Caderneta de acompanhamento de usuárias de dispositivo intrauterino na atenção primária à saúde: desenvolvimento e validação

Abstract

The high prevalence of unintended pregnancies and the persistent challenges in women’s health care highlight the need to expand access to effective contraceptive methods. The intrauterine device (IUD) is a highly effective long-acting reversible contraceptive available through the Brazilian Unified Health System (SUS); however, its use in Primary Health Care (PHC) still faces barriers related to access, information, and service organization. Objective: To develop and validate a follow-up booklet for multidisciplinary care of IUD users in PHC. Methods: This methodological and applied study was conducted in three stages: narrative literature review, development of the preliminary version of the booklet, and content validation by experts. The instrument was organized into thematic sections covering user identification, clinical and reproductive history, IUD insertion data, clinical follow-up, screening tests, educational guidance, and spaces for records by both health professionals and users. Content validation was performed using the Delphi technique in two rounds, involving 19 experts from the fields of Family and Community Medicine, Gynecology and Obstetrics, Family Health Nursing, and Obstetric and Gynecological Nursing. Consensus was assessed using the Item Content Validity Index (I-CVI) and the Scale Content Validity Index/Average (S-CVI/Ave). Results: All evaluated sections achieved an I-CVI of 1.00 in both rounds, indicating complete agreement among experts regarding the adequacy of the content. The S-CVI/Ave was also 1.00, demonstrating a high level of consensus concerning clarity, relevance, and practical applicability of the booklet. Qualitative suggestions contributed to improvements in content, layout, and user guidance. Technical Product: An IUD user follow-up booklet designed as a tool to support longitudinal care, health education, and communication between users and PHC professionals. Conclusion: The booklet presented content validated by experts and showed potential to contribute to the improvement of reproductive planning services, the strengthening of sexual and reproductive rights, and the continuity of care for IUD users in Primary Health Care.