Training auxiliary nurse-midwives to provide IUD services in Turkey and the Philippines.

A program for training health personnel for the provision of IUD services has been implemented and evaluated with 14 auxiliary nurse-midwives (ANMs) in Turkey and 13 ANMs in the Philippines. Standardized training materials, including a training manual, checklists for contraindications or complications of IUD use, and patient-management instructions, have been developed. The study suggests that similar training programs should use a reference manual as a focus for didactic training and that the acquisition of skills is best accomplished in small groups of two to three trainees per instructor. Trainees should ideally perform a minimum of 50-60 supervised pelvic examinations and 10-15 supervised IUD insertions.