Your search found 5 Results
Journal of Family Planning and Reproductive Health Care. 2006 Oct; 32(4):249-252.Both the Delphi method and nominal group technique offer structured, transparent and replicable ways of synthesising individual judgements and have been used extensively for priority setting and guideline development in health-related research including reproductive health. Within evidence-based practice they provide a means of collating expert opinion where little evidence exists. They are distinct from many other methods because they incorporate both qualitative and quantitative approaches. Both methods are inherently flexible; this article also discusses other strengths and weaknesses of these methods. (excerpt)
AMERICAN JOURNAL OF PUBLIC HEALTH. 1999 Jan; 89(1):92-4.The prevalence of vasectomy increased in the US from protecting approximately 5% of contracepting married women to about 19% by the early 1990s. However, 2 studies published in 1993 noting a potential link between vasectomy and prostate cancer, publications refuting the association and the US National Institutes of Health's recommendation to not change vasectomy practice, subsequent debate in the professional literature, and negative publicity in the national media may have influenced the acceptance and practice of vasectomy in the US. The authors conducted national probability surveys of urology, general surgery, and family practices in 1992 and 1996 to assess the effect of the controversy upon the acceptance and practice of vasectomy in the US. 10.3 vasectomies per 1000 men aged 25-49 years were performed in 1991, compared to 9.9/1000 in 1995. Neither the estimated total number of vasectomies performed nor the population rate changed significantly between 1991 and 1995. 31% and 28% of all physician practices provided vasectomy in 1991 and 1995, respectively, a nonstatistically significant change over the 4 years.
FAMILY PLANNING WORLD. 1992 Jan-Feb; 2(1):10-1, 31.Despite the wealth of evidence supporting the safety and efficacy of IUDs, fears of health problems associated with use of the device still linger in the US. Over the past 10 years, studies have shown that a new class o IUDs, copper-bearing IUDs, result in fewer pregnancies than oral contraceptives, and are as effective as Norplant, the long-acting hormonal implant. Additionally, the new class of IUDs have significantly lowered the rate of complications associated with use, complications such as bleeding, discomfort, and involuntary expulsion. Some experts say that the IUDs are among the most effective and safest forms of contraception available. And while the popularity of IUDs continues to rise in Europe and Asia, only an estimated 1% of US women use IUDs. Fears over IUD use in the US stem from the Dalkon Shield debacle in the 1980s, when reports about infection and infertility associated with the use of this particular type of IUD began to surface. More than 100,000 women filed a class action suit against Dalkon Shield's manufacturer, A.H. Robbins, and fear of similar liability prompted competing manufacturers to withdraw IUDs from the market. From 1986-88, only one type of IUD could be found in the US market. Experts now say that the safety questions -- especially concerns over the risk of pelvic infections -- about IUDs no longer apply, so long as the devices are properly prescribed and inserted under thoroughly aseptic conditions. Although the number of US women using IUDs is small, the IUD enjoys the highest satisfaction rate of any contraceptive method, 98%. Nonetheless, a comeback in the US for IUDs remains unlikely at this time, since the majority of women still distrust of the method, and physicians remain fearful of liability risks.
Ottawa, Canada, International Development Research Centre, 1973. 30 p. (IDRC-009e)This paper evaluates the progress of a Latin American population through stages in family planning adoption. The focus is on changes in knowledge of contraception, attitudes, and practices which occurred over 5 years (1964-69) of widespread public discussion concerning family planning and of program activity in Bogota, Colombia. Data from 2 surveys, 1 in 1964 and the other in 1969, permit the 1st temporal analysis of family planning adoption for a major metropolitan city in Latin America. Additional data on rural and small urban areas of Colombia from the 2nd survey permit a limited assessment of diffusion of family planning from the city to the nation as a whole. The 1st survey in Bogota revealed moderate to high levels of knowledge of contraceptive methods and generally favorable attitudes to birth limitation. However, at this time many women had never spoken to their husbands about the number of children they wanted, nor tried a contraceptive method at any time. The 2nd survey showed substantial changes in this picture. The proportion of currently mated women who had spoken to their husbands about family size preference changed from 43 to 62% for an increase of 71%. Fertility fell appreciably over this period, especially among younger women. Family planning program services had a significant direct contribution to the adoption process, since 36% of mated women had been to a clinic by 1969. The most modern methods of birth control -- the anovulatory pill and the intrauterine device -- which were scarcely known in 1964 were widely known in 1969, and contributed most to the observed increase in current contraceptive practice. However, among the previously known methods, the simplest method of all, withdrawal (coitus interruptus), showed the greatest increase in current practice and remained the most commonly used method. These findings suggest that favorable attitudes and knowledge tend to become rather widespread before levels of husband-wife discussion of family size preferences and levels of contraceptive trial increase appreciably. The results also indicate that contraceptive knowledge and favorable family planning attitudes are spreading rapidly outward from the cities into the rural areas, but that contraceptive practice is still predominantly restricted to urban populations. (author's)
Journal of the Royal College of General Practitioners. 1984 Nov; 34(268):600-2.The immediate responses of physicians and patients to adverse publicity about the possibility of cancer among women using combined oral contraceptives (OCs) were studied in 2 separate locations: the main family planning clinic in the city of Aberdeen, and a provincial general practice of 10 doctors based in the Peterhead Health Centre. A press release was issued 1 day prior to publication of 2 articles in the Lancet of 22 October 1983, reporting possible risks of breast and cervical cancer in some patients on combined OCs. For the 20 workdays immediately after publication, the 16 participating doctors at both locations collected survey data on the ages of patients and outcomes of consultations for all patients who expressed concern about the OCs. In the family planning clinic, 207 consultations with clinic doctors were prompted by anxiety over the pill and accounted for 24.8% of the workload over the 20 days. In the practice, 73 women (7.8% of all the pill users) who attended over the 20 days expressed concern about OCs. The general practitioners reported lower than expected levels of patient response, whereas the family planning clinic required extra sessions to accomodate the temporary upsurge in demand. At each consultation, the doctor either changed the type of pill, changed the method of contraception, or offered reassurance only. At the family planning clinic and practice respectively, the 1st outcome choices were a change of pills for 58.5% and 39.7% of patients, a change of method for 14.0% and 2.7%, and reassurance only for 27.5% and 57.5%. The mean age of patients was 25.1 years at the family planning clinic and 25.6 years at the health center. This limited study suggests that the predicted "pill scare" did not occur at the Peterhead Health Centre, while in contrast the family planning clinic reported a marked increase in workload including inquiries from the press and local radio stations. Factors accounting for the general practitioners' more conservative responses to patients with pill-related anxiety may have included differences in the type of patient seen; the greater time constraints on the general practitioners, whose patients were booked at 6-minute intervals compared to 12-minute intervals in the clinic; or the continuity of care provided by the general practitioners.