Table 4

Doctors' attitudes towards intrauterine devices

VariablesSectorTotal
(n=240)
P value
Government
(n=161)
Private
(n=79)
Side effects which prevent recommendation of IUDs to patients
 Risk of perforation67 (41.9)48 (60.0)115 (47.9)0.008
 Heavy menstrual bleeding102 (63.7)43 (53.8)145 (60.4)0.135
 Increased risk of malignancy18 (11.3)10 (12.5)28 (11.7)0.776
 Increased risk of ectopic pregnancy59 (36.9)55 (68.8)114 (47.5)<0.001
 Increased risk of acquiring PID75 (46.9)51 (63.7)126 (52.5)0.014
Factors/characteristics which negatively influence IUD recommendation
 Not available in their clinic/not adequate supply in their clinic49 (30.6)41 (51.2)90 (37.5)0.002
 Need extra time for counselling22 (13.8)12 (17.5)36 (15.0)0.793
 It is expensive for clients9 (5.6)11 (13.8)20 (8.3)0.032
 The side effects are too great11 (6.9)7 (8.8)18 (7.5)0.603
 Favour other method48 (30.0)33 (41.3)81 (33.8)0.082
Factors or features that promote IUD recommendation
 It is a long-term method137 (85.6)64 (80.0)201 (83.8)0.265
 It is easily reversible121 (75.6)55 (68.8)176 (73.3)0.256
 It is being promoted by Ministry of Health76 (47.5)32 (40.0)108 (45.0)0.271
 It is a profitable method26 (16.3)16 (20.0)42 (17.5)0.471
 It is very effective100 (62.5)36 (45.0)136 (56.7)0.010
  • Data expressed in n (%); χ2.

  • IUD, intrauterine device; PID, pelvic inflammatory disease.