Table 2.
Changes in provider knowledge, competency and clinical practices for IUDs and implants post intervention: Results from multivariable GEE regression models
| Outcome variables | Baseline (%) n=3,216 | Follow-up (%) n=2,126 | Coef | 95% CI | N |
|---|---|---|---|---|---|
| Knowledge scales¥ (range 0–1) | |||||
| IUD eligibility | (68) | (84) | 0.17 | [0.15 – 0.19] | 4,879 |
| IUD/implant eligibility with medical conditions | (70) | (83) | 0.13 | [0.11 – 0.15] | 4,691 |
| Provider skills, counseling and provision practices | aOR | ||||
| Integrating LARC into counseling contraceptive patients | |||||
| Counseling skills for IUDs | (70) | (88) | 3.31 | [2.82 – 3.88] | 5,015 |
| Counseling skills for implant | (68) | (87) | 3.48 | [2.97 – 4.07] | 5,018 |
| Counsels patients routinely on copper IUD as EC | (18) | (30) | 1.93 | [1.67 – 2.23] | 4,740 |
| Same-visit service delivery of contraception | |||||
| IUD requires only 1 clinic visit | (26) | (35) | 1.55 | [1.36 – 1.78] | 4,728 |
| Implant requires only 1 clinic visit | (31) | (41) | 1.51 | [1.33 – 1.72] | 4,693 |
| Comfort in placing methods (clinician only) | n=1,436 | n=865 | |||
| Copper IUD | (46) | (60) | 1.80 | [1.50 – 2.16] | 2,294 |
| Mirena IUD | (48) | (61) | 1.82 | [1.52 – 2.18] | 2,291 |
| Skyla IUD | (28) | (48) | 2.55 | [2.08 – 3.12] | 2,264 |
| Liletta IUD* | (22) | (41) | 2.59 | [2.09 – 3.21] | 1,506 |
| Nexplanon Implant | (54) | (73) | 2.43 | [2.01 – 2.95] | 2,262 |
| Clinician provision practices (clinicians only) | |||||
| Provided IUDs in the last month | (38) | (48) | 1.52 | [1.30 – 1.76] | 2,301 |
| Provided implants in the last month | (43) | (55) | 1.71 | [1.44 – 2.05] | 2,301 |
The first scale has 6-items asking providers if they would consider the following patients eligible for an IUD: nulliparous, teenager, immediately post-abortion, HIV positive, or history of STI or PID in the last 2 years.
The second scale comprises 12-items asking providers about patient eligibility for the copper IUD, the levonorgestrel IUD and the etonogestrel implant for patients with common medical conditions, including obesity, diabetes, history of hypertension, or smoker
Training on Liletta was offered starting in 2016. aOR= Adjusted odds ratio, CI = confidence interval. Models adjusted for provider type, practice setting, training year, and region.