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

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