Bioethics Centre, University of Otago, Dunedin, New Zealand.
Department of Women's and Children's Health, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
Aust N Z J Obstet Gynaecol. 2021 Jun;61(3):484-486. doi: 10.1111/ajo.13343. Epub 2021 Apr 5.
High adolescent pregnancy rates in New Zealand (NZ) are influenced by limited access to contraception. In this paper, we discuss using a proactive contraception provision (PCP) model to overcome barriers that prevent effective contraceptive uptake. After outlining steps taken to assess acceptability of PCP in NZ, we cover three issues to consider with PCP: the range of contraceptives that should be offered, the age range that should be approached, and finally whether to include adolescents without uteruses. We conclude that PCP is an approach worth considering in the NZ context and should be piloted to assess feasibility and effectiveness.
新西兰(NZ)青少年怀孕率高,原因是获得避孕措施的机会有限。本文探讨了使用积极避孕供应(PCP)模式来克服阻碍有效避孕措施的接受的障碍。在概述了在 NZ 评估 PCP 可接受性所采取的步骤之后,我们讨论了 PCP 需要考虑的三个问题:应提供的避孕方法种类、应涉及的年龄范围以及是否应包括没有子宫的青少年。我们的结论是,PCP 是 NZ 情况下值得考虑的一种方法,应该进行试点以评估其可行性和效果。