Knowledge, beliefs and practices of nurses with long-acting reversible contraception, Cape Town
African Journal of Primary Health Care & Family Medicine
| Field | Value | |
| Title | Knowledge, beliefs and practices of nurses with long-acting reversible contraception, Cape Town | |
| Creator | Abrahams, Tracey-Leigh Pather, Michael K. Swartz, Steve | |
| Description | Background: Implanon and copper intrauterine contraceptive device (IUCD) are long-acting reversible contraceptives (LARC) available in public primary health care (PHC) South Africa. These methods are the most effective forms of contraception.Aim: To evaluate the knowledge, beliefs and practices on provision of LARC.Setting: Primary health care facilities within the Khayelitsha Eastern Substructure, Cape Town.Methods: A descriptive survey of all permanent nurses who provided contraception. Data were collected from 72/90 (80% response rate) via a validated questionnaire and evaluated using Statistical Package for Social Sciences (SPSS).Results: Knowledge of eligibility for LARC was tested. The mean knowledge scores for Implanon were 8.56/11 (s.d. 1.42) for the trained and 7.16/11 (s.d. 2.83) for the untrained (p = 0.007). The mean knowledge scores for IUCD were 10.42/12 (s.d. 1.80) for the trained and 8.03/12 (s.d. 3.70) for the untrained (p = 0.019). Participants believed that inaccessibility to training courses (29%), no skilled person available (24%) and staff shortages (35%) were barriers. Less than 50% of women were routinely counselled for LARC. Forty-one percent of nurses were trained and performed IUCD insertion, and 64% were trained and performed Implanon insertion, while 61% and 45% required further training. Confidence was low, with 32% trained and confident in IUCD and 56% trained and confident in Implanon insertion.Conclusion: Lack of training, poor confidence and deficient counselling skills were barriers to effective LARC provision. The identified system-specific barriers must be addressed to improve uptake.Contribution: The first study to evaluate knowledge, beliefs and practices on LARC in providers in the Western Cape. | |
| Publisher | AOSIS | |
| Date | 2023-05-24 | |
| Identifier | 10.4102/phcfm.v15i1.3571 | |
| Source | African Journal of Primary Health Care & Family Medicine; Vol 15, No 1 (2023); 8 pages 2071-2936 2071-2928 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://phcfm.org/index.php/phcfm/article/view/3571/6272
https://phcfm.org/index.php/phcfm/article/view/3571/6273
https://phcfm.org/index.php/phcfm/article/view/3571/6274
https://phcfm.org/index.php/phcfm/article/view/3571/6275
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