**5. Factors affecting contraceptive usage**

Various studies have shown that the acceptance and continuation of any contraceptive method is directly related to the efficacy of method counseling, availability and cost of the method, and quality of the involved service delivery system. Given the rigorous quality assurance standards to which Cu-T devices were subjected before being launched as a globally highly-rated contraceptive method, it is imperative to critically examine the service delivery systems in place in various countries. These logistics may be the actual determining/influencing factors affecting the uptake and continuation of PPIUCD in LMIC [21].
