BACKGROUND: The decision-making tool (DMT) was developed by the World Health Organization's Department of Reproductive Health and Research and the Johns Hopkins University Center for Communication Program's staff to promote clients' informed choice and participation in family planning service delivery, to enable providers to apply evidence-based best practices during client-provider interaction and to provide the technical information necessary for optimal delivery of contraceptive methods. This tool has been tested in several countries and been shown to improve the quality of counseling for family planning clients. STUDY DESIGN: We conducted intercept and follow-up home interviews with new family planning acceptors in three health departments in Nicaragua to assess the impact of the DMT on method continuation and counseling experiences. The study was a quasi-experimental design with 65 experimental and control clinic sites. RESULTS: Analyses of overall and method-specific contraceptive use rates revealed no differences between experimental and control clinic clients. However, clients in the experimental group reported better counseling experiences than their counterparts in the control group. CONCLUSION: The authors conclude that sufficient evidence exists that counseling alone - with or without specialized job aids - does not influence contraceptive use rates. A new strategy is needed to help women maintain use of family planning methods.
BACKGROUND: The decision-making tool (DMT) was developed by the World Health Organization's Department of Reproductive Health and Research and the Johns Hopkins University Center for Communication Program's staff to promote clients' informed choice and participation in family planning service delivery, to enable providers to apply evidence-based best practices during client-provider interaction and to provide the technical information necessary for optimal delivery of contraceptive methods. This tool has been tested in several countries and been shown to improve the quality of counseling for family planning clients. STUDY DESIGN: We conducted intercept and follow-up home interviews with new family planning acceptors in three health departments in Nicaragua to assess the impact of the DMT on method continuation and counseling experiences. The study was a quasi-experimental design with 65 experimental and control clinic sites. RESULTS: Analyses of overall and method-specific contraceptive use rates revealed no differences between experimental and control clinic clients. However, clients in the experimental group reported better counseling experiences than their counterparts in the control group. CONCLUSION: The authors conclude that sufficient evidence exists that counseling alone - with or without specialized job aids - does not influence contraceptive use rates. A new strategy is needed to help women maintain use of family planning methods.
Authors: Mary Qiu; Jhony Juarez; Adelaide de Carvalho; Frederico Joao Carlos Juliana; Lucas Nhamba; Isilda Neves; Vita Vemba; Ligia Alves; Abreu Pecamena; Peter Winch Journal: Matern Child Health J Date: 2017-09
Authors: Joan Marie Kraft; Titilope Oduyebo; Tara C Jatlaoui; Kathryn M Curtis; Maura K Whiteman; Lauren B Zapata; Mary Eluned Gaffield Journal: Health Res Policy Syst Date: 2018-05-22
Authors: Dawn Chin-Quee; Mohamed Diadhiou; Margaret Eichleay; Ahmed Youssef; Mario Chen; Alissa Bernholc; John Stanback Journal: Front Glob Womens Health Date: 2022-01-28
Authors: Carolina Cardona; Funmilola M OlaOlorun; Elizabeth Omulabi; Peter Gichangi; Mary Thiogo; Amy Tsui; Philip Anglewicz Journal: PLoS One Date: 2022-08-22 Impact factor: 3.752
Authors: Kirk D Wyatt; Ryan T Anderson; Douglas Creedon; Victor M Montori; John Bachman; Patricia Erwin; Annie LeBlanc Journal: BMC Womens Health Date: 2014-02-13 Impact factor: 2.809