目的:通过新型宫内节育器(IUD)的引入,提高基层计划生育服务质量,提高新技术的可接受性并鼓励更多的人更有效地使用避孕方法。方法:研究分三阶段进行,第一阶段采用定性和定量方法进行引入前需求评估;第二阶段为干预研究:宣传教育、技术培训和引入新型IUD;第三阶段采用定性方法进行干预后评估。研究现场的选择考虑了地区、社会经济和计划生育工作状况的代表性,分别在江苏省、山东省和重庆市各选择了3个县(市),然后在每个县(市)选择3个乡镇。引入的新型IUD为宫药铜300、TCu380A和γ药铜200。结果:被访的市(县)指导站能提供多种避孕方法和相关手术,如口服避孕药、皮下埋植剂、置取IUD、男/女绝育术、人工流产、男用避孕套和外用药以及一些妇科疾病和避孕药具副反应的处理。可提供的IUD种类较多,以TCu220C、药铜165和宫铜IUD为主。政策因素对避孕方法的选择有一定影响,普遍是‘一孩上环,二孩结扎’。不少妇女不知道自己使用IUD种类,相当多的妇女在放置IUD过程中未获得较规范的咨询服务。技术服务人员对性传播疾病的认识仍非常有限。多数技术人员都希望有进修和培训的机会。服务记录过于简单的问题较为突出,如放置IUD仅记录其形状如宫型、圆形或T型,这将可能影响随访和IUD的到期取出,直接影响服务的可持续性? OBJECTIVE: To improve the quality of primary family planning services, improve the acceptability of new technologies and encourage more people to use contraceptive methods more effectively through the introduction of a new intrauterine device (IUD). Methods: The study was conducted in three stages. The first stage was qualitative and quantitative assessment of pre-introduction needs. The second stage was intervention research: publicity and education, technical training and the introduction of novel IUD. The third stage was qualitative assessment of intervention. The selection of the research site took into account the representativeness of the regional, socio-economic and family planning work. Three counties (cities) were selected in Jiangsu Province, Shandong Province and Chongqing Municipality, and three in each county (city) Township. The introduction of the new IUD Palace of copper 300, TCu380A and γ copper 200. Results: The interviewed city (county) guidance station can provide various methods of contraception and related operations such as oral contraceptives, subcutaneous implants, IUD, male / female sterilization, abortion, male condoms and topical Drugs and some gynecological diseases and contraceptives side effects of treatment. IUD available more types to TCu220C, medicine copper 165 and Palace copper IUD-based. Policy factors have a certain impact on the choice of contraceptive methods, generally “one kid Sheung Wan, two children ligation.” Many women do not know their own use of IUD types, a considerable number of women in the process of placing the IUD did not get more standardized advisory services. Technical staff still have very limited knowledge of STIs. Most technicians want opportunities for further education and training. Service records over the simple problem is more prominent, such as placing the IUD only record its shape such as the shape of the palace, round or T, which will likely affect the follow-up and IUD expiration, a direct impact on service sustainability?