Monitoring contraceptive continuation: Links to fertility outcomes and quality of care
Monitoring contraceptive continuation: Links to fertility outcomes and quality of care
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DOI：
10.1111/j.1728-4465.2002.00127.x
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发表时间：
2002-06-01
影响因子：
2.1
通讯作者：
Croft, TN
中科院分区：
文献类型：
--
作者：
Blanc, AK;Curtis, SL;Croft, TN
本研究探讨了避孕中止的生育后果，描述了跨国的变化，继续率，并评估了有用的避孕中止率作为一个总结的结果指标的护理质量。在这项分析所包括的15个国家中，如果没有发生非因希望怀孕而中止生育的情况，总生育率将降低28%至64%。由于质量相关原因的所有方法停药率是最有可能用于评估护理质量的汇总指标。在开始使用一种方法的一年内，7%至27%的妇女由于与服务环境质量有关的原因而停止使用避孕方法。研究结果表明，随着生育率的下降，计划生育项目将从重点从向新客户提供方法转向提供服务以降低停药率。
This study examines the fertility consequences of contraceptive discontinuation, describes cross-national variation in continuation rates, and assesses the usefulness of the contraceptive discontinuation rate as a summary outcome indicator of quality of care. In the 15 countries included in this analysis, the total fertility rate would be between 28 and 64 percent lower if the births following discontinuations that were not the result of a desire to become pregnant had not occurred. The all-method discontinuation rate for quality-related reasons emerges as the most likely candidate for a summary measure of quality of care. Within a year of starting use of a method, between 7 and 27 percent of women cease to practice contraception for reasons related to the quality of the service environment. The results imply that as fertility declines, family planning programs would profit from a shift in emphasis from providing methods to new clients toward providing services to reduce discontinuation rates.