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Professional associations are vital partners.

Fostering strong partnerships with key implementing and policy organizations is a key goal of the initiative to reintroduce Re`in`tro`duce´   

v. t. 1. To introduce again.

Verb 1. reintroduce - introduce anew; "We haven't met in a long time, so let me reintroduce myself"
 the intrauterine device intrauterine device (IUD), variously shaped birth control device, usually of plastic, which is inserted into the uterus by a physician. The IUD may contain copper or levonorgestrel, a progestin (a hormone with progesteronelike effects; see progesterone).  (IUD IUD Definition

An IUD is an intrauterine device made of plastic and/or copper that is inserted into the womb (uterus) by way of the vaginal canal. One type releases a hormone (progesterone), and is replaced each year.
) in Kenya. The initiative is also building bridges to as many other people and organizations in support of its objectives as possible. Representatives from various professional associations, which represent most health care providers in Kenya, are already lending their support.

Evelyn Mutio, a nurse-midwife and honorary national secretary of the National Nurses Association of Kenya, says the initiative has her group's backing. "Because doctors are too busy in general to provide IUDs and may be completely unavailable in rural settings, nurse-midwives often are the people inserting and removing IUDs in Kenya," she says." I see no problem with this IUD revival as long as nurse-midwives have the proper preservice and in-service training to insert and remove IUDs safely and have reliable supplies to do so. Some nurse-midwives worry about a long queue of women waiting for family planning family planning

Use of measures designed to regulate the number and spacing of children within a family, largely to curb population growth and ensure each family’s access to limited resources.
 services if IUD insertion becomes more common. But they just need to be educated that over time IUD provision will take less of their time than provision of other methods requiring multiple visits. In Kenya, the IUD is checked by a provider one month after insertion. After that, if there are no problems, an IUD needs to be checked only once a year." These annual IUD checkups, Mutio notes, provide an excellent opportunity to perform a Pap smear Pap smear
 or Papanicolaou smear

Sample of cells from the vagina and cervix of the uterus for laboratory staining and examination to detect genital herpes and early-stage cancer, especially of the cervix. Developed by the Greek-born U.S.
 to screen for cervical cancer Cervical Cancer Definition

Cervical cancer is a disease in which the cells of the cervix become abnormal and start to grow uncontrollably, forming tumors.

Besides nurse-midwives, most providers of family planning services in rural settings throughout Kenya are clinical officers. Gregory W. Miyanga, secretary-general of the Kenya Clinical Officers' Association (KCOA), says,"Our people are very much interested in the rehabilitation of the IUD. It is dynamic and new, and we do not consider insertions and removals to be time-consuming. If you have the proper training and equipment, IUD insertion barely takes more than 10 minutes."

Gladys Okakah Koyengo, head of the department of clinical medicine at the Kenya Medical Training College in Nairobi--which graduates about 1,000 nurses and 300 clinical officers a year--says,"I see lack of provider motivation to insert IUDs. So changing provider attitudes is important. Once those attitudes change, so too will clients' attitudes. Patients have confidence in health care providers."

"Although reintroduction Noun 1. reintroduction - an act of renewed introduction
intro, introduction, presentation - formally making a person known to another or to the public
 of the IUD in Kenya will require the strengthening of clinics and raise issues of supplies and expendables, we too are ready with a wide network of skilled professionals to support and contribute to the reintroduction of the IUD," says Dr. Joseph Karanja, chairman of the Kenya Obstetrical obstetrical, obstetric

pertaining to or emanating from obstetrics.

obstetrical anesthesia
an anesthetic procedure designed especially for patients undergoing cesarean operation or intrauterine manipulation of the fetus.
 and Gynaecological adj. 1. Of or pertaining to gynecology; same as gynecological.

Adj. 1. gynaecological - of or relating to or practicing gynecology; "gynecological examination"
gynecologic, gynecological
 Society (KOGS)." The IUD's decline really is a pity."

Among the IUD's greatest supporters are those health care providers who have personal experience with the method. Nurse-midwife Mutio used the IUD to space the births of her two children. Clinical officer Miyanga's wife used an IUD for eight years before having two children. Koyengo of the Kenya Medical Training College has also used an IUD." I had a wonderful experience," she says." No problems, no complications, for 10 years. Taking pills was too cumbersome. I had four children,two before the IUD, and two after. The same month I removed the IUD, I got pregnant."
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Author:Best, Kim
Geographic Code:6KENY
Date:Sep 22, 2003
Previous Article:'Rehabilitating' the IUD: Initiative in Kenya is a potential model for activities to promote research utilization for better services.
Next Article:Good training gives providers confidence to insert IUDs.

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