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Background It is widely agreed that the practices of clinicians should be based on the best available research evidence, but too often this evidence is not reliably disseminated to people who can make use of it. This “know-do” gap leads to ineffective resource use and suboptimal provision of services, which is especially problematic in low- and middle-income countries (LMICs) which face greater resource limitations. Family planning, including intrauterine device (IUD) use, represents an important area to evaluate clinicians’ knowledge and practices in order to make improvements. Results Overall, a 96% response rate was achieved ( n = 438/458). Only 2.8% of respondents were able to correctly answer all five knowledge-testing questions, and only 0.9% self-reported “often” undertaking all four recommended clinical practices and “never” performing the one practice that was contrary to recommendation.
Statistically significant factors associated with knowledge scores included: 1) having a masters or doctorate degree; and 2) often reading scientific journals from high-income countries. Significant factors associated with recommended practices included: 1) training in critically appraising systematic reviews; 2) training in the care of patients with IUDs; 3) believing that research performed in their own country is above average or excellent in quality; 4) being based in a facility operated by an NGO; and 5) having the view that higher quality available research is important to improving their work. The healthcare community, including its numerous researchers, clinicians, and policymakers, have become increasingly aware of the worrisome gap between what we know from research evidence and what is brought into action [, ]. A growing body of work supports the notion that clinicians are not regularly receiving research results, leading to a troubling information gap which can result in inadequate and inequitable care, suboptimal resource allocation, and an overall decreased quality of healthcare services.
Further, this problem is exacerbated in low- and middle-income countries (LMICs) where resources are scarcer. This problematic trend is especially apparent in global health issues for which treatments exist but lack universally consistent action [ ]. Maternal and reproductive health has been highlighted in both the Millennium Development Goals (MDGs) and Sustainable Development Goals (SDGs) because of its significant impact on quality of life in LMICs.
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A principal objective proposed by the World Health Organization (WHO) is to lower unmet contraception needs globally, not only in terms of improving access, but also with regard to increasing options available to women. Inequitable access and ineffective use of contraception persist as barriers to improving women’s health globally.
Progress in this field would serve to reduce maternal, newborn and child mortality, while also empowering vulnerable populations through improvements in education and gender equality [, ]. Intrauterine devices (IUDs), which are long-acting reversible contraception products, have been proven to be safe over extended periods of use and shown to be nearly as effective as male or female sterilization [ ].
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With the demonstrated efficacy and cost-effectiveness of IUDs for family planning, there is a clear need to address any knowledge gaps and their underuse globally [ ]. Additionally, the gap in accessible and affordable contraceptive options supports the need for further investigation in the realm of family planning and reproductive health services.
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The current state of contraceptive options poses a significant threat to global development [ ]. Despite most maternal deaths being preventable, nearly 300,000 women die each year from causes related to pregnancy and childbirth [ ]. The overwhelming number of unintended pregnancies worldwide contributes to this loss.