Helping Postpartum Women in Mali Achieve their Fertility Intentions: Perspectives from the Dedicated PPIUD Inserter Pilot Program


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The West African country of Mali has one of the world’s highest fertility rates and one of the lowest rates of modern contraceptive prevalence (mCPR). In Mali, more than 1 in 4 women have an unmet need for family planning (FP). This gap between method demand and access is particularly acute for postpartum women, with nearly 70% reporting an unmet need. In 2016, PSI-Mali piloted a new healthcare device to help address this gap. The dedicated postpartum (PP) intrauterine device (IUD) inserter replaces the technique of using Kelly forceps for voluntary IUD insertion for women in the post-placental and immediate postpartum period, i.e. within 48 hours post-delivery. The dedicated PPIUD inserter is designed to facilitate easier insertion, with the aim of improving the PPIUD experience for clients and providers. This case study documents PSI-Mali’s programmatic approach to introducing the dedicated PPIUD inserter and shares insights on the perspectives of providers using the inserter and on trends in voluntary PPIUD uptake during the program pilot. Primary and secondary data were collected during visits in July 2017 to 5 health facilities (3 public, 2 private) in Bamako that were participating in the PPIUD inserter pilot, including interviews with 10 trained providers.