The strategic approach to contraceptive introduction.
The introduction of new contraceptive technologies has great potential for expanding contraceptive choice, but in practice, benefits have not always materialized as new methods have been added to public-sector programs. In response to lessons from the past, the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development, and Research Training in Human Reproduction (HRP) has taken major steps to develop a new approach and to support governments interested in its implementation. After reviewing previous experience with contraceptive introduction, the article outlines the strategic approach and discusses lessons from eight countries. This new approach shifts attention from promotion of a particular technology to an emphasis on the method mix, the capacity to provide services with quality of care, reproductive choice, and users' perspectives and needs. It also suggests that technology choice should be undertaken through a participatory process that begins with an assessment of the need for contraceptive introduction and is followed by research and policy and program development. Initial results from Bolivia, Brazil, Burkina Faso, Chile, Myanmar, South Africa, Vietnam, and Zambia confirm the value of the new approach.
Simmons
R
R
Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor 48109-2029, USA.
Hall
P
P
Díaz
J
J
Díaz
M
M
Fajans
P
P
Satia
J
J
D000349:Africa; D001210:Asia, Southeastern; D003256:Community Participation; D003267:Contraception / Q000379:methods / Q000523:psychology / Q000592:standards; D003695:Delivery of Health Care / Q000379:methods* / Q000458:organization & administration; D003906:Developing Countries; D005193:Family Planning Services / Q000379:methods* / Q000458:organization & administration; D005610:Freedom; D006284:Health Plan Implementation; D006301:Health Services Needs and Demand; D006801:Humans; D007391:International Cooperation; D017146:Models, Organizational; D010342:Patient Acceptance of Health Care / Q000208:ethnology; D011050:Policy Making; D016730:Program Development; D011787:Quality of Health Care; D013020:South America; D014944:World Health Organization