Chow L P, Rider R V, Su S I, Hou W I
Am J Public Health. 1987 Aug;77(8):975-8. doi: 10.2105/ajph.77.8.975.
A study to examine the acceptance of and drop-out from family planning clinic services in Maryland was undertaken during 1984-85 by interviewing a random sample of 1,020 women who came to the clinics as "new clients" during 1980 through 1982 when they were 20 through 39 years of age. This article examines the contraceptive and fertility behavior after their last clinic visits. The results showed that most of these women were "protected" from pregnancy risk considerably beyond their last clinic visit. However, the analysis also revealed that in spite of the reported high contraceptive use rate, unplanned pregnancies occurred after the client's last clinic visit, suggesting that contraceptive use was either inconsistent or ineffective. These findings suggest that instead of allocating a large proportion of resources to follow-up acceptors to bring the "drop-outs" back to the clinics, a more effective program strategy would be to systematically and effectively educate and counsel the clients during their clinic attendance, especially during their first clinic visit.
1984年至1985年期间，通过对1980年至1982年期间年龄在20至39岁之间作为“新客户”前往诊所就诊的1020名女性进行随机抽样访谈，开展了一项关于马里兰州计划生育诊所服务接受情况和退出情况的研究。本文研究了她们最后一次就诊后的避孕和生育行为。结果显示，这些女性中的大多数在最后一次就诊后的相当长一段时间内都“受到保护”，免受怀孕风险。然而，分析还表明，尽管报告的避孕使用率很高，但在客户最后一次就诊后仍发生了意外怀孕，这表明避孕措施要么使用不规律，要么效果不佳。这些发现表明，与其将很大一部分资源用于跟进接受者，以使“退出者”回到诊所，更有效的项目策略是在客户就诊期间，特别是在首次就诊时，系统而有效地对其进行教育和咨询。
