Felix G Mhlanga, Jennifer E Balkus, Devika Singh, Catherine Chappell, Betty Kamira, Ishana Harkoo, Daniel Szydlo, Shorai Mukaka, Jeanna Piper, Sharon L Hillier
CONTEXT: The copper IUD is safe and effective, but underutilized in Sub-Saharan Africa, in part because of a lack of trained providers. The World Health Organization recommends training mid-level providers-including nurses and midwives-to insert IUDs; however, the safety of such task shifting has not been evaluated in Sub-Saharan Africa. METHODS: Data were drawn from baseline surveys and study charts of 535 sexually active women aged 18-45 who used a copper IUD while participating in an HIV-prevention clinical trial conducted from August 2012 through June 2015 in Malawi, South Africa, Uganda and Zimbabwe...
December 17, 2019: International Perspectives on Sexual and Reproductive Health