Social and Behavioral Health Sciences, FHI 360, 1825 Connecticut Avenue NW, Washington, DC 20009, USA.
Stud Fam Plann. 2012 Dec;43(4):305-14. doi: 10.1111/j.1728-4465.2012.00328.x.
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.
在许多国家，预约的避孕针续注时间延迟很常见，当提供者不确定如何处理此类客户时，这会导致他们停止使用避孕针。在南非东开普省进行了一项诊所随机队列和横断面研究，涉及超过 5000 名使用注射避孕药具的客户，以测试一种管理延迟返回客户和促进该方法持续使用的提供者工作辅助工具的有效性。对于延迟两周内的客户，干预组和对照组的续注率存在略微显著差异，而排除一个经历库存短缺问题的诊所的重新分析显示存在显著差异。对于延迟 2-12 周的客户，续注率差异也显著。干预组的单次注射周期续注率高于对照组，但差异无统计学意义。对延迟返回的客户进行适当的管理至关重要，本研究表明，使用低资源提供者工作辅助工具可以显著提高续注率。
