Impact of a Provider Job Aid Intervention on Injectable Contraceptive Continuation in South Africa
Article first published online: 12 DEC 2012
© 2012 The Population Council, Inc.
Studies in Family Planning
Volume 43, Issue 4, pages 305–314, December 2012
How to Cite
Baumgartner, J. N., Morroni, C., Mlobeli, R. D., Otterness, C., Buga, G. and Chen, M. (2012), Impact of a Provider Job Aid Intervention on Injectable Contraceptive Continuation in South Africa. Studies in Family Planning, 43: 305–314. doi: 10.1111/j.1728-4465.2012.00328.x
- Issue published online: 12 DEC 2012
- Article first published online: 12 DEC 2012
Arriving late for scheduled contraceptive reinjections is common in many countries and contributes to discontinuation when providers are unsure how to manage such clients. A clinic-randomized cohort and cross-sectional study with more than 5,000 clients using injectable contraceptives was conducted in the Eastern Cape province of South Africa to test the effectiveness of a provider job aid for managing late-returning clients and promoting continued use of the method. A marginally significant difference in reinjection rates between intervention and control groups was found for those up to two weeks late, and reanalysis excluding one clinic that experienced stockout issues revealed a significant difference. The difference in reinjection rates for those 2–12 weeks late was also found to be significant. The one-reinjection cycle continuation rate for the intervention group was higher than that for the control group, but the difference was not statistically significant. Appropriate management of late-returning clients is critical, and this study illustrates that reinjection rates can be significantly increased with a low-resource provider job aid.