Factors associated with IUD service productivity of Sun Quality Health doctors in Myanmar

Abstract

This study is cross sectional descriptive analytical study and data was collected in 12 States and Divisional Regions (5 states and 7 Divisional Regions) of Myanmar. This study was done with questionnaire interview and in depth interview and therefore it included both quantitative and qualitative study. The objective of the study is to find out the factors association with IUD service productivity of Sun Quality Health Network. 175 Sun Quality Health doctors were interviewed by structured interview and from those 175 doctors, 9 doctors were selected based on their IUD service productivity and in depth interviews were done. The results were analyzed by SPSS software and relationships were founded by Chi-square test. Thematic analysis was used to discover the key factors and relationships from qualitative study. Majority of the respondents (37.7%) were from the age group between 46 to 55 years and 43.43% were male doctors and 56.57% were female doctors. Out of 175 doctors, 85.1% graduated as M.B.,B.S. only without other specialization. Majority of the clinics (77.7%) were located in urban area and 54.3% of the clinics opened from 4 to 8 hours per day. 61.7% of the clinics had separate examination room for IUD service. 64.6% of providers had IUD client referral network to their clinics. Majority (72.6%) had clinic assistants for IUD service at their clinics. 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 related 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 associated with their IUD service productivity. Attending IUD refresher training was also one of the associated factors for IUD service productivity.