title: Impact of Structured Counseling with Trained Counselors in Choosing a Modern Contraceptive Method in India.
abstract: OBJECTIVE
  The study was designed to determine the impact of structured counseling by trained contraceptive counselors in a real-life clinical setting on the adoption of modern contraceptive methods in comparison with past contraceptive experience.
  
  
  METHODS
  Current study was a retrospective, non-interventional design, from the data collected in the time period of March to September 2013 across four clinics with predominant obstetric and gynecological practice. Three hundred and fifty-one women consulting for contraception were counseled by trained counselors using standardized counseling tools.
  
  
  RESULTS
  Of the 351 women counseled, 40.74 % (n = 143) had never used a contraceptive (no method) and 42.74 % (n = 150) women whose partner had or were using a "male condom." Post-counseling by a trained counselor, there was a significant (p < 0.001) increase in modern contraceptive use (91.74 %, n = 322) versus prior counseling (52.14 %, n = 183) proportion of women who had or were using a modern contraceptive. The change observed for each method pre-counseling (usage history) to post-counseling was as follows: combined oral contraceptive (COC) 1.99-5.41 %, progesterone-only pill (POP) 0.85-30.48 %; copper intrauterine device (Cu-IUD) 4.27-29.4 %; injectable contraceptive 1.71-20.51 %; male condom 42.74-1.42 %; no method 40.74-7.41 %; traditional 7.12-0.85 %; and sterilization 0.28-1.71 %.
  
  
  CONCLUSIONS
  This study is a first of its kind, conducted in the private sector, and clearly highlights the benefits of a trained counselor in contraceptive counseling with a significant proportion of women choosing a modern contraceptive. With a busy private practice, a trained counselor facilitates the clinician's role and helped the women to choose a suitable modern contraceptive method.
authors.affiliation: Gynecology and Obstetrics, Nulife Hospitals, 1616, Outram Lines, GTB Nagar, Kingsway Camp, New Delhi, 110009 India.
authors.forename: Shakuntla
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Gynecology and Obstetrics, Mother and Child Hospital, # 20, Old Anarkali, Krishna Nagar, Landmark: lm-Jain Mandir, New Delhi, India.
authors.forename: Dipti
authors.initials: D
authors.lastname: Nabh
authors.affiliation: Department of Gynecology and Obstetrics, Dr. Rupam Arora Clinic, House No. 78, Mausam Vihar, Krishna Nagar, New Delhi, India.
authors.forename: Rupam
authors.initials: R
authors.lastname: Arora
authors.affiliation: Department of Gynecology and Obstetrics, Hitaishi Hospital, E-15/154, Pradeep Bhatia Marg, Sector 8E, Rohini, New Delhi, 110085 India.
authors.forename: Praveen
authors.initials: P
authors.lastname: Garg
keywords: Counseling; Private practice; Trained counselor