Strategies for communicating contraceptive effectiveness

Abstract

We have limited evidence about what works to help consumers choose an appropriate contraceptive method. For presenting pregnancy risk data, one trial showed that categories were better than numbers. In another trial, audiovisual aids worked better than the usual oral presentation. Strategies for communicating information should be examined in clinical settings and assessed for effect on contraceptive choice and retention of knowledge. To expand the knowledge base of what works in contraceptive counseling, randomized trials could intentionally use and test theories or models.

The Effect of Structured Counseling towards Knowledge, Attitude, and Participation of Modern Contraceptive among Unmet Need Couples

“…This means that structured counseling provided in the modern contraceptives service could increase the participation 6.167 times compared to the standard counseling. Similar result was shown by Lopez LM, 13 2 Randomize Control Trial study showed women who did counseling two times likely to use modern contraceptives than the control group (OR =2.35; 95% CI: 1.82 to 3.03), the method sterilization, the pill, injections, intra uterine devices (IUDs) or methods barrier. Implementation of counseling with information and contraceptive services qualified on the client can increase the effectiveness of contraceptive use.…”

Knowledge and factors determining choice of contraception among Singaporean women

“…(37) Welldesigned leaflets and other audiovisual aids can be used to complement the personal interaction couples have with the healthcare provider during counselling sessions. (38) An online contraception advice service could also be set up to provide easy access to reliable and accurate information about contraception. We also recommend that opportunistic contraception education be offered to all women of child-bearing age during their general visits to healthcare facilities.…”

Knowledge of contraceptive effectiveness

“…A recent Cochrane review of strategies to communicate contraceptive effectiveness found limited evidence regarding which counseling tools work best. 3 Steiner, et al, showed that a World Health Organization (WHO) developed chart of contraceptive effectiveness stratified by “average” (typical) versus “correct and consistent use” (perfect use) was significantly more difficult for women to understand. 18 The most recently published WHO chart of contraceptive effectiveness (Figure 3) uses a continuum of typical use effectiveness to demonstrate the difference between the more effective and less effective methods.…”

“…1, 2 General contraceptive knowledge varies widely across populations with notable disparities among minority and younger populations who have less awareness and understanding of various contraceptive methods. 1-3 Multiple studies have evaluated women's knowledge of a specific contraceptive method, such as the intrauterine device (IUD), 1, 2, 4 or evaluated the knowledge of women in countries outside the United States 5, 6 .…”