By Dr. Nirali Chakraborty, Caitlin Murphy, Mahesh Paudel, and Sriju Sharma
While clients’ attitudes toward the IUD are known in different contexts, little is known about providers’ knowledge and perceptions of the IUD in developing countries. This brief seeks to provide evidence of cognitive barriers that may prevent Nepalese providers from recommending IUDs. Nepal’s permissive IUD service policies afford the opportunity to explore these findings among a variety of cadres and sectors.
- Overall knowledge of IUDs is fair among providers, but knowledge of medical eligibility criteria is poor.
- IUD knowledge is similar between sector and cadre.
- Recent receipt of IUD training and employment in multiple facilities appears to improve IUD knowledge scores.
- One-third of providers in Nepal view at least one IUD side effect as “unacceptable”.
- Perceptions of IUD side effects are similar between sector and cadre.