'A STUDY TO ASSESS THE AWARENESS & FACTORS AFFECTING ACCEPTANCE OF PPIUCD IN SELECTED HOSPITAL OF DADRA & NAGAR HAVELI'

Abstract

Background: Population explosion is one of the major problems in India. It is a result of prevailing high birth rates and unmet need of birth controlling methods. The Government of India under National Health Mission has taken an initiative to provide PPIUCD in immediate postpartum period. In spite of several training programmes & awareness activities across the country, the acceptance & utilization of PPIUCD is very low. Hence, this study was conducted to determine proportion of women accepting PPIUCD & describe the factors affecting acceptability & non-acceptance of PPIUCD in selected hospital of DNH. Method: It was an exploratory study conducted at Shri Vinoba Bhave Civil Hospital, Silvasssa from January to February 2020. The sample size of the study was 90. The data was collected under 1)Antenatal mothers with term pregnancies 2)Immediate postnatal mothers delivered normally 3)Immediate postnatal mothers delivered through CS. Thirty(30) samples were selected in each category using convenient sampling technique. Result: The awareness about PPIUCD was only 23.33%. The acceptance rate of PPIUCD was very low (22.22%). The most common reasons for non-acceptance were (i) refusal from relatives &(ii) refusal from husband, (iii) prefer natural method of contraception, (iv) religious belief among Muslim women, (v) fear of obesity & (vi) lack of experience of PPIUCD. Conclusion: The emerging factors for less acceptance of PPIUCD are low literacy rate among women of DNH & infrequent counseling & education during antenatal period. Integration of a PPIUCD counseling service at every delivery point with provision of couple counseling can improve the success of this programme.