PATH, Seattle, WA, USA.
Glob Health Sci Pract. 2024 Oct 29;12(5). doi: 10.9745/GHSP-D-24-00215.
We document the effort over the last 30 years to respond to the call by women advocates at the International Conference on Population and Development for more woman-initiated single or dual-purpose contraceptive methods by developing the Caya contoured diaphragm, an innovative diaphragm designed to meet the needs of women and their partners and expand options for nonhormonal barrier contraception. We describe the complex and interrelated set of activities undertaken to develop the product using a human-centered design process and how we are working to create a corollary sustainable market. This review includes the evidence generated around improved acceptability among couples in low- and middle-income countries and depicts challenges and practical actions on how to dispel misconceptions about diaphragm use. Importantly, we share programmatic lessons learned on increasing universal access to this new sexual and reproductive health technology. Following our new model for increasing access to new and underutilized methods, Caya is now registered and being marketed in nearly 40 countries worldwide.
我们记录了过去 30 年来的努力，以回应国际人口与发展会议上女性倡导者的呼吁，即开发更多由女性发起的单一或双重目的的避孕方法，为此我们开发了 Caya 型贴合型子宫帽，这是一种创新的子宫帽，旨在满足女性及其伴侣的需求，并扩大非激素屏障避孕的选择。我们描述了使用以人为中心的设计过程来开发产品所涉及的复杂且相互关联的一系列活动，以及我们如何努力创造一个相关的可持续市场。这篇综述包括在中低收入国家中改善夫妇接受度方面产生的证据，并描绘了消除关于子宫帽使用的误解的挑战和实际行动。重要的是，我们分享了增加普遍获得这种新的性健康和生殖健康技术的方案经验教训。遵循我们增加获得新的和利用不足的方法的新模式，Caya 现在已在全球近 40 个国家注册并上市。
