“ I just love it - I know there is something which has not given me worry when I am with my partner ”

Acceptability of hormonal intrauterine device among clients in two districts in Tanzania

Bibliographic Data

ID21766331
AuthorsChelsey Porter Erlank (0000-0001-7588-0565, Clinton Health Access Initiative), Amani Kikula (0000-0002-1130-9279, University of Antwerp, corresponding author), Jackline E Ngowi (0000-0002-2540-615X, Muhimbili University of Health and Allied Sciences), Tito Muhumba (Clinton Health Access Initiative), Simon Mvunabandi (Clinton Health Access Initiative), Zuhura Mbuguni (Ministry of Health), Getrude Naphtali (Ministry of Health), Esther Mtumbuka (0000-0002-3852-9896, Clinton Health Access Initiative), George M Ruhago (0000-0001-7469-7822, Muhimbili University of Health and Allied Sciences), Bruno Sunguya (0000-0003-3625-0725, Muhimbili University of Health and Allied Sciences), Andrea Pembe (0000-0002-8090-3298, Muhimbili University of Health and Allied Sciences)
Year2026
Volume19
Issue1
Pages2688015-2688015
Publication date2026-12-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueGlobal Health Action (JOURNAL)
Journal identifiersISSN: 1654-9716 • E-ISSN: 1654-9880
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/16549716.2026.2688015
PMID42391042
OpenAlexW7167079278
LanguageEN
Citations received1
References cited25

BACKGROUND: Hormonal intrauterine device (IUD) is an effective contraceptive method with high user satisfaction rates. To guide the introduction of hormonal IUD into the public sector in Tanzania, an operational research study was conducted to assess client acceptability of hormonal IUDs. OBJECTIVE: To explore clients' perspectives on contraceptives and experiences with hormonal IUDs. METHODS: = 15 at endline) with hormonal IUD clients. Register and survey data were analysed for descriptive statistics. Qualitative data was analysed thematically and triangulated with quantitative data. RESULTS: In total, 1,198 clients chose hormonal IUD during the eight-month study. At baseline, women had limited knowledge and several concerns about IUDs and emphasised the importance of good contraceptive counselling. Client satisfaction with hormonal IUD at six months post-insertion was high (93% were strongly or somewhat satisfied). Most (92%, 83% and 100%) clients were strongly satisfied with the counselling, follow-up care and removal services received, respectively. Hormonal IUD clients found the characteristic of localised release of hormones possibly offering a better side-effect profile than other hormonal methods appealing. CONCLUSION: Hormonal IUD clients showed high satisfaction with the method and care received throughout the study. The authors recommend introduction of hormonal IUD into the public sector in Tanzania, with investments in community awareness, male engagement, and strengthening the quality of contraceptive counselling and side effects management

Developing country · Family planning · Intrauterine device · MEDLINE · Population · Qualitative research · Worry · Reproductive Health and Contraception · Reproductive Health and Technologies · Sexual Differentiation and Disorders