Arends-Kuenning Mary
Department of Agricultural and Consumer Economics, University of Illinois at Urbana-Champaign, 408 Mumford Hall, 1301 West Gregory Drive, Urbana, IL 61801, USA.
Stud Fam Plann. 2002 Mar;33(1):87-102. doi: 10.1111/j.1728-4465.2002.00087.x.
The government of Bangladesh is currently testing and implementing strategies to change its family planning program from a reliance on field-workers who conduct home visits to a conventional fixed-site delivery system. Researchers have made two suggestions: First, the program should encourage women to switch from nonclinical methods delivered by family planning workers to more cost-effective clinical methods such as sterilization, and second, field-workers should not be resupplying nonclinical methods, but should focus their attention on motivating nonusers to practice contraception. Longitudinal data from the Maternal and Child Health-Family Planning Extension Project of the International Centre for Diarrhoeal Disease Research, Bangladesh, are analyzed to show that a better strategy might be to target visits to women according to their educational level and area of residence. For uneducated women living far from clinics, access to contraceptives is likely to be a problem, and home visits for resupply might have a larger impact on the contraceptive prevalence rate than would field-workers' visits to motivate nonusers.
孟加拉国政府目前正在测试和实施相关策略，以将其计划生育项目从依赖进行家访的外勤人员转变为传统的定点服务提供系统。研究人员提出了两点建议：其一，该项目应鼓励女性从计划生育工作者提供的非临床方法转向更具成本效益的临床方法，如绝育；其二，外勤人员不应再补充非临床方法，而应将注意力集中在激励未使用者采取避孕措施上。对孟加拉国腹泻病研究国际中心母婴健康-计划生育扩展项目的纵向数据进行分析后发现，更好的策略可能是根据女性的教育水平和居住地区进行针对性家访。对于居住在远离诊所地区的未受过教育的女性来说，获取避孕药具可能是个问题，上门补货家访对避孕普及率的影响可能比对激励未使用者的外勤人员家访影响更大。
