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Operations Research

RESULTS OF STUDIES COMPLETED

 


Male Involvement

  • In rural villages in India, training male community health workers as SDM providers was a successful strategy for reaching men; 81% of women in villages with male health workers reported that their husbands were counseled on method use, in comparison to 2% in villages with only female volunteers. (Executive summary - India)
  • In El Salvador, introducing the SDM into water and sanitation programs in rural areas helped involve men in family planning and contributed to higher contraceptive prevalence and a greater use of methods requiring partner participation. (Executive summary -El-Salvador)

Testing Counseling Strategies

  • In the Philippines and Ecuador, adding a follow-up visit to the SDM service protocol did not significantly improve correct use of the method. For the most part, providing the method in one counseling visit was sufficient for correct use of the method. (Executive summary - Philippines) (Executive summary -Ecuador)

Improving Informed Choice

  • In Honduras, provider bias against natural methods declined significantly after introduction of the SDM, contributing to improvements in informed choice. (Executive summary - Honduras)

Impact on Prevalence

  • Contraceptive prevalence increased in study areas by 8% in India and 4% in El Salvador after introduction of the SDM. (Executive summary -El-Salvador)

Offering SDM in Public, Private, and Community Programs

  • In Honduras, it was feasible to offer the SDM in rural and urban settings. Both community promoters and clinic-based providers were capable of offering the SDM but training community promoters proved to be more resource intensive than training clinic-based providers. (Executive summary - Honduras)

Willingness to Pay

Comparing the SDM to Other Methods: New User Experience

  • New SDM users in Ecuador reported greater coital frequency than new users of other methods during the first month of use. (Executive summary -Ecuador)