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Am J Obstet Gynecol. 2006 Jul;195(1):85-91. Epub 2006 Apr 19.

Communicating contraceptive effectiveness: A randomized controlled trial to inform a World Health Organization family planning handbook.

Author information

1
Family Health International, Research Triangle Park, NC 27709, USA. msteiner@fhi.org

Abstract

OBJECTIVE:

The objective of the study was to compare 3 different approaches for increasing clients' understanding of contraceptive effectiveness.

STUDY DESIGN:

We randomized 900 reproductive-age women in India and Jamaica to 1 of 3 charts presenting pregnancy risk.

RESULTS:

The most important reason for choosing a contraceptive was how well it prevents pregnancy (54%) followed by few side effects (17%). At baseline, knowledge about contraceptive effectiveness was poor. About half knew oral contraceptive pills are more effective than condoms (46%) and intrauterine devices are more effective than injectables (50%). All 3 charts improved knowledge significantly (P < .01) for these 2 questions. No chart improved knowledge better than any other (P > .05). The chart ranking contraceptive methods on a continuum was judged slightly easier to understand than the other 2 charts.

CONCLUSION:

Only with accurate understanding of pregnancy risk can clients make informed choices. Our results have already informed a global handbook for family planning providers to use the chart ranking contraceptive methods on a continuum.

PMID:
16626610
DOI:
10.1016/j.ajog.2005.12.053
[Indexed for MEDLINE]

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