Recommendations for further study

As the subject of IUD is still poorly explored in Ethiopia, further research is needed to explore its use, barriers, prevalence and how its uptake can be improved. A longitudinal study using a methodological approach may help to improve insight in to this subject area.

This means employing quantitative and qualitative methodologies in a single study. Doing so may help enrich the knowledge base of IUD and its usage.

5.8 CONCLUSION

This chapter included a resume of the study findings including its limitations and recommendations for training, practice and research. In conclusion the study indicated that up take of intra uterine contraceptive device (IUD) is associated with level of education, where women with tertiary level of education (Diploma & Degree) use more of the device when compared to women with lower level of education and those who are illiterate.

Government employees and merchants tend to use IUD more than women in other occupational groups. Women with four children and above and who had long fertility plans tend to frequently and regularly use IUD compared to those with smaller number of children; less than four. There was lack of knowledge on benefits, side effects and

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complications of IUD among study respondents and these were to some extent associated with some misconceptions expressed during the study, such as “it travels through the body”. Health care providers lack the required knowledge on benefit, side effect and possible complications of IUD and they are also misinformed about for whom IUD will be provided. Most family planning providers did not get pre-service training and some explained that the in-service training provided is not adequate to equip them with the necessary knowledge and skill to counsel and provide effective and efficient IUD service.

IUD counseling was hardly provided at antenatal care unit for pregnant women, in almost all health facilities where the research. Added to this, it was noted in this study that community awareness and knowledge on benefit and side effect of IUD was limited.

48 6. REFERENCES

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51 Annexure 1. Questionnaire

Section I: questionnaire for family planning clients