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A field study of the choice and continuity of use of 3 contraceptive methods in a rural area of thailand



A field study of the choice and continuity of use of 3 contraceptive methods in a rural area of thailand



Journal of Biosocial Science 10(2): 109-216



The preference for and the continuation rates achieved with 2 previously available contraceptives [the pill and the IUD) [intrauterine device)], and 1 newly introduced method [depomedroxyprogesterone acetate (DMPA)], were assesed in women in a rural area of Thailand. After the presentation of balanced educational material on the 2 contraceptives, women were offered a free choice of method. Of all women, 73.8% adopted DMPA as their method of choice, and this preference was not influenced by the educational lecture. In contrast, 16.9% of women chose the pill and 9.3% chose the IUD. The injection was perceived as a convenient method when compared to the other routes of administration, but the dominant preference for DMPA appeared to be largely due to ill-defined personal factors and the influence of friends. The 1-yr life-table continuation rates with DMPA (75.5/100 women) were significantly higher than the continuation rate achieved wih the IUD in this rural population (66.5/100 women). The continuation rates with the pill were 72/100 women, but the excessively high loss to follow-up with this method made the interpretation of the results difficult. If women are offered a free choice of contraceptive methods under a quasi experimental situation, useful information can be obtained on the potential value of new methods for an on-going family planning program.

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Accession: 004573737

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