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Guessing and misinformation about pregnancy risk among urban mothers.

Only one-third of urban mothers interviewed twice, a year apart, answered correctly both times about when during the menstrual cycle a woman is most likely to become pregnant. Classroom discussions about contraception, attendance at family planning clinics, and discussions with one's mother about contraception are not positively associated with knowledge about pregnancy risk. Those using methods other than the pill or IUD are more knowledgeable about pregnancy risk--perhaps because they have a greater need to know.

Adolescent↗

Users of traditional methods of contraception in Bangladesh: 1981-91.

This paper examines the changing patterns of knowledge, attitude and use of traditional methods of contraception, compared to modern methods, over the last five contraceptive prevalence surveys in Bangladesh (1981-91). The results show that knowledge of at least one method of family planning is universal in Bangladesh and usage is higher at all ages for women who are using modern methods than for those who are using traditional methods. Educated women and those in employment are more likely to use modern contraceptive methods.

Adolescent↗

The rural health worker as a family planning provider: a village trial in Iran.

The impact of the Kavar Village Health Worker Project on contraceptive knowledge, attitudes, and practice was studied 14 months after health workers were deployed in this pilot project in rural Iran. Results showed that knowledge and use of the pill were significantly higher in the project villages than in control villages, where the pill was supplied by a nonresident rural midwife: 28 percent of married women of reproductive age were using the pill in project villages compared with 15 percent in control villages. The sex of health workers did not appear to affect the proportion of pill acceptors or length of use. Attitudes toward contraceptive use, however, did not vary significantly between project and control villages.

Adolescent↗

The fertility impact of alternative family planning distribution channels in Indonesia.

Clinic-based distribution of contraceptive commodities is expensive per unit distributed. This situation has fueled the search for alternative means of delivery. Comparing the performance of alternatives is straightforward if the output measure is a count of commodities distributed, but comparing actual fertility impacts is another matter. I use data from the 1991 Indonesia Demographic and Health Survey to assess the extent of difference among the eventual fertility outcomes of users supplied with similar commodities through varying sources. When the "modern" methods of pill, IUD, and injection are grouped together, the fertility of users supplied with these commodities differs markedly according to their source of supply. I find little evidence for self-selecting of users into supply channels. This result implies that fertility differentials by source are likely due to characteristics of the distribution channels.

Age Factors↗

The long-term demographic role of community-based family planning in rural Bangladesh.

Experimental studies demonstrating the effectiveness of nonclinical distribution of contraceptives are typically conducted in settings where contraceptive use is low and unmet need is extensive. Determining the long-term role of active outreach programs after initial demand is met represents an increasingly important policy issue in Asia, where contraceptive prevalence is high and fixed service points are conveniently available. This article examines the long-term rationale for household family planning in Bangladesh-where growing use of contraceptives, rapid fertility decline, and normative change in reproductive preferences are in progress, bringing into question the rationale for large-scale deployment of paid outreach workers. Longitudinal data are analyzed that record outreach encounters and contraceptive use dynamics in a large rural population. Findings demonstrate that outreach has a continuing impact on program effectiveness, even after a decade of household visitation. The policy implications of this finding are reviewed.

Adult↗

Ethinylestradiol and dl-norgestrel as a postcoital contraceptive.

Six hundred and eight women were treated with 200 microgram of ethinylestradiol and 2 mg of dl-norgestrel, administered in two divided doses, as a postcoital contraceptive. Criteria for entry into the study included definite unprotected coital exposure within the previous 72 hours and the absence of any contraindications to the use of estrogen/progestin-containing compounds. Women with coital exposures outside of the 72-hours-to-treatment time frame were excluded. Four hundred and sixty-four of the patients were cycling regularly and, of these, 152 were exposed at midcycle. Only one patient became pregnant as a result of probable method failure as compared with the minimal estimated number of 12 to 30 pregnancies.

Adolescent↗

Repeat fertility and contraceptive implant use among Medicaid recipients in Colorado.

