Program assessment of the introduction of multiload-375 IUD in the family welfare program of the government of India

Background: The Government of India is attempting to revive the IUD which is underutilized in India by introducing the Multiload-375 (ML-375) IUD.This study aimed to identify operational issues associated with the introduction of the ML 375 in public health facilities. Study Design:The study was conducted across six states in India in a District Hospital and a Primary Health Centre.Intervention activities included development of communication materials, a record-keeping system, and trainings on ML 375.In-depth interviews were conducted later with service providers (n=66).Results: Minimal training was needed to introduce the ML 375 because providers had previous experience with the CuT380A.About 62% providers preferred the insertion technique of the ML 375 compared to the CuT380A.Myths and misconceptions among clients and providers and weak IUD counseling were barriers.Conclusions: Improvements in infrastructure, supply chain, patient follow-up, and demand-generation are needed to increase uptake of ML 375 in India.