Go-to-Market Strategies to Create and Sustain Demand for the Postpartum Intrauterine Device (PPIUD) Inserter in Both Public and Private Sectors in India; Demonstration of the PPIUD in Uganda

Organization: 
Population Services International
Organization Location: 
Washington, D.C., USA
Project Location: 
Uganda

Population Services International (PSI) and its partner, The Stanford Program for International Reproductive Education and Services (SPIRES), propose this transition-to-scale grant to build upon a previous proof of concept pilot study of the dedicated postpartum intrauterine device (PPIUD) inserter. Through this project, PSI and SPIRES will: (1) develop and execute go-to-market strategies to increase uptake of the PPIUD among women and providers in India through broader awareness and availability of the dedicated inserter; (2) conduct a demonstration project in the new context of Uganda to validate the utility of this device across low-resource settings; and (3) collaborate with Pregna International Ltd., the manufacturer, to obtain World Health Organization (WHO) pre-qualification status and secure regulatory registration in select countries with gaps in postpartum contraception provision and high unmet need (e.g., Ethiopia, South Africa, Myanmar, Vietnam, Pakistan, Nigeria, and Mali).

This project is innovative in that it will address the drawbacks of other IUD insertion techniques and improve the fragmented continuum of care that contributes to unintended pregnancy and poor birth spacing. PSI, SPIRES and Pregna International Ltd. jointly designed the dedicated PPIUD inserter, which is a significant improvement over the existing standard of practice as it eliminates the need for specialized instruments (such as forceps) and allows for a standardized, easy-to-learn insertion technique. Its long string allows for IUD verification at follow-up, and it comes pre-loaded in the insertion sleeve, eliminating the need for manipulation and reducing the opportunity for contamination and infection.