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Titolo:
IMPROVED UTILIZATION OF SPACING METHODS - INTRAUTERINE-DEVICES (IUDS)AND LOW-DOSE COMBINED ORAL-CONTRACEPTIVES (OCS) - THROUGH REORIENTATION TRAINING FOR IMPROVING QUALITY OF SERVICES
Autore:
BUCKSHEE K; BHARGAVA H; BAVEJA R; CHADDHA B; COYAJEE KJ; CHATTERJEE P; DHALL K; DAS K; DAS RK; GHOSH A; HAZRA MN; KODKANY BS; KANTHAMANI PN; KRISHNA U; LALITHA K; MISHRA J; MISHRA P; MADAN R; NANDA UK; PAUL MN; PREMILA S; ROHATGI P; RAJARAM P; SENGUPTA A; SHROTRI AN; SAKHTIVEL G; SINGH K; SEETHAMANI P; SENGUPTA PC; SHARMA U; VIMLA CM; ZAVERI K; DATEY S; GAUR LN; GUPTA NK; KUMAR S; MEHTA S; SAXENA NC; YADAV BS; SAXENA BN;
Indirizzi:
INDIAN COUNCIL MED RES,DIV HUMAN RESOURCE DEV RES,POST BOX 4508,ANSARI NAGAR NEW DELHI 110029 INDIA INDIAN COUNCIL MED RES,DIV HUMAN RESOURCE DEV RES NEW DELHI 110029 INDIA ALL INDIA INST MED SCI NEW DELHI INDIA MED COLL JAIPUR RAJASTHAN INDIA MOTI LAL NEHRU MED COLL ALLAHABAD UTTAR PRADESH INDIA KASTURBA MED COLL & HOSP DELHI INDIA KING EDWARD MEM HOSP POONA MAHARASHTRA INDIA RG KAR MED COLL CALCUTTA W BENGAL INDIA POSTGRAD INST MED EDUC & RES CHANDIGARH 160012 INDIA KING GEORGE MED COLL LUCKNOW UTTAR PRADESH INDIA MED COLL GAUHATI INDIA SSKM CALCUTTA W BENGAL INDIA MED COLL BARODA GUJARAT INDIA JAWAHARLAL NEHRU MED COLL BELGAUM KARNATAKA INDIA INST OBSTET & GYNAECOL MADRAS TAMIL NADU INDIA KING EDWARD MEM HOSP BOMBAY MAHARASHTRA INDIA SAT MED COLL TRIVANDRUM KERALA INDIA MED COLL PATNA BIHAR INDIA SP MED COLL BIKANER RAJASTHAN INDIA MED COLL JAMMU INDIA SCB MED COLL CUTTACK ORISSA INDIA GOA MED COLL BAMBOLIM INDIA KGH MADRAS TAMIL NADU INDIA GSVM MED COLL KANPUR UTTAR PRADESH INDIA JAWAHARLAL POSTGRAD INST MED EDUC & RES PONDICHERRY INDIA EDEN HOSP CALCUTTA W BENGAL INDIA BJ MED COLL POONA MAHARASHTRA INDIA MED COLL MADURAI TAMIL NADU INDIA SAFDARJANG HOSP DELHI INDIA KILPAUK MED COLL MADRAS TAMIL NADU INDIA LLRM MED COLL MEERUT UTTAR PRADESH INDIA GOVT RSRM HOSP MADRAS TAMIL NADU INDIA JJ GRP HOSP BOMBAY MAHARASHTRA INDIA
Titolo Testata:
Contraception
fascicolo: 3, volume: 50, anno: 1994,
pagine: 215 - 228
SICI:
0010-7824(1994)50:3<215:IUOSM->2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Keywords:
IMPROVING IUD/OC USE; REORIENTATION TRAINING QUALITY CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
16
Recensione:
Indirizzi per estratti:
Citazione:
K. Buckshee et al., "IMPROVED UTILIZATION OF SPACING METHODS - INTRAUTERINE-DEVICES (IUDS)AND LOW-DOSE COMBINED ORAL-CONTRACEPTIVES (OCS) - THROUGH REORIENTATION TRAINING FOR IMPROVING QUALITY OF SERVICES", Contraception, 50(3), 1994, pp. 215-228

Abstract

A multicentre study was conducted by the Indian Council of Medical Research (ICMR) for improving the utilization of intrauterine devices (IUDs) and oral contraceptives (OCs) at the Post Partum Centres (PPCs) run by District/State Health Authorities. The ICMR's network of Human reproduction Research Centres (HRRCs) had the technical responsibility for providing re-orientation training to health functionaries (medicaland paramedical) of the PPCs for better quality of services and follow-up care for IUD and OC users. The uniform training module was utilized by all HRRCs which specifically assured for improving the counselling/motivational skills as well as screening procedures and management of side-effects and follow-up care by the health functionaries. A total of 4,808 IUD acceptors (2,446 of CuT 200 and 2,362 of CuT 380A) wereobserved for 84,070 women-months of use (42,433 and 41,637 months forCuT 200 and CuT 380A, respectively). The cumulative method failure rate at the end of two years was 0.7 per 100 users with CuT 200 and 0.3 per 100 users with CuT 380A. No perforations were reported with eithertypes of the CuT devices. The reasons for discontinuations, like pain/bleeding and pelvic infections, were similar with both types of devices. The continuation rates with either CuT 200 or CuT 380A were around89 and 76 per 100 users at the end of first year and second year of use, respectively, and were comparable. These observations at the post partum centres were similar to those observed earlier by the ICMR in phase III controlled clinical study. A total of 1,961 women were enrolled in the low-dose combined oral contraceptive (OC) group and were followed for 26,462 women-months of use. Two subjects reported pregnancy during regular use of pill, giving the method failure rate of 0.2 per 100 users at 2 years. The continuation rates of OC users were 58 and 37 per 100 users at the end of first year and second year, respectively. The major reasons for discontinuations were lost to follow-up, desire for pregnancy and other personal reasons. In spite of all efforts made py PPC staff as well as HRRCs to do follow-up, the lost to follow-up at two years was around 20 percent fo IUD and 31 percent for oral pill users. These data suggest that while the re-orientation training package improved the quality of care resulting in higher continuation rates of IUDs and OCs at PPCs, the issue of follow-up care still requires further improvement in the National Programme.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 19/09/20 alle ore 12:12:55