Impact of a Provider Job Aid Intervention on Injectable Contraceptive Continuation in South Africa
Identifieur interne : 001E26 ( Main/Exploration ); précédent : 001E25; suivant : 001E27Impact of a Provider Job Aid Intervention on Injectable Contraceptive Continuation in South Africa
Auteurs : Joy Noel Baumgartner [États-Unis] ; Chelsea Morroni [Afrique du Sud] ; Regina Dlakulu Mlobeli [Afrique du Sud] ; Conrad Otterness ; Geoffrey Buga ; Mario ChenSource :
- Studies in Family Planning [ 0039-3665 ] ; 2012-12.
English descriptors
- Teeft :
- African guidelines, Background characteristics, Barbara janowitz, Baseline, Baumgartner, Cape town, Chelsea morroni, Client, Clinic, Cohort, Cohort clients, Cohort participants, Conrad otterness, Continuation rates, Contraceptive, Contraceptive reinjections, Control clinic clients, Control clinics, Control group, Control groups, Counseling messages, Discontinuation, Dmpa, Family planning, Family planning clients, Grace period, Guideline, Injectable, Injectable contraceptives, Intentional discontinuation, Intervention clinic clients, Intervention clinics, Intervention group, Late clients, Main reason, Morroni, Pregnancy, Pregnancy checklist, Pregnancy test, Provider, Provider practices, Reinjection, Reinjection cycle, Reinjection date, Reinjection rate, Reinjection rates, Reinjections, Research assistants, Side effects, Stanback, Subsample, Unintentional discontinuation, Weeks days.
Abstract
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.
Url:
DOI: 10.1111/j.1728-4465.2012.00328.x
Affiliations:
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code="subField">jbaumgartner@fhi360.org.</wicri:noCountry></affiliation></author><author><name sortKey="Chen, Mario" sort="Chen, Mario" uniqKey="Chen M" first="Mario" last="Chen">Mario Chen</name><affiliation><wicri:noCountry code="subField">NC.</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Studies in Family Planning</title><title level="j" type="alt">STUDIES IN FAMILY PLANNING</title><idno type="ISSN">0039-3665</idno><idno type="eISSN">1728-4465</idno><imprint><biblScope unit="vol">43</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="305">305</biblScope><biblScope unit="page" to="314">314</biblScope><biblScope unit="page-count">10</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-12">2012-12</date></imprint><idno type="ISSN">0039-3665</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0039-3665</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>African guidelines</term><term>Background characteristics</term><term>Barbara janowitz</term><term>Baseline</term><term>Baumgartner</term><term>Cape town</term><term>Chelsea morroni</term><term>Client</term><term>Clinic</term><term>Cohort</term><term>Cohort clients</term><term>Cohort participants</term><term>Conrad otterness</term><term>Continuation rates</term><term>Contraceptive</term><term>Contraceptive reinjections</term><term>Control clinic clients</term><term>Control clinics</term><term>Control group</term><term>Control groups</term><term>Counseling messages</term><term>Discontinuation</term><term>Dmpa</term><term>Family planning</term><term>Family planning clients</term><term>Grace period</term><term>Guideline</term><term>Injectable</term><term>Injectable contraceptives</term><term>Intentional discontinuation</term><term>Intervention clinic clients</term><term>Intervention clinics</term><term>Intervention group</term><term>Late clients</term><term>Main reason</term><term>Morroni</term><term>Pregnancy</term><term>Pregnancy checklist</term><term>Pregnancy test</term><term>Provider</term><term>Provider practices</term><term>Reinjection</term><term>Reinjection cycle</term><term>Reinjection date</term><term>Reinjection rate</term><term>Reinjection rates</term><term>Reinjections</term><term>Research assistants</term><term>Side effects</term><term>Stanback</term><term>Subsample</term><term>Unintentional discontinuation</term><term>Weeks days</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>États-Unis</li></country><region><li>District de Columbia</li></region></list><tree><noCountry><name sortKey="Buga, Geoffrey" sort="Buga, Geoffrey" uniqKey="Buga G" first="Geoffrey" last="Buga">Geoffrey Buga</name><name sortKey="Chen, Mario" sort="Chen, Mario" uniqKey="Chen M" first="Mario" last="Chen">Mario Chen</name><name sortKey="Otterness, Conrad" sort="Otterness, Conrad" uniqKey="Otterness C" first="Conrad" last="Otterness">Conrad Otterness</name></noCountry><country name="États-Unis"><region name="District de Columbia"><name sortKey="Baumgartner, Joy Noel" sort="Baumgartner, Joy Noel" uniqKey="Baumgartner J" first="Joy Noel" last="Baumgartner">Joy Noel Baumgartner</name></region></country><country name="Afrique du Sud"><noRegion><name sortKey="Morroni, Chelsea" sort="Morroni, Chelsea" uniqKey="Morroni C" first="Chelsea" last="Morroni">Chelsea Morroni</name></noRegion><name sortKey="Mlobeli, Regina Dlakulu" sort="Mlobeli, Regina Dlakulu" uniqKey="Mlobeli R" first="Regina Dlakulu" last="Mlobeli">Regina Dlakulu Mlobeli</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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