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Assessment of workload: intrauterine device/intrauterine system provision
  1. Varghese A George, MRCS, DFFP, Senior House Officer and
  2. Meera Kishen, MD, FFFP, Consultant in Family Planning and Reproductive Health
  1. Abacus Clinics for Contraception and Reproductive Health, Liverpool, UK
  1. Correspondence to Dr Meera Kishen, Central Abacus, Citrus House, 40–46 Dale Street, Liverpool L2 5SF, UK. Tel: +44 (0) 151 284 2500. E-mail: meera.kishen{at}


The Faculty of Family Planning and Reproductive Health Care (FFPRHC) has recently published Service Standards for Workload in Contraception, which state that a minimum of 20 minutes should be made available for intrauterine device/hormonal system (IUD/IUS) provision. This document acknowledges that there is currently little formal evidence relating to assessment of time taken for providing various contraceptive methods. The Abacus Clinics in Liverpool, UK provide an average of 1300 IUD/IUS fittings in a year. We monitored the time taken for IUD/IUS provision over a 4-week period. Our study revealed that the average time taken for all types of IUD/IUS provision is significantly more than the minimum recommended by the FFPRHC.

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