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Reproductive Health |
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Little Evidence Supports Strategies to Improve Contraceptive Continuation |
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Despite extensive efforts to increase hormonal method continuation rates, about a third of oral contraceptive and injectable users worldwide discontinue use within one year of starting, leaving many at risk of unintended pregnancy. A Cochrane review conducted by Family Health International emphasizes the urgency of identifying effective strategies for improving hormonal method continuation rates. Review of six randomized controlled trials of an intensive counseling technique and other client-provider interactions versus routine family planning counseling identified only one intervention that had a statistical benefit over the routine counseling in terms of overall continuation. Good provider-client interaction is an important component of successful contraceptive use, but limitations in the trials suggest that more high-quality research is needed before best practices for improving continuation rates for hormonal methods can be recommended. Read more about this review, published in The Cochrane Library. Source
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