana: A public health assessment

Nyarko, Philomena; Adohinzin, Clétus Come Yélian; Tapsoba, Placide; Esantsi, Selina F.; Townsend, John; Kanlisi, Nicholas; Ed-Nighpense, Ekua; Asare, Gloria Quansah

doi:10.31899/rh13.1004

Cited by 10 publications

(15 citation statements)

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“…Notably, the perception that the LNG-IUS had fewer side effects compared with other family planning methods was both a key reason in choosing the method and an important aspect of what women liked about the method once they began using it. These findings are consistent with those from a qualitative study of LNG-IUS users in Ghana in which women frequently cited similar method benefits such as long-term protection and reduced menstrual bleeding [ 18 ]. Similarly, recent qualitative interviews with LNG-IUS users in Nigeria found that the most common reason reported for choosing the method was because of a health care provider’s recommendation (work in preparation by first author and others).…”

Section: Discussionsupporting

confidence: 89%

“…Our primary objective was to examine attitudes and perspectives regarding product-related acceptability and attributes such as bleeding changes, contraceptive-related amenorrhoea and perceived non-contraceptive benefits. To our knowledge, literature on previous qualitative research from sub-Saharan Africa on users’ experiences with the LNG-IUS is very limited [ 18 ]; this article is an attempt to address the evidence gap.…”

Section: Introductionmentioning

confidence: 99%

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Experiences with the levonorgestrel-releasing intrauterine system in Kenya: qualitative interviews with users and their partners

Nanda

Rademacher

Solomon³

et al. 2018

The European Journal of Contraception & Reproductive Health

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Objectives: The levonorgestrel-releasing intrauterine system (LNG-IUS) is an underused contraceptive method in sub-Saharan Africa. A recent market assessment in Kenya found that if a more affordable version of the method were available it may increase demand and uptake of the method. We therefore aimed to examine attitudes and perceptions around the LNG-IUS and experiences of method use, including exploring attributes such as bleeding changes, contraceptive-related amenorrhoea and perceived non-contraceptive benefits.Methods: Qualitative interviews were conducted among 29 women who were current or recent users of the LNG-IUS, and among a subset (n = 9) of their husbands/partners.Results: Our findings indicate that women’s main reason for choosing the LNG-IUS for contraception was their perception that the method had fewer side effects compared with other contraceptive methods. Women had favourable attitudes towards using the LNG-IUS. Husbands were also very positive about their partner’s use of the method.Conclusion: Understanding the motivations and experiences of early adopters of the LNG-IUS can help inform the development of demand creation and communication strategies to influence uptake and continuation of the LNG-IUS both in Kenya and perhaps more broadly. Communication efforts that emphasise the positive attributes of the LNG-IUS could help promote wider use of the method, especially if new, more affordable product(s) become available.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Experiences with the levonorgestrel-releasing intrauterine system in Kenya: qualitative interviews with users and their partners

Nanda

Rademacher

Solomon³

et al. 2018

The European Journal of Contraception & Reproductive Health

View full text Add to dashboard Cite

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“…A previous introduction assessment of the LNG IUS in Ghana had similar results to ours. 17 For example, availability of the product did not significantly alter provision of other methods. (However, the small quantity of product may have made this difficult to assess adequately.)…”

Section: Discussionmentioning

confidence: 99%

Introduction of the levonorgestrel intrauterine system in Kenya through mobile outreach: review of service statistics and provider perspectives

Hubacher

Akora²,

Masaba

et al. 2014

Glob Health Sci Pract

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“…Neither the quantitative nor the qualitative data were given more weight [ 21 ], and the findings are presented concurrently. The questionnaire [ 22 ] and IDI guides [ 23 , 24 ] were adapted from prior studies on abortion in Ghana. The questionnaire was structured around induced abortion decision-making processes, key individuals whose counsel was sought in the decision-making process, factors influencing choice of place for abortion and familiarity with the policy and legal frameworks, which influence induced abortion procedures in Ghana.…”

Section: Methodsmentioning

confidence: 99%

Role-players in abortion decision-making in the Accra Metropolis, Ghana

2014

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BackgroundMaking the final decision to terminate a pregnancy can be influenced by different circumstances involving various individuals. This paper describes the key players involved in the decision-making process regarding abortions among women who elected to undergo an induced abortion in a cosmopolitan urban setting in Ghana.MethodsA retrospective cross-sectional mixed method study was conducted between January and December 2011. A total of 401 women with records in abortion logbooks were selected for an interviewer-administered questionnaire and an in-depth interview. Descriptive and multinomial logistic regression analyses were used to assess the quantitative data, and a thematic analysis was applied to the qualitative data.ResultsThe findings of the study reveal that pregnant individuals, mothers of abortion-seekers, male partners, and “Others” (for example, friends, employers) were instrumental in making a decision to terminate unplanned/unwanted pregnancies. Several key factors influenced the decision-making processes, including aversion from the men responsible for the pregnancy, concerns about abnormalities/deformities in future births due to unprofessionally conducted abortions, and economic considerations.ConclusionA number of individuals, such as friends, mothers, and male partners, influence the decision-making process regarding abortion among the participants of the study. Various targeted messages are needed for the various participants in the decision.

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Acceptability and promotion strategies for LNG-IUS in Ghana: A public health assessment

Cited by 10 publications

References 0 publications

Experiences with the levonorgestrel-releasing intrauterine system in Kenya: qualitative interviews with users and their partners

Experiences with the levonorgestrel-releasing intrauterine system in Kenya: qualitative interviews with users and their partners

Introduction of the levonorgestrel intrauterine system in Kenya through mobile outreach: review of service statistics and provider perspectives

Role-players in abortion decision-making in the Accra Metropolis, Ghana

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