Perspectives of physicians in Sri Lanka on periodic abstinence

Ceylon Med J. 1989 Jun;34(2):87-94.

Abstract

Since physicians strongly influence both national family planning policy and individuals' contraceptive choice, a survey was conducted to learn about the perspectives of Sri Lankan physicians (n-100) regarding periodic abstinence methods of family planning (PA). Female doctors (28% of the sample) were twice as likely to have ever provided PA advice to their clients as their male counterparts. Providers of PA were more likely to have ever personally used this form of contraception than PA non-providers. Regardless of PA provider status, all physicians most frequently recommended pills, injectables and IUDs to their clients. They had very good knowledge of the temperature method. The scientific foundation of this method is studied in medical school, suggesting that if the other modern methods (Billings and sympto-thermal) were incorporated into medical school curricula, physicians might be more willing to discuss, refer or provide other modern, scientific forms of PA to their clients.

PIP: Since physicians strongly influence both national family planning policy and individuals' contraceptive choice, a survey was conducted to learn about the perspectives of Sri Lankan physicians (n=100) regarding periodic abstinence (PA) methods of family planning. Female doctors (28% of the sample) were twice as likely to have ever provided PA advice to their clients as their male counterparts. Providers of PA were more likely to have ever personally used this form of contraception than PA nonproviders. Regardless of PA provider status, all physicians most frequently recommended pills, injectables, and IUDs to their clients. They had good knowledge of the temperature method. The scientific foundation for this method is studied in medical school, suggesting that if the other modern methods (Billings, sympto-thermal) were incorporated into the medical school curriculum, physicians might be more willing to discuss, refer, or provide other modern, scientific forms of PA to their clients.

MeSH terms

  • Attitude of Health Personnel*
  • Contraception Behavior
  • Family Planning Services / methods*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Physician's Role
  • Sexual Behavior
  • Sri Lanka