Impact of a provider job aid intervention on injectable contraceptive continuation in South Africa.

Journal Article (Multicenter Study;Journal Article)

Arriving late for scheduled contraceptive reinjections is common in many countries and contributes to discontinuation when providers are unsure how to manage such clients. A clinic-randomized cohort and cross-sectional study with more than 5,000 clients using injectable contraceptives was conducted in the Eastern Cape province of South Africa to test the effectiveness of a provider job aid for managing late-returning clients and promoting continued use of the method. A marginally significant difference in reinjection rates between intervention and control groups was found for those up to two weeks late, and reanalysis excluding one clinic that experienced stockout issues revealed a significant difference. The difference in reinjection rates for those 2-12 weeks late was also found to be significant. The one-reinjection cycle continuation rate for the intervention group was higher than that for the control group, but the difference was not statistically significant. Appropriate management of late-returning clients is critical, and this study illustrates that reinjection rates can be significantly increased with a low-resource provider job aid.

Full Text

Duke Authors

Cited Authors

  • Baumgartner, JN; Morroni, C; Mlobeli, RD; Otterness, C; Buga, G; Chen, M

Published Date

  • December 2012

Published In

Volume / Issue

  • 43 / 4

Start / End Page

  • 305 - 314

PubMed ID

  • 23239249

Electronic International Standard Serial Number (EISSN)

  • 1728-4465

International Standard Serial Number (ISSN)

  • 0039-3665

Digital Object Identifier (DOI)

  • 10.1111/j.1728-4465.2012.00328.x

Language

  • eng