EXPLORING DETERMINANTS OF LONG-ACTING REVERSIBLE CONTRACEPTION INSERTION AMONG PRIMARY HEALTHCARE DOCTORS IN KELANTAN, MALAYSIA
DOI:
https://doi.org/10.37268/mjphm/vol.24/no.3/art.2578Keywords:
doctors, long-acting reversible contraception, insertion, determinantsAbstract
Unplanned pregnancies significantly impact maternal and child health. Despite a high rate of unplanned pregnancies in Malaysia, the utilisation of long-acting reversible contraception (LARC) remains low. This study aimed to examine the prevalence and determinants of frequent LARC insertions among doctors in Kelantan, Malaysia. A cross-sectional study employing a self-administered questionnaire was carried out among 256 randomly selected primary healthcare doctors from 40 government health clinics across Kelantan. Data were analysed using descriptive and multiple logistic regression. The prevalence of frequent IUCD and Implanon insertions was almost similar, at 28.9% and 30.9%, respectively. The significant determinants of frequent IUCD insertion were female doctors (AOR = 4.734; 95% CI: 1.668, 13.434; p-value = 0.003), doctors with formal IUCD training (AOR = 3.222; 95% CI: 1.717, 6.047; p-value = 0.013), a higher average number of clients seen per day (AOR = 1.067; 95% CI: 1.023, 1.113; p-value = 0.003), and belief in the ease of insertion procedure (AOR = 2.339; 95% CI: 1.546, 3.538; p-value < 0.001). Meanwhile, the determinants for frequent Implanon insertion were formal Implanon training (AOR = 2.129; 95% CI: 1.717, 3.872; p-value = 0.013), belief regarding the ease of insertion procedure (AOR = 3.024; 95% CI: 1.993, 4.589; p-value < 0.001), belief regarding severe side effects (AOR = 0.502; 95% CI: 0.315, 0.800; p-value = 0.004). The prevalence of doctors frequently inserting LARC was low. Improving LARC provision is crucial, necessitating training interventions and fostering positive beliefs among doctors.
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