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首页> 外文期刊>International Journal of Reproductive Medicine >Determinants of Method Switching among Social Franchise Clients Who Discontinued the Use of Intrauterine Contraceptive Device
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Determinants of Method Switching among Social Franchise Clients Who Discontinued the Use of Intrauterine Contraceptive Device

机译：终止使用宫内避孕器的社会特许客户中方法转换的决定因素

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Introduction. Women who do not switch to alternate methods after contraceptive discontinuation, for reasons other than the desire to get pregnant or not needing it, are at obvious risk for unplanned pregnancies or unwanted births. This paper examines the factors that influence women to switch from Intrauterine Contraceptive Device (IUCD) to other methods instead of terminating contraceptive usage altogether.Methods. The data used for this study comes from a larger cross-sectional survey conducted in nine (9) randomly selected districts of Sindh and Punjab provinces of Pakistan, during January 2011. Using Stata 11.2, we analyzed data on 333 women, who reported the removal of IUCDs due to reasons other than the desire to get pregnant.Results. We found that 39.9% of the women do not switch to another method of contraception within one month after IUCD discontinuation. Use of contraception before IUCD insertion increases the odds for method switching by 2.26 times after removal. Similarly, postremoval follow-up by community health worker doubles (OR = 2.0) the chances of method switching. Compared with women who received free IUCD service (via voucher scheme), the method switching is 2.01 times higher among women who had paid for IUCD insertion.Conclusion. To increase the likelihood of method switching among IUCD discontinuers this study emphasizes the need for postremoval client counseling, follow-up by healthcare provider, improved choices to a wider range of contraceptives for poor clients, and user satisfaction.
机译：介绍。出于避孕或不想怀孕的原因而停止避孕后不改用其他方法的妇女，显然有计划外怀孕或意外生育的危险。本文探讨了影响女性从宫内避孕器（IUCD）转向其他方法而不是完全终止避孕药具使用的因素。本研究使用的数据来自于2011年1月在巴基斯坦信德省和旁遮普省的九（9）个随机选择的地区中进行的较大规模的调查。使用Stata 11.2，我们分析了333位女性的数据，这些女性报告了被移除的女性IUCD的原因不是怀孕的原因。我们发现39.9％的妇女在IUCD停用后一个月内未改用另一种避孕方法。在IUCD插入之前使用避孕药后，方法转换的几率增加了2.26倍。同样，社区卫生工作者进行的撤除后随访使方法转换的机会加倍（OR = 2.0）。与获得免费IUCD服务（通过凭单计划）的女性相比，在为IUCD插入付费的女性中，方法转换高2.01倍。为了增加在IUCD停药者之间进行方法切换的可能性，本研究强调需要撤除患者的咨询，医疗保健提供者的随访，为贫困患者提供更多避孕药具的更多选择以及用户满意度。

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