Globally, 214 million women have an unmet need for contraception. The postpartum period provides an excellent opportunity to initiate access to family planning.
To this end, in 2013 FIGO began the ‘Institutionalisation of Immediate Postpartum IUD (PPIUD) Services Initiative’. The project has trained community midwives, health workers, doctors and delivery unit staff in counselling on postpartum family planning and insertion of PPIUD immediately postpartum.
We are proud to celebrate the impressive achievements of each of the countries involved in this project.
Sri Lanka was the first country to be involved in the initiative when it began as a pilot in 2013. Expulsion rates in the existing literature were extremely varied but data collected as a result of the project in Sri Lanka led to its expansion into the other 5 countries.
The success of the PPIUD initiative has led to the government formally adopting this method into their policy and a circular was released in May 2017 explicitly calling for all relevant healthcare providers to routinely include PPIUD into maternal health and family planning services.
Project duration: 5 years (2013 – 2018)
Partner society: Sri Lanka College of Obstetricians and Gynaecologists
Key stakeholders: Family Health Bureau
Number of facilities: 18
Weerasekera, D. S. et al. 'Four years of the FIGO postpartum intrauterine device initiative in Sri Lanka: pilot initiative to national policy' Int J Gynecol Obstet, 143, S1, (28-32)
Makins, A. et al. (2018) ‘Factors influencing the likelihood of acceptance of Postpartum Intrauterine Devices (PPIUD) across 4 countries: India, Nepal, Sri Lanka and Tanzania’ Int J Gynecol Obstet, 143, S1, (13-19)