Abstract

Background: The modern Intra Uterine Contraceptive Device(IUCD)s are highly effective, safe, long acting, coitus independent, convenient for insertion and efficient in the immediate postpartum periods. Despite this, IUCD is not much utilised in India. To explore the barriers for acceptance of IUCD among postnatal mothers residing in rural areas of Mandya District this study was conducted. Materials & Methodology: It is a Cross-sectional Qualitative study using Focus Group Discussion (FGD) and matrix ranking method. FGD guide, Matrix chart and pebbles were used as study tool. Study population includes Postnatal mothers AND Female health care staff [Accredited Social Health Activist (ASHA, Junior Health Assistant (JHA) Female] residing in Melkote PHC area, Mandya District. Statistical analysis was done by reviewing the FGD transcripts for themes and domains. Themes and sub-themes were drawn using grounded theory method. Data triangulation was done from transcripts of all discussions and reflections of matrix ranking exercise. Results: Among the study participants, 75% expressed high acceptance rate for IUCD. The study lead to the exploration on barriers in accepting the IUCD, the most common reason being malignancy followed by pain, excessive bleeding, growth of extra tissue, no family support, weight loss, and listening to incidents of contraceptive failure. Conclusions: In the study area woman is not the sole deciding person, husband and in-laws play a major role in decision making related to family planning devises. Myths and fear of complications related to IUCDs are the major barriers.

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