Introduction: Uncontrolled population growth in India is recognized as the single most hurdle for the nation’s development. Population can only be controlled by effective and compliant methods of contraception. One such method is long acting injectable medroxy progesterone acetate (DMPA) that simplifies compliance.
Aims and Objectives: To assess the acceptability and compliance of injection DMPA in rural married women in Sitapur.
Methods: The present study was conducted on 150 married women aged 18-45 years who had chosen DMPA as contraceptive at HIMS Sitapur in duration of 2 years. DMPA injection was given within 7days of menstruation, within 7 days post-abortion and after 6 weeks postpartum. Subsequent injections were given at three monthly intervals. All women were followed up for one year after the first injection for pregnancy rate, side-effects, discontinuation and patient satisfaction.
Results: It was observed that out of 150 women 72.66% were from age group of 21-30 years and 41.33 % were primipara. Most common side effect was irregular bleeding 58% followed by amenorrhea in 20%. Discontinuation rate was 73.33% after first injection and 18% after second injection. 56% had stopped injection due to side effect 16.66 % women had changed contraception.10% women had planned pregnancy and17.33% women had lost to follow up.
Conclusion: Acceptability is very good in rural women because of convenience of dosing, coital independence and privacy. Compliance is low due to side effect but can be increased with counseling and diligent follow up.