| Autor: |
M E, Beksinska, V H, Rees, T, Nkonyane, J A, McIntyre |
| Rok vydání: |
1998 |
| Předmět: |
|
| Zdroj: |
The British journal of family planning. 24(1) |
| ISSN: |
0144-8625 |
| Popis: |
This study examines the compliance, use behaviour and knowledge of method of women using injectable and oral contraceptives in two clinic sites in the Johannesburg area, South Africa. An interviewer administered questionnaire was used to collect information in the clients' home language. A total of 400 women were interviewed in the clinics. The mean age of clients was 26.2 years (range 13 to 43 years). Of the clients not wanting to get pregnant, 30.4 per cent of injectable users and 18.4 per cent of oral contraceptive (OC) users had stopped using their method temporarily before returning to the same method (called the nonuse segment) and had not used any other form of contraception during this time. Almost one third of injectable users (31.2 per cent) had been late for their next injection at least once. Although nearly all women using injectables had experienced some menstrual disturbances, over one third (38.5 per cent) had not been informed by the providers about the possibility of these changes. Many women gave the disruption of their menstrual cycle as the reason for the nonuse segment. The majority of OC users lacked information on how to use their method correctly. Nearly all women expressed an interest in obtaining more information on their current method and other available methods. This study shows that compliance is an issue in injectable as well as OC users.Interviews conducted at two South African family planning clinics (urban Johannesburg and the Orange Farm settlement) assessed method compliance in 400 current users of oral contraceptives (OCs) or injectables. The mean age of study respondents was 26 years in the inner city clinic and 25 years in the informal settlement. The median duration of use was 24 months for injectables and 21 months among OC users. 31.2% of injectable users had either forgotten or been unable to return to the clinic for their next injection on at least one occasion. Among women not wanting to become pregnant, 30.4% of injectable users and 18.4% of OC users had stopped using their method temporarily and had not used any other contraceptive method during this time. Disruption of the menstrual cycle was a major contributing factor to segments of nonuse. Although almost all injectable users experienced some menstrual disturbances, 38.5% had not been informed by a provider about the likelihood of such changes. 26.6% of OC users reported a change in their normal menstrual cycle, but 86% were not told the pill might affect their period. Moreover, 79.5% of OC users had not been counseled about what to do if they missed a pill. Overall, these findings suggest that South African women are not being given adequate information on what to expect from and how to use their method correctly--a lack that may have serious implications for contraceptive compliance. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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