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Background: Intra-uterine contraceptive device is one of the most commonly used reversible method of contraception worldwide. In West Bengal Cu-T acceptance is decreasing in majority of the districts. Objectives: To determine the underlying factors for low acceptance of IUCD. Methodology: A qualitative study was carried out in Paschim Mednipur and Howrah districts of West Bengal in 2009 by organising seven Focus Group Discussions (FGD) in each district. Three FGDs among beneficiaries’ i. e eligible couples, 3 FGDs among service providers and one FGD among health administrators were undertaken in each district.Results: Beneficiaries experienced complications like bleeding, pain, misplacement etc. Fear of weakness, white discharge, occurrence of cancer existed. Providers highlighted lack of privacy, need for Cu-T re-orientation training, shortage of IEC material and inadequate time spent by doctor for motivation, rumour among clients. Administrators opined that sustenance of Behaviour Change Communication, training of ANMs would be useful.Conclusion: Different rumours& myth in the society responsible for low acceptance of Cu-T may be removed through strengthening the Behaviour Change Communication involving Doctors also.

Background & Objectives: As a part of Revised Filaria control strategy, MDA programme was implemented in Murshidabad district from 29th - 31st December 2008. A cross sectional study was carried out to assess drug compliance after Mass Drug Administration of DEC and the factors responsible for poor compliance among the population of Murshidabad district of West Bengal during Jan 2009. Materials & methods: Total study unit were 120 families covering 3 villages and one municipality ward area (30 families from each area). Results: Out of 601 family members, 571 were eligible for Mass drug administration (6 pregnant women and < 2 years age groups (24) were excluded). Drug distribution rate was 91.8%.Overall drug compliance was 42.3%.Total number of defaulters was 330 (57.7%). Non compliance was highest (75.5%) in urban area. Defaulters were more among male than female. Factors responsible for defaulters were no motivation (24.7%), drugs not supplied (22.5%) ,absence at home (13.5%),no faith (10.1%), fear of side effects (10.1%) and others (Forgotten, lack of prior IEC etc), illness, wrong information were 7.8%, 7.3%, 3.9% respectively. Majority has no side effects, only dizziness (3.3%), headache (1.7%), vomiting and others (4.1%) were experienced by the people after consumption of drugs. On an average 40% families were aware about ELF & transmission of disease. Only 43.7% of community members were informed about MDA by Health Workers prior to the implementation of MDA programme.