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PubMed1977

New acceptors reach 72% of target according to IMCH mid-year report.

Cumulative number of new acceptors since January-June was 49,958, 72% of the target of average number of 331 reporting clinics. Average number of new acceptors recruited per clinic per month was 24. Method profile showed the same trend as previous year but with increasing number of acceptors for fertility termination and IUD. Total caseload was 467,112 with an average caseload of 235/clinic/month. Total number of old acceptors serviced was 382,036 with an average of 211/clinic/month. On the trend and level of return visits, there were 434,477 return visits of which 58.9% was for the purpose of getting supplies, 32.0% for routine checkup, and 8.9% for medical consultation or checkup. Total number of shifters was 12,609 of which 33% shifted to condom, 28% to pills, 13.9% to sterilization, 10.9% to IUD, and 10% to rhythm. It is interesting to note that 909 pill users shifted to IUD and 371 condom users to IUD. Continuing users reported was 94,987, about 25% of total number of old acceptors serviced during the 6 months. Dropouts - 2438 of which about 48% were pill dropouts, 27% condom, 12% rhythm, and 9.2% IUD. Failures - 4696, 45% of which were pills, 37% condom, 12.5% rhythm, and 2.7 IUD. Sterilization services - a total of 3486 sterilizations of which 569 were vasectomies and 2947 were tubal occlusions. 7% of total new acceptors registered during the 6-month period were for sterilization and about 14% of shifters shifted to sterilization. Expansion of family planning services through utilization of nurses and midwives in IUD insertion and pill dispensing: Average number of nurses and midwives reporting performance was 266/month. The total number of pill acceptors serviced was 10,767 about 41% of the 26,431 number of pill acceptors recruited. There were 739 who complained of side effects and were managed by the midwives. For comprehensive service - out of the 694 nurses and midwives, only 22 were trained in comprehensive service. Average number of midwives reporting performance was 15 and had serviced 652 IUD acceptors (18%) and 618 pill acceptors (12%). The impact of the service could hardly be felt because of the limited number of staff trained in comprehensive service. However, there is an increasing trend for IUD method.

Ambulatory Care Facilities↗
PubMed1977

Contraceptive use effectiveness in Indonesia.

A brief review of recently tabulated contraceptive continuation and pregnancy rates for Java-Bali and their constituent provinces. It was found that IUD continuation rates are higher than those for either pill or condom although considerable variation occurs between provinces. East Java and Bali seem to be recording the most success in use-continuation, while the urban areas of Jakarta and Yogyakarta are having the least success. With respect to age and parity, the older, higher parity acceptors tend to use for longer periods of time irrespective of method used. Similarly, age and parity do not seem to affect the relationship between pill, IUD, and condom continuation rates. Examining reasons for termination, we find pill acceptors more likely to terminate for physical, emotional, or health reasons than either IUD or condom acceptors. When broken down by age and parity, the low age and parity groups show a much greater likelihood of termination in order to have an additional child.

Age Factors↗