Factors Association with IUD Service Productivity of Sun Quality Health Doctors in Myanmar

Abstract

Sun Quality Health (SQH) Network is general practitioners' partial franchised network cooperated with PSI/Myanmar, one of the INGOs in Myanmar working in public health. For Reproductive Health, SQH doctors provide birth spacing services with affordable price for low income people with the support of PSI. Most of them provide short term birth spacing services and only one fourth of them provided long term method (Intrauterine contraceptive device, IUD) service and 79% of IUD services were provided by 19% of providers. The objective of the study is to find the factors association with IUD service productivity of SQH doctors. This study is cross sectional descriptive analytical study and data was collected in 5 states and 7 Divisional Regions of Myanmar. The study was done with questionnaire interview and in depth interview and therefore it included both quantitative and qualitative study. 175 SQH doctors were interviewed by structured interview and then 9 doctors were selected based on their IUD service performance and in-depth interviews were done. Majority of the respondents (37.7%) were from the age group between 46 to 55 years and 43.4% were male doctors. 85.1% graduated as M.B.,B.S. and without other specialization. Majority of clinics (77.7%) were located in urban and 54.3% of the clinics opened from 4 to 8 hours per day. Most of them (61.7%) had separate examination room for IUD service. Average mean daily general client load was 38.4 and birth spacing client was 7.2 per day. Most of them (64.6%) had IUD client referral network to their clinics. Most of them (72.6%) had clinic assistants for IUD service. Regarding to knowledge of IUD service by answering quiz, 65.1% of the providers had medium level of knowledge. According to the results of quantitative and qualitative study, presence of separate examination room for IUD service and daily birth spacing client load were significantly associated with IUD service productivity. Relating to IUD service, confidence level of providers on IUD service skill, time taken for IUD service, presence of birth spacing client referral network, presence of clinic assistant for IUD service and presence of special event day for IUD service were significantly associated with their IUD service productivity. Attending IUD refresher training was also one of the significant associated factors for IUD service productivity.