Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1995

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Egypt. Continuation of contraceptive and service use: the CSI project

experience.

AUTHORS

Population Council. Asia and Near East Operations Research and Technical

Assistance Project

SOURCE

[New Delhi, India], Population Council, 1995 Sep. [2] p. Research Summarie;

USAID Contract No. DPE-3030-C-00-0022-00

ABSTRACT

The Clinical Service Improvement (CSI) project in Egypt has endeavored to develop a clientele of continuous

contraceptive users, but the dropout rate became a major concern. A Population Council-sponsored study

conducted by the Cairo Demographic Center (CDC) evaluated the effectiveness of the CSI project for long-term

contraceptive users by interviewing 2227 CSI clients about their contraceptive use since their initial contact with a

CSI clinic. Over three-fourths of the enrolled clients were successfully contacted. 62% of clients changed family

planning methods up to five times over the previous 4 to 5 years because of side effects. Injection and condom

users switched more frequently, while IUD users, which was the most common method used (65%), were more

stable. Only 17% of clients continued to use CSI services for 4-5 years. 29% stopped using both contraceptives and

the CSI services. 22% of the 54% still using contraceptives but not using CSI services were using a long- acting

method. Of those who changed to another source 45% switched to pharmacies and 25% switched to private doctors.

The reasons for changing sources were the relative ease of access to follow-up services (70%) and the high cost of

CSI services (12%). A total of 1081 pregnancies occurred in the sample in the course of 5 years. 50% of the

pregnancies were unintended: 31% of these occurred during a period of nonuse of contraceptives and 19% occurred

accidentally during contraceptive use. There was an attempt, either successful or unsuccessful, to terminate 25% of

the unintended pregnancies. These findings have helped CSI program managers examine their clients' patterns of

method use and the reasons for changing them. CSI obtained a grant to update its management information system

which is including a database in Arabic. Follow-up mechanisms were improved and outreach activities were

strengthened. A circular distributed to all CSI clinics stressed counseling of clients who were not satisfied with their

contraceptive method. (PubHealth.info Document ID: CONT2T 2573-06)

PubHealth.info NOTE: The author(s) of this article titled, "Egypt. Continuation of contraceptive and service use: the

CSI project experience.", is(are) Population Council. Asia and Near East Operations Research and Technical

Assistance Project. The source of this article is "[New Delhi, India], Population Council, 1995 Sep. [2] p. Research

Summarie; USAID Contract No. DPE-3030-C-00-0022-00". This article was published in 1995 in English language(s).

(PubHealth.info® Document ID: CONT2T 2573-06. All rights reserved with PubHealth.info) PIN: 7573

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