Reinvigorating the Postpartum IUD Using a Low-Cost Simulation Model
Despite efforts to reinvigorate use of the postpartum intrauterine device (PPIUD) as a way to prevent adverse maternal and newborn health outcomes due to poor birth spacing, PPIUDs are underutilized due to lack of provider confidence, client mistrust of the method and systemic conditions that limit the number of providers trained. Current PPIUD training models are expensive, heavy and not designed to simulate a variety of uterine positions. Training approaches relying on conventional models are limited to large, group-based training requiring health workers to leave their sites for long periods. Jhpiego and Laerdal Global Health will address these challenges by demonstrating the efficacy and potential of a new PPIUD simulation model and a self-paced, blended learning approach through field-testing among trainers, providers and clients at facilities in Pakistan in collaboration with key stakeholders. The project will: 1) field-test a PPIUD simulation model prototype designed to be low-cost, light weight and more realistic of the postpartum anatomy than current training models (technology); 2) introduce a dynamic training approach that allows providers to take models back to their facilities for self-paced, on-the-job practice and improve the quality of PPIUD insertion (service delivery); and 3) increase awareness of the PPIUD's benefits among clients and their families (demand creation). By the end of this project, Jhpiego expects the new PPIUD model to be ready for rapid scale-up at facilities in Pakistan and to be introduced in other postpartum family planning programs around the world.