The purpose of this study was to identify the reasons for the low use of the IUD in Guatemala and to explore the reasons why other reversible methods are selected more frequently than IUDs. The study aimed to determine the availability and acceptability of IUDs as a contraceptive option within the Ministry of Health, the Guatemalan Social Security Institute, and APROFAM. Results indicated that service providers do not take into consideration women’s reproductive needs or intentions when they provide family planning counseling. There are several demand-side factors that affect the use of the IUD, including lack of knowledge about the method, lack of accessibility, fears, perceived disadvantages, and low quality of services—often perpetuated by service providers themselves. Programmatic recommendations are drawn accordingly.
Brambila, Carlos and Berta Taracena. 2003. "Availability and acceptability of IUDs in Guatemala," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health