One versus multiple packs for women starting oral contraceptive pills: a comparison of two distribution regimens
| Autor: | Maxine Wedderburn, Dawn S. Chin-Quee, Olivia McDonald, Conrad Otterness, Barbara Janowitz |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Contraceptive Prevalence Surveys Population Women in development Young Adult medicine Humans education Gynecology education.field_of_study Cross-Over Studies business.industry Obstetrics and Gynecology Odds ratio Confidence interval Regimen Reproductive Medicine Family planning Pill Family medicine behavior and behavior mechanisms Patient Compliance Female business Contraceptives Oral |
| Zdroj: | Contraception. 79:369-374 |
| ISSN: | 0010-7824 |
| DOI: | 10.1016/j.contraception.2008.11.013 |
| Popis: | Background Despite World Health Organization and International Planned Parenthood Federation recommendations to provide multiple pill cycles to new users, many programs in developing countries still give only one pill cycle to new acceptors. Study Design To compare provision of a single versus multiple packs of pills, new pill users in 20 matched public sector clinics in Jamaica were assigned to one of two pill regimens in which they received either one (then subsequently three) or four pill cycles at method initiation. The primary outcome was the proportion of women who used pills beyond 4 months. Results Among 655 women, those receiving one cycle of pills at initiation, followed by counseling and a three-pack resupply, were no more likely to be using pills after 4 months than women who received four packs at initiation (odds ratio=1.33; 95% confidence interval=0.88���2.0). In both pill regimen groups, returning late to the clinic for resupply was a problem. However, more women in the 1+3-pack regimen group returned late to study clinics to obtain their fifth cycle of pills than their counterparts in the 4-pack regimen group (53% vs. 28%). Conclusion Our findings support the recommendation that pill users should be given more than one cycle to start, because an extra visit for resupply contributes to clinic and provider costs. Moreover, providing more pill cycles at initiation would decrease the likelihood that women experience a gap in pill use between cycles. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect