The Impact of Women-Centered Counseling on Intrauterine Contraceptive Device Satisfaction and Continuation
Abstract
The intrauterine contraceptive device (IUCD) is the world's most widely used spacing method which can be considered as the reversed birth control. Client-centered contraceptive counseling has expressed the adverse uses of this device in meeting the request for contraception and keeping the human rights safe. The goal of this research was to assess the impact of women-centered counseling on intrauterine contraceptive device satisfaction and continuation. A Quasi-experimental design was selected in carrying out this study, and a purposive sample of 200 women (100 received the women-centered counseling program about IUD, and 100 received the routine care of the health agency) were recruited for this study. Data collection consisted of : a structured interview sheet, assessment of women knowledge about IUCD sheet, assessment of believed rumors or misconceptions about IUCD sheet, the schedule of the follow up at the third and six months sheet, and women satisfaction scale. Results revealed that the higher percentage of women in both the study and control groups was among the ages of 25 to less than 35 years (50.0% and 41.0%). The difference observed was not statistically significant. The implementation of women-centered counseling program was successful in improving their knowledge, and the correction of believed rumors of IUD was compared to the pretest. The study group suffered from lesser side effects and complications during the follow-up phases than the control group. Also, backache and genital tract infections were more popular in the control group in comparison with the study group with a statistical significant difference. The vast majority of women (93.0%) in the study group had continuous use of IUD until the six month compared to 68.0% in the control group with a statistical significant difference. The most considerable majority of the female in the study group were highly satisfied with the provided services, the service providers, and the method itself (92.0%, 100.0% and 82.0% ; respectively). It could be concluded that, women who received counseling program on IUCD showed better satisfaction and continuation than those who did not extradite it. The study recommended that, counseling program can be recommended for females because it increases IUD uptake, decreases early removal of IUD, and increases the continuation and satisfaction for IUD use.
