The Expanding Access to Intrauterine Device (IUD) Services in India (EAISI) Project

Through the Expanding Access to Intrauterine Device (IUD) Services in India (EAISI) Project, EngenderHealth provided technical support to the governments of Rajasthan and Gujarat, starting in 2014 (Phase I), to increase the availability and quality of IUD services in 183 health facilities with the highest number of deliveries. In Phase II (2017–2020), the project expanded to an additional 176 facilities and dedicated resources to improving postabortion family planning (PAFP) services, increasing collaboration between EAISI partners, and ensuring the institutionalization of IUD services.

Over the entire project period, EngenderHealth supported 359 facilities by:

• Initiating or strengthening postpartum and interval IUD services.
• Improving infection prevention practices, reporting and record keeping, contraceptive commodity planning, and quality of service monitoring.
• Conducting comprehensive IUD service provision trainings and follow-up support for providers.

By the completion of the EAISI project in 2020:

• 490,135 women chose to receive an IUD at a supported facility.
• 2,793 providers were trained to deliver IUD services.
• 802 providers were trained in effective family planning counseling using the REDI approach.
• Project interventions were fully integrated into 87% of supported facilities.
• The percentage of women who delivered at a supported facility and chose to adopt a postpartum IUD increased from 17.5% at baseline to 23.9%.
• The percentage of women who received an abortion at a supported facility and chose to adopt a postabortion IUD increased from 7.7% at baseline to 14.3%.
• Clients visiting a supported facility for follow-up increased from 2.4% at baseline to 22.4%.
• The governments of Rajasthan and Gujarat issued guidelines for IUD service provision to district health authorities.

Hear about the EAISI Project from EngenderHealth and Government of India staff:

Learn about the EAISI Project’s approach, impact, and lessons learned in the reports below.

• Transforming Access to IUDs in Gujarat and Rajasthan
• Addressing Provider Attitudes and Biases in Family Planning Services
• Best Practices in Clinical Trainings
• Self-Learning Instructional Module and Practicum: An Innovative Strategy for IUD Training
• Strengthening Postabortion Contraceptive Services
• Potential for Improving IUD Service Delivery Quality