{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T21:31:08Z","timestamp":1761514268816},"reference-count":13,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T00:00:00Z","timestamp":1537228800000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"International Federation of Gynecology and Obstetrics (FIGO)"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology & Obste"],"published-print":{"date-parts":[[2018,9]]},"abstract":"Abstract<\/jats:title>Objective<\/jats:title>To analyze the difficulties and challenges arising from introduction of postpartum intrauterine device (PPIUD<\/jats:styled-content>) services into the Sri Lankan health system.<\/jats:p><\/jats:sec>Methods<\/jats:title>Phase I of a FIGO PPIUD<\/jats:styled-content> initiative was implemented in 2013 in six hospitals; phase II<\/jats:styled-content> began in 12 hospitals in 2015. During this period, 915 Medical Officers were trained in PPIUD<\/jats:styled-content> insertion and 5370 personnel were trained in PPIUD<\/jats:styled-content> counseling. Women were followed up at 4\u20136\u00a0weeks after insertion.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 184\u00a0433 women (62.4% of hospital deliveries) were interviewed about PPIUD<\/jats:styled-content> as a method of contraception. Of those interviewed, 116\u00a0159 (63.0%) received counseling on PPIUD<\/jats:styled-content> and 11\u00a0339 (6.1%) consented to PPIUD<\/jats:styled-content> insertion. Of consenting women, 9346 (82.4%) had a PPIUD<\/jats:styled-content> inserted. There were no significant complications reported at insertion. Expulsion rates were 2.9% and removal rates were 4.1%.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>PPIUD<\/jats:styled-content> as a method of contraception was successfully introduced into the 18 participating hospitals. Given the success of this pilot intervention and the safety profile demonstrated, PPIUD<\/jats:styled-content> was added to the national family planning program in\u00a02017.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12601","type":"journal-article","created":{"date-parts":[[2018,9,18]],"date-time":"2018-09-18T07:29:51Z","timestamp":1537255791000},"page":"28-32","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Four years of the FIGO<\/scp> postpartum intrauterine device initiative in Sri Lanka: Pilot initiative to national policy"],"prefix":"10.1002","volume":"143","author":[{"given":"Deepal S.","family":"Weerasekera","sequence":"first","affiliation":[{"name":"Sri Lanka College of Obstetricians and Gynaecologists Colombo Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lakshmen","family":"Senanayeke","sequence":"additional","affiliation":[{"name":"Sri Lanka College of Obstetricians and Gynaecologists Colombo Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pushpananda U.","family":"Ratnasiri","sequence":"additional","affiliation":[{"name":"Sri Lanka College of Obstetricians and Gynaecologists Colombo Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gamini Y.","family":"Perera","sequence":"additional","affiliation":[{"name":"Sri Lanka College of Obstetricians and Gynaecologists Colombo Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanath","family":"Lanerolle","sequence":"additional","affiliation":[{"name":"Sri Lanka College of Obstetricians and Gynaecologists Colombo Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeeva S.","family":"Godakandage","sequence":"additional","affiliation":[{"name":"Family Health Bureau Ministry of Health and Indigenous Medicine Colombo Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ranjith","family":"de Silva","sequence":"additional","affiliation":[{"name":"Harvard Research Study PPIUD Project Sri Lanka College of Obstetricians and Gynaecologists Colombo Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lakshan","family":"Fernando","sequence":"additional","affiliation":[{"name":"PPIUD Project Sri Lanka College of Obstetricians and Gyanecologists Colombo Sri Lanka"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,9,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.328.7443.777"},{"key":"e_1_2_9_3_1","volume-title":"Sri Lanka Socio\u2010Economic Data 2016","author":"Central Bank of Sri Lanka","year":"2016"},{"key":"e_1_2_9_4_1","unstructured":"Family Health Bureau[website].National Statistics.http:\/\/fhb.health.gov.lk\/web\/index.php?option=com_statistics&view=islandwideallresult&Itemid=134&lang=enAccessed November 24 2017."},{"key":"e_1_2_9_5_1","volume-title":"Annual Health Bulletin 2015 Sri Lanka","author":"Medical Statistics Unit, Ministry of Health, Nutrition and Indigenous Medicine","year":"2017"},{"key":"e_1_2_9_6_1","volume-title":"National Emergency Obstetric and Neonatal Care Needs Assessment Country Report 2012","author":"Family Health Bureau, Ministry of Health, and United Nations Population Fund","year":"2012"},{"key":"e_1_2_9_7_1","unstructured":"Family Health Bureau[website].Maternal and Child Morbidity Mortality Surveillance.http:\/\/fhb.health.gov.lk\/web\/index.php?option=com_phocadownload&view=category&id=40:maternal-child-morbidity-mortality-surveillance&lang=enAccessed November 29 2017."},{"key":"e_1_2_9_8_1","volume-title":"ICPD \u2013 \u201c15 Years on\u201d Sri Lanka. A Review of Progress","author":"Weerasooriya W","year":"2009"},{"key":"e_1_2_9_9_1","unstructured":"WHO Organization South\u2010East Asia.Sri Lanka and Family Planning: An Overview.http:\/\/www.searo.who.int\/entity\/maternal_reproductive_health\/documents\/srl-fp-sea.pdf?ua=1. 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