Impact of A Provider Job Aid Intervention on Injectable Contraceptive Continuation in South Africa  

Oleh:

Baumgartner, Joy Noel ; Morroni, Chelsea ; Mlobeli, Regina Dlakulu ; Otterness, Conrad ; Buga, Geoffrey ; Chen, Mario

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Studies in Family Planning vol. 43 no. 04 (Dec. 2012), page 305-314.
Topik: Job Aid Intervention; Contraceptive

Ketersediaan

Perpustakaan PKPM Nomor Panggil: S26 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Arriving late for scheduled contraceptive reinjections is common in many countries and contributes to discontinuation when providers are unsure how to manage such clients. A clinic-randomized cohort and cross-sectional study with more than 5,000 clients using injectable contraceptives was conducted in the Eastern Cape province of South Africa to test the effectiveness of a provider job aid for managing late-returning clients and promoting continued use of the method. A marginally significant difference in reinjection rates between intervention and control groups was found for those up to two weeks late, and reanalysis excluding one clinic that experienced stockout issues revealed a significant difference. The difference in reinjection rates for those 2-12 weeks late was also found to be significant. The one-reinjection cycle continuation rate for the intervention group was higher than that for the control group, but the difference was not statistically significant. Appropriate management of late-returning clients is critical, and this study illustrates that reinjection rates can be significantly increased with a low-resource provider job aid.

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