Indonesia established its Village Midwife Program in 1989 to combat high rates of maternal mortality. The program's goals were to address gaps in access to reproductive health care for rural women, increase access to and use of family planning services, and broaden the mix of available contraceptive methods. In this study, we use longitudinal data from the Indonesia Family Life Survey to examin...

Using data from the Ghana Demographic and Health Survey 1998, this paper analyzed the duration of use of a contraceptive method and the reasons for its non-use given by former users of contraception. The results showed that the duration of use tended to be short, particularly so for the use of condom and withdrawal. Injectable contraceptives and periodic abstinence tended to be used for relativ...

Since the onset of the HIV/AIDS pandemic, a relevant question has been whether contraception can influence or be influenced by the disease, and how HIV prevention can be integrated into HIV prevention and care programmes. On face value, it would appear that the promotion of all types of contraceptives would complement and synergize HIV/AIDS prevention efforts. However, there is now sufficient e...

OBJECTIVES This study examines the impact of an intervention to promote dual-method contraceptive use among HIV concordant and discordant couples already using condoms for HIV prevention. METHODS A three-armed randomized, controlled trial was conducted at a voluntary HIV testing and counseling clinic in Lusaka, Zambia; 251 couples were randomized. Control couples received family planning educ...

This paper discusses the technical dimensions of "quality of care" in contraceptive service delivery in both the Cyclofem Introductory Trial, as well as in routine service delivery of other injectables in Indonesia. Although the quality of care in the Cyclofem trial was generally acceptable, substantial weaknesses in screening, clinical technique, the management of side-effects, and knowledge c...

Injectable contraceptives are among the world’s most popular modern methods for preventing pregnancy. Many women choose injectables because of their effectiveness, long-acting contraceptive effects, discreet administration, and reversibility. Injectables are most popular in the less developed regions of the world—particularly sub-Saharan Africa—and their popularity continues to grow. Estimates ...

CONTEXT Most women in Ghana obtain oral contraceptives and condoms from shops run by licensed chemical sellers, but such shops are not legally permitted to sell the country's most widely used method, the injectable. Allowing shops to sell the injectable could increase access to and use of the method. METHODS In 2012-2013, semistructured telephone interviews were conducted among convenience sa...