A Randomized Community Trial of Enhanced Family Planning Outreach in Rakai, Uganda

Dados Bibliográficos

ID10796823
AutoresTom Lutalo (0000-0003-3380-1720, Rakai Health Sciences Program), Godfrey Kigozi (0009-0008-9142-6870, Rakai Health Sciences Program), Edward Kimera (Rakai Health Sciences Program), David Serwadda (0000-0001-6532-6587, Makerere University), Maria J Wawer (0000-0002-3601-4469, Johns Hopkins University, autor correspondente), Laurie Schwab Zabin (Johns Hopkins University, autor correspondente), Ronald H Gray (0000-0003-1952-6507, Johns Hopkins University, autor correspondente)
Ano2010
Volume41
Fascículo1
Páginas55-60
Data de publicação2010-03-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoStudies in Family Planning (JOURNAL)
Identificadores do periódicoISSN: 0039-3665 • E-ISSN: 1728-4465
EditoraWiley (PUBLISHER • GB)
DOI10.1111/j.1728-4465.2010.00224.x
PMID21465722
OpenAlexW2148589918
IdiomaEN
Citações recebidas8
Referências citadas7

A randomized community trial of a family planning outreach program was conducted in Rakai District, Uganda. Five communities received standard services; six intervention communities received additional family planning information, counseling, and contraceptive methods from government service providers and community‐based volunteer agents using social marketing and other strategies. Condom use was promoted in all of the communities. The community‐based family planning outreach program was implemented in two phases—1999–2000 (early) and 2001 (late)—and its impact was evaluated by means of population surveys in 2002–03. At follow‐up, hormonal contraceptive prevalence was 23 percent in the intervention communities, compared with 20 percent in the control communities. The differential was greater in the early‐intervention communities than the late‐intervention communities. Pregnancy rates at follow‐up were 15 percent in the control and 13 percent in the intervention communities. No differentials in condom use were found between study arms. Family planning outreach via social marketing can significantly increase hormonal contraceptive use and decrease pregnancy rates, but the impact of this outreach program was modest

Birth control · Condom · Developing country · Economic growth · Environmental health · Family medicine · Family planning · Human immunodeficiency virus (HIV · Intervention (counseling · Outreach · Political science · Population · Program evaluation · Randomized controlled trial · Social marketing · Adolescent Sexual and Reproductive Health · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Medicine · Nursing