Hardee K, Balogh S, Villinski M T
Service Delivery Research Division and Women's Studies Division, Family Health International, USA.
Health Policy Plan. 1997 Sep;12(3):199-213. doi: 10.1093/heapol/12.3.199.
Despite international efforts to plan for Norplant introduction, the method has drawn the attention of critics of family planning programmes, and has raised several issues for debate since it was introduced into family planning programmes. The experiences of three countries with the introduction of Norplant highlight some of the unique features of the method that have affected its introduction. Indonesia, Bangladesh and the United States represent diverse cultural settings and systems of family planning provision. Experience in each country has highlighted the need to focus on quality of care for clients, most notably the need for good counselling and attention to removal as well as insertion. The cost of Norplant also has influenced its introduction in each country. Another issue includes the need to work with women's health advocacy groups, which is illustrated particularly in Bangladesh. Finally, the role of litigation in the United States, and its potential role in influencing Norplant introduction in other countries, is discussed. These three countries' experience illustrate the importance of understanding the programmatic context of contraceptive introduction.
尽管国际社会为诺普兰植入法的推广做出了努力，但自该方法被引入计划生育项目以来，它引起了计划生育项目批评者的关注，并引发了一些有待辩论的问题。三个国家引入诺普兰的经验凸显了该方法的一些独特特征，这些特征影响了其引入过程。印度尼西亚、孟加拉国和美国代表了不同的文化背景和计划生育服务体系。每个国家的经验都凸显了关注客户护理质量的必要性，最显著的是需要提供良好的咨询服务，并关注取出和植入环节。诺普兰的成本也影响了其在每个国家的引入。另一个问题是需要与妇女健康倡导团体合作，孟加拉国的情况尤其说明了这一点。最后，讨论了美国诉讼的作用及其在影响其他国家引入诺普兰方面的潜在作用。这三个国家的经验说明了理解避孕方法引入的项目背景的重要性。
