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    Contraceptive method mix. Guidelines for policy and service delivery.

    World Health Organization [WHO]

    Geneva, Switzerland, WHO, 1994. viii, 143 p.

    This World Health Organization publication provides an analysis of the importance of providing a mix of contraceptive methods to the achievement of family planning (FP) program goals. The first chapter defines contraceptive method mix as a component of reproductive health care for women. Chapter 2 looks at the impact of method mix on contraceptive prevalence. Chapter 3 provides detailed information on all of the currently available methods. The fourth chapter considers the factors that play a role in the successful matching of methods to clients. Chapter 5 describes the program factors that influence method mix. The sixth chapter deals with information, education, and communication (IEC) to promote method mix and includes a discussion of the importance of IEC to client choice as well as guidelines covering the role of providers, administrators, and policymakers in IEC. Chapter 7 provides guidelines for the training and supervision of contraceptive providers including supporting and coordinating training and supervision activities, determining training needs, and the relationship among training, supervision, and quality of care. The eighth chapter covers such issues as the introduction of new methods as research and development and introduction procedures. Chapter 9 discusses the essential role of evaluation in determining whether method mix and client choice objectives are being met. Guidelines are proposed for defining the scope of the evaluation, formulating the questions to be addressed, identifying the measurable indicators of achievement, determining acceptable levels of achievement, choosing a methodology and collecting data, and analyzing information and recommending changes. The concluding chapter provides the following steps program managers, administrators, and policymakers can take in insuring provision of an appropriate method mix and, thereby, improving contraceptive prevalence rates and accelerating fertility decline: 1) assessing client needs; 2) reviewing and changing existing policy; 3) considering costs; 4) paying attention to logistics; 5) developing IEC, training, and supervisory capabilities; 6) including indicators of client choice in monitoring and evaluation; and 7) evaluating method mix based on client choice and satisfaction and on overall contraceptive use.
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