Wawer M J, Lassner K J, Hanff B B
Stud Fam Plann. 1986 Jan-Feb;17(1):44-52.
A community-based family planning operations research project was undertaken in selected low income communities of Rio de Janeiro; project field work began in February 1982. Prevalence data were collected and service delivery strategies were tested, including home visits promoting family planning, home distribution of condoms, and the introduction of community family planning depots. A high baseline contraceptive prevalence rate (CPR) of 70.1 percent was found for nonpregnant women currently in union, as well as substantial use of the private sector for contraceptive supply, despite the presence of free or subsidized sources within the communities. However, the most economically disadvantaged subgroups made the greatest use of the subsidized sources. The provision of additional service delivery sites may have contributed to a small increase in contraceptive prevalence noted over the life of the project; however, the high baseline CPR precluded a large increase in contraceptive use as a result of the program.
在里约热内卢选定的低收入社区开展了一项基于社区的计划生育运筹学项目；项目实地工作于1982年2月开始。收集了患病率数据并测试了服务提供策略，包括上门宣传计划生育、上门发放避孕套以及设立社区计划生育服务站。研究发现，目前处于婚姻关系中的非孕妇的避孕普及率基线较高，为70.1%，而且尽管社区内有免费或补贴的避孕用品来源，但仍有大量人从私营部门获取避孕用品。然而，经济上最弱势的亚群体对补贴来源的使用最多。增设服务提供点可能促使项目实施期间避孕普及率略有上升；然而，由于避孕普及率基线较高，该项目并未使避孕用品的使用大幅增加。
