Health Institution Versus Community-Based Contraception Distribution: Does payment for modem contraceptives influence utilization
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Date
1993-05
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Addis Abeba Universty
Abstract
A randomized field trial involving two modes of
contracepti ve distribution, clinical and communi ty-based,
which were again divided into "free" and "paying"
subgroups was carried out in four rural service
cooperatives (S . C.) ( consisting of 4-6 Farmers
Associations) of Sululta, Oromia Region, from Oct/92 -
Feb/93. The baseline survey revealed no important
differences in potential confounders among the selected
8 Farmers Associations (FA) ( 2 FAs from each S.C.).
Of the total 110 clients, 75 (68.2%) were females
while 35(31.8%) were males. After 17 weeks of program
intervention the contraceptive prevalence rate was 5.8%
at Community Based Distribution (CBD) , while 2.6% at
clinics. There was a significant difference (p= . 043)
between paying and free groups in continuation rates.
The main reasons for not starting oral pills was lack of
knowledge while those in favour of starting were to
prevent pregnancy, already having enough children and the
need for birth spacing. The majority (80.0%) of male
clients started taking condoms to prevent STDs and AIDs.
The high attendance rate of women at CBD sites may
be due to easier access i bility and may CBD programs to
reach a large majority of the rural population. The
increasing trend of continuation, which may be due to
value given to paid items, might also help broaden the
acceptance of family planning services.
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Health Institution Versus Community-Based