Photo courtesey of MCHIPQuality postpartum IUD (PPIUD) service provision requires providers who are knowledgeable and competent not only in PPIUD insertion, but also postpartum family planning (PPFP) counseling. Training should cover both counseling skills and practice on anatomic models to develop competency with standard steps before providing PPIUDs to postpartum women under trainers’ supervision. One of the most important steps in training is follow-up post-training to support the newly-trained providers shortly after training and on an ongoing basis. India has an example of follow-up guidelines.

Sensitization and counseling among antenatal clients are essential to generate demand for the service and should begin well in advance of the training. This should be supplemented with counseling among women in the labor ward (who are not in active labor) as soon as trained providers are available to offer the service. It is important to ensure that the client load is sufficient for trainees to build competence in IUD insertion. One program that trained midwives found that 4 supervised IUD insertions were required on average to reach competency. 

Available training materials for PPIUD services are:

In addition to these training materials, this section of the Toolkit includes counseling tools and information, training guidance, and checklists. To see lessons learned from a variety of country programs, please visit the Country Experiences section of the toolkit.

Do you have PPIUD experience that is not represented in this toolkit? To suggest an additional resource or share your perspective, please email us at or visit our feedback form.