DeGraff D S, Phillips J F, Simmons R, Chakraborty J
Stud Fam Plann. 1986 Sep-Oct;17(5):228-34.
This is a follow-up to a 1984 study that analyzed the relationship between areal variation in the contraceptive prevalence time series and in the intensity of maternal and child health (MCH) services of the Matlab Family Planning Health Services Project. Results based on 69 months of observation suggested that the addition of MCH components to a program with basic MCH and comprehensive family planning services had no incremental impact on family planning efficacy. However, basic MCH services, involving clinical back-up to family planning and child care since the beginning of the program in Matlab, may have contributed to clients' faith in the clinic staff and the overall efficacy of the Matlab program. In the 18 months that followed the cut-off date for this analysis, contraceptive prevalence increased markedly in the study areas. The present analysis repeats the earlier one for the extended time series to determine if the intensification of health services in Matlab contributed to this secondary increase in prevalence, and to ascertain whether the MCH service regimes have long-run differential impacts. Results for the 87-month time series are similar to those of the previous analysis, suggesting that the introduction of additional MCH inputs in the Matlab service area over the 1982-83 period had no incremental impact on the contraceptive prevalence rate time trend.
这是对1984年一项研究的后续跟进，该研究分析了马特拉计划生育健康服务项目中避孕普及率时间序列的区域差异与母婴健康（MCH）服务强度之间的关系。基于69个月观察结果表明，在一个具备基本母婴健康和综合计划生育服务的项目中增加母婴健康组成部分，对计划生育效果没有额外影响。然而，自马特拉项目启动以来，涉及为计划生育和儿童护理提供临床支持的基本母婴健康服务，可能增强了服务对象对诊所工作人员的信任以及马特拉项目的整体效果。在本次分析截止日期后的18个月里，研究区域内的避孕普及率显著上升。本次分析针对延长后的时间序列重复了早期分析，以确定马特拉地区卫生服务的强化是否促成了普及率的这二次增长，并确定母婴健康服务模式是否有长期的差异影响。87个月时间序列的结果与之前分析的结果相似，表明在1982 - 1983年期间，马特拉服务区引入额外的母婴健康投入，对避孕普及率的时间趋势没有额外影响。
