Eckersberger Elisabeth, Pearson Erin, Andersen Kathryn, Hossain Altaf, Footman Katharine, Biswas Kamal Kanti, Nuremowla Sadid, Reiss Kate
Ipas, Chapel Hill, NC, United States.
Marie Stopes International, London, United Kingdom.
JMIR Mhealth Uhealth. 2017 Dec 14;5(12):e174. doi: 10.2196/mhealth.6969.
BACKGROUND: Abortions are restricted in Bangladesh, but menstrual regulation is an approved alternative, defined as a procedure of regulating the menstrual cycle when menstruation is absent for a short duration. Use of contraception after menstrual regulation can reduce subsequent unintended pregnancy, but in Bangladesh, the contraceptive method mix is dominated by short-term methods, which have higher discontinuation and failure rates. Mobile phones are a channel via which menstrual regulation clients could be offered contraceptive support after leaving the clinic. OBJECTIVE: This study aimed to support the development of a mobile phone intervention to support postmenstrual regulation family planning use in Bangladesh. It explored what family planning information women want to receive after having a menstrual regulation procedure, whether they would like to receive this information via their mobile phone, and if so, what their preferences are for the way in which it is delivered. METHODS: We conducted participatory interviews with 24 menstrual regulation clients in Dhaka and Sylhet divisions in Bangladesh. Women were recruited from facilities in urban and peri-urban areas, which included public sector clinics supported by Ipas, an international nongovernmental organization (NGO), and NGO clinics run by Marie Stopes. Main themes covered in the interviews were factors affecting the use of contraception, what information and support women want after their menstrual regulation procedure, how respondents would prefer to receive information about contraception, and other key issues for mobile health (mHealth) interventions, such as language and privacy. As part of the in-depth interviews, women were shown and played 6 different messages about contraception on the research assistant's phone, which they were given to operate, and were then asked to give feedback. RESULTS: Women were open to both receiving messages about family planning methods on their mobile phones and talking to a counselor about family planning methods over the phone after their menstrual regulation. Women most commonly wanted information about the contraceptive method they were currently using and wanted this information to be tailored to their particular needs. Women preferred voice messages to text and liked the interactive voice message format. When asked to repeat and identify the main points of the messages, women demonstrated good understanding of the content. Women did not seem too concerned with privacy or with others reading the messages and welcomed including their husbands in speaking to a counselor. CONCLUSIONS: This study found that menstrual regulation clients are very interested in receiving information on their phones to support family planning use and wanted more information about the method of contraception they were using. Participatory voicemail was the preferred modality.
背景:在孟加拉国,堕胎受到限制,但月经周期调整是一种被认可的替代方式,其定义为在月经短期没来时调节月经周期的一种程序。月经周期调整后使用避孕措施可减少后续意外怀孕的发生,但在孟加拉国,避孕方法组合以短期方法为主,这些方法的停用率和失败率较高。手机是一个渠道,通过它可以在月经周期调整的客户离开诊所后为其提供避孕支持。 目的:本研究旨在支持开发一种手机干预措施,以促进孟加拉国月经周期调整后的计划生育使用。它探讨了女性在进行月经周期调整手术后希望获得哪些计划生育信息,她们是否希望通过手机接收这些信息,如果是,她们对信息传递方式有哪些偏好。 方法:我们在孟加拉国达卡和锡尔赫特地区对24名进行过月经周期调整的客户进行了参与式访谈。女性从城市和城郊地区的机构招募,这些机构包括由国际非政府组织(NGO)国际帕斯卡组织支持的公共部门诊所,以及由玛丽斯特普斯运营的NGO诊所。访谈涵盖的主要主题包括影响避孕措施使用的因素、女性在月经周期调整手术后希望获得哪些信息和支持、受访者希望如何接收避孕信息,以及移动健康(mHealth)干预的其他关键问题,如语言和隐私。作为深入访谈的一部分,研究助理在手机上向女性展示并播放了6条关于避孕的不同信息,让她们操作手机,然后要求她们给出反馈。 结果:女性愿意在月经周期调整后通过手机接收关于计划生育方法的信息,并愿意通过电话与顾问谈论计划生育方法。女性最常希望获得关于她们当前正在使用的避孕方法的信息,并希望这些信息能根据她们的特定需求进行定制。女性更喜欢语音信息而非文本信息,并且喜欢交互式语音信息格式。当被要求重复并指出信息的要点时,女性对内容表现出了良好的理解。女性似乎不太担心隐私问题或担心他人阅读信息,并且欢迎丈夫参与与顾问的交谈。 结论:本研究发现,进行过月经周期调整的客户对通过手机接收支持计划生育使用的信息非常感兴趣,并希望获得更多关于她们正在使用的避孕方法的信息。参与式语音邮件是首选方式。
JMIR Mhealth Uhealth. 2017-12-14
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