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Moving towards the goals of FP2020 — classifying contraceptives

机译：朝FP2020目标迈进-对避孕药进行分类

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With the renewed focus on family planning, a clear and transparent understanding is needed for the consistent classification of contraceptives, especially in the commonly used modern/traditional system. The World Health Organization Department of Reproductive Health and Research and the United States Agency for International Development (USAID) therefore convened a technical consultation in January 2015 to address issues related to classifying contraceptives.The consultation defined modern contraceptive methods as having a sound basis in reproductive biology, a precise protocol for correct use and evidence of efficacy under various conditions based on appropriately designed studies. Methods in country programs like Fertility Awareness Based Methods [such as Standard Days Method (SDM) and TwoDay Method], Lactational Amenorrhea Method (LAM) and emergency contraception should be reported as modern. Herbs, charms and vaginal douching are not counted as contraceptive methods as they have no scientific basis in preventing pregnancy nor are in country programs. More research is needed on defining and measuring use of emergency contraceptive methods, to reflect their contribution to reducing unmet need.The ideal contraceptive classification system should be simple, easy to use, clear and consistent, with greater parsimony. Measurement challenges remain but should not be the driving force to determine what methods are counted or reported as modern or not. Family planning programs should consider multiple attributes of contraceptive methods (e.g., level of effectiveness, need for program support, duration of labeled use, hormonal or nonhormonal) to ensure they provide a variety of methods to meet the needs of women and men.
机译：随着对计划生育的重新关注，需要对避孕药进行一致的分类有一个清晰透明的认识，尤其是在常用的现代/传统系统中。因此，世界卫生组织生殖健康与研究部和美国国际开发署（USAID）于2015年1月召开了一次技术磋商会，以解决与避孕药分类有关的问题，该磋商会将现代避孕方法定义为在生殖方面具有良好基础的方法生物学，基于适当设计的研究，可以在各种条件下正确使用和提供功效证据的精确方案。国家计划中的诸如基于生育意识的方法[如标准天数法（SDM）和两日法]，哺乳性闭经法（LAM）和紧急避孕法等方法应报告为现代方法。草药，护身符和阴道冲洗没有被视为避孕方法，因为它们没有防止怀孕的科学依据，也没有在国家计划中使用。在定义和衡量紧急避孕方法的使用方面，需要进行更多研究，以反映其对减少未满足需求的贡献。理想的避孕分类系统应简单，易用，清晰且一致，并具有更高的简约性。衡量方面的挑战仍然存在，但不应成为确定算作或报告为现代方法的动力。计划生育方案应考虑避孕方法的多种属性（例如，有效性水平，对方案的支持需求，使用标签的持续时间，荷尔蒙或非荷尔蒙），以确保它们提供各种方法来满足男女的需求。

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