Use of the IUD in relation to other contraceptive methods is reported to have either stagnated or declined in a number of countries including Ghana. The overall aim of this study was to inform the Ghana Health Service, USAID, and other partners on future directions for contraceptive promotion and supply. The stagnating demand for the IUD as a family planning method can be attributed to several factors, including perceptions and rumors about the method. The study recommends: intensified marketing of the IUD through the Ghana Life Choices Program; IUD-focused training and creation of a critical mass of trained IUD providers; and a Ministry of Health review of the National Reproductive Health Service Protocols on who qualifies to insert the IUD, and clarification of the eligibility criteria with regard to nulliparous and HIV-infected clients. The study also identified a need to address issues related to cost.
Gyapong, John, Gifty Addico, Ivy Osei, Mercy Abbey, Dominic Atweam Kobinah, Henrietta Odoi-Agyarko, Gloria Quansah Asare, Harriet Birungi, and Ian Askew. 2003. "An assessment of trends in the use of the IUD in Ghana," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health