Intrauterine Devices (IUDs)
Note, October 2017: The WHO has released its revised Medical Eligibility Criteria and Selected Practice Recommendations for Contraceptive Use in 2015-16. Links are below. The TRP module will be updated to reflect those changes by early 2018. Please consult the revised WHO documents for changes in the interim.
This module for IUDs is designed for the providers in developing countries who most often are tasked with providing FP services—primarily nurses and nurse-midwives, as well as primary care physicians—and assume trainees will have at minimum a nurse’s level of clinical training.
By the end of the training, trainees should be able to:
- List the key messages about IUDs
- Describe the characteristics of IUDs in a manner that clients can understand, including:
- What IUDs are and how they work (mechanism of action)
- Side effects
- Non-contraceptive health benefits
- Other characteristics (STI/HIV protection, ease of use, return to fertility)
- Possible health risks (complications)
- Demonstrate the ability to:
- Screen clients for medical eligibility for IUD use
- Explain to clients how IUDs are inserted and removed
- Explain when to return to the clinic
- Address common concerns, misconceptions, and myths
- Conduct follow-up for IUD clients in a way that enhances continuing safety, satisfaction, and acceptance
- Describe when to initiate IUDs (postpartum, switching from another method)
- Explain how to manage side effects
- Identify new conditions that may require a client to switch to another method or to temporarily stop IUD use
- Identify clients in need of referral for IUD-related complications
Read the Quick Start guide below, if you haven't already—and then explore the tabs at right to walk through the Facilitator's Guide, illustrative examples, presentation slides, handouts, and more—all of which you are free to adapt for your training participants' needs.