Pathfinder International, Addis Ababa, Ethiopia.
Int J Gynaecol Obstet. 2013 Nov;123 Suppl 1:e29-32. doi: 10.1016/j.ijgo.2013.07.003. Epub 2013 Aug 2.
To describe women who accept single-rod progestogen contraceptive implants (Implanon; N.V. Organon, Oss, Netherlands) from community health workers in Ethiopia and to assess whether community-based provision addresses unmet need for contraception.
Women who accepted Implanon during training events in 4 regions were asked about their characteristics and use of family planning. They were compared with implant users nationally and women with unmet need in the Ethiopia Demographic and Health Survey (DHS). Differences between groups were tested using 2-sample comparisons of proportions and means.
On average, Implanon acceptors were younger and had more years of education and fewer children than implant users nationally. Almost one-quarter (22.9%) of all participants had never used contraception before; this was slightly higher among women who chose Implanon (23.1% vs 16.4%; P=0.04). Acceptors were also less likely than non-acceptors to be using contraception (70.8% vs 77.3%; P<0.05) but all women interviewed were more likely to be using contraception than the rural population. Women who accepted Implanon were younger but more educated than women with unmet need for contraception in the 2005 DHS.
Provision of Implanon at the community level through community health workers is effective in reaching women with the greatest need for contraception.
描述在埃塞俄比亚，社区卫生工作者向妇女提供单根孕激素避孕植入物（Implanon；荷兰 Organon 公司）的情况，并评估以社区为基础的方案是否满足避孕需求。
在四个地区的培训活动中接受 Implanon 的妇女被问及她们的特征和计划生育使用情况。将她们与全国的植入物使用者和埃塞俄比亚人口与健康调查（DHS）中未满足需求的妇女进行比较。使用两样本比较比例和平均值来检验组间差异。
平均而言，接受 Implanon 的妇女比全国的植入物使用者年龄更小，受教育程度更高，子女也更少。几乎四分之一（22.9%）的参与者以前从未使用过避孕措施；选择 Implanon 的妇女略高（23.1%比 16.4%；P=0.04）。接受者使用避孕措施的可能性也低于未接受者（70.8%比 77.3%；P<0.05），但所有接受采访的妇女使用避孕措施的可能性都高于农村人口。接受 Implanon 的妇女比 2005 年 DHS 中避孕需求未得到满足的妇女年龄更小，但受教育程度更高。
通过社区卫生工作者在社区一级提供 Implanon ，可以有效地满足最需要避孕的妇女的需求。