Late in 1991, Colorado's Medicaid program approved coverage for the hormonal contraceptive implant among Medicaid recipients. Subsequently, the Colorado Department of Public Health and Environment undertook an analysis of data supplied by the state's Medicaid program of the probability of repeat births among Medicaid recipients. According to life-table analysis of two cohorts of women in the database who had their first Medicaid-eligible birth in 1991 and 1992, the rate of repeat delivery within 24 months of the preceding birth fell from 14.1% among 11,554 women who first delivered in 1991 to 10.6% among 13,624 women who first delivered in 1992. The 25% decline in the rate of repeat births between the two cohorts was statistically significant. These rates were higher among Medicaid-eligible mothers who first gave birth as teenagers-22.3% in the 1991 cohort and 15.9% in the 1992 cohort. Among the 2,739 Medicaid-eligible women who delivered in 1992 and chose to use the implant within six months of delivery, the repeat delivery rate was just 2.5% within 24 months; this proportion was virtually the same among implant users in the 1992 cohort who first gave birth as teenagers (2.3%).

Adolescent↗

Undercover agents.

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Choice Behavior↗

[Population problems of the present (author's transl)].

At present objective predications on the trend of the population development at give economic and social conditions are very difficult since neither the axiom to report the facts correctly nor the axiom of neutrality in reporting determine what should or should not be included into the description of a situation. Common expressions such as population politics, marriage fatigue, contraction of the birth rate, generative behavior, contraception, termination of pregnancies, birth corntol capitalist economic order are loaded with emotions and can therefore not be considered to be neutral determinants in the description. In the field of demography and sociology no exact methodology and theory comparable to the natural sciences is existent. The solution to the described problem is probably linked to the question whether increasing technology and increasing intricacy of the organizations and increasing productions are compatable with the improvement of individual life expression. Temporarily attention is diverted by theoretical fashion trends, however old interest in finding the truth is not eliminated and the realization that the wish for a scientific solution is not within the realm of possibility, leads to resignation. Clarification of the basic factors requires a lot of individual thought. Demography and sociology are in danger when the demographer and sociologic identify with a certain economic or sociologic system, since this threatens to eliminate logical thought. Divergent opinions are given factors in any demographic or sociologic problem and must be accepted although they should always be criticized.

Demography↗

An approach to the analysis of menstrual patterns in the critical evaluation of contraceptives.

An approach to a standardized analysis of menstrual bleeding patterns is presented. The method utilizes a prospective bleeding record and characterizes the menstrual pattern of a woman according to bleeding and nonbleeding events without imposing definitions of cycle or intermenstrual bleeding. Further, the analysis is done within a time reference period similar to life-table analysis, with the experience of each woman having equal value. The method is thus applicable to the study of menstrual patterns of both normal, untreated women, and women on experimental contraceptive regimens in which expected bleeding patterns are disrupted. The methodology is aided by computer programs to process the data and by the use of standard statistical packages for comparison of output data of different groups.

Computers↗

[The use and effects of postcoital contraception].

OBJECTIVES: To find those people seeking post-coital contraception (PCC), its efficacy and effects. DESIGN: A crossover study using a structured questionnaire, filled in both at the moment of demand and after using PCC. SETTING: The "Nóvoa Santos" Family Planning Centre in Ourense. PARTICIPANTS: All those requesting PCC between January 1995 and June 1996 (220 in all). INTERVENTIONS: The PCC norm was 8 pills, two taken every 12 hours, of 0.05 mg of Ethinyloestradiol (EE) plus 0.5 mg of Norgestrel. MEASURES AND MAIN RESULTS: We analysed social and demographic variables, sexual behaviour and PCC use with the SPSS programme for Windows. 96.4% attending were women, average age 21.98. They began coitus at 18.58 years old. 191 (86.8%) had a stable partner and 0 to 3 coitus per week. The condom was the commonest method (90.6%). CONCLUSIONS: Young women requesting PCC immediately after the risk coitus are students and residents in the city. It is a method used when there are problems with the condom and the frequency of failure is low. Sexually active people should be informed of the existence and use of PCC, as should the health professionals who could be asked for it.

Adult↗

An assessment of Norplant removal in Indonesia.

From 1987 to 1997, approximately four million Indonesian women had a Norplant insertion. Concerns have been raised about the timely removal of the implant within a few days of the user's request or at the end of the recommended five years of use and about the possibility of a large and rapidly increasing backlog of removal cases developing. This study of 2,979 Indonesian women in 14 provinces, all of whom had had Norplant inserted five or more years before they were interviewed, reveals that 66 percent had obtained removal by the end of the fifth year of use and 90 percent had done so by the end of the sixth year of use. The data from this study strongly suggest that no large backlog of removal cases exists, particularly after the sixth year of use. The major reason for the underreporting of removals is probably clients' use of nurse/midwives, of caregivers in the private sector, and of mass safari camps, because records from each of these sources are poor or nonexistent.

Adult↗