Communicating contraceptive effectiveness: A randomized controlled trial to inform a World Health Organization family planning handbook.

Abstract:

OBJECTIVE:The objective of the study was to compare 3 different approaches for increasing clients' understanding of contraceptive effectiveness. STUDY DESIGN:We randomized 900 reproductive-age women in India and Jamaica to 1 of 3 charts presenting pregnancy risk. RESULTS:The most important reason for choosing a contraceptive was how well it prevents pregnancy (54%) followed by few side effects (17%). At baseline, knowledge about contraceptive effectiveness was poor. About half knew oral contraceptive pills are more effective than condoms (46%) and intrauterine devices are more effective than injectables (50%). All 3 charts improved knowledge significantly (P < .01) for these 2 questions. No chart improved knowledge better than any other (P > .05). The chart ranking contraceptive methods on a continuum was judged slightly easier to understand than the other 2 charts. CONCLUSION:Only with accurate understanding of pregnancy risk can clients make informed choices. Our results have already informed a global handbook for family planning providers to use the chart ranking contraceptive methods on a continuum.

journal_name

Am J Obstet Gynecol

authors

Steiner MJ,Trussell J,Mehta N,Condon S,Subramaniam S,Bourne D

doi

10.1016/j.ajog.2005.12.053

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

85-91

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(05)02752-3

journal_volume

195

pub_type

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