Family Planning

December 2015

Integrating family planning into maternal and newborn health services for improved post-partum contraception

This quasi-experimental trial in rural Bangladesh demonstrated a positive effect of integrating family planning with a community-based maternal and newborn health programme in increasing postpartum contraceptive use and reducing short birth intervals (less than 24 months). One year after the trial began, contraceptive prevalence rate amongst women receiving integrated family planning services was 15% higher than in the control arm. Read More

October 2015

Post-partum contraception and breastfeeding – a need to consider new practices

A commentary, based on a review of evidence related to breastfeeding-related amenorrhea in low-income countries, argues for the revision of recommendations on post-partum contraception in developing countries. The comment is based on a study that reassessed the level of postpartum unmet need with different methods of measurement, compared unmet need in the first year following childbirth with unmet need at later durations postpartum and analysed reasons for postpartum unmet need. Read More

September 2015

August 2015

Turbulent history of the condom

This article provides an update on the literature concerning the history of condoms, in order to challenge the many errors found in the literature. The article draws on primary sources to update the information relating to the origin of the term ‘condom’ and its use. Read More

Measuring couple years protection lost as a tool for prioritising contraceptive stockout, Nigeria

This study describes the development and evaluation of a new measure – couple years protection lost (CYPL) – to identify facilities with the most damaging contraceptive stockouts and therefore direct programme response. Data were gathered on contraceptives stocks (oral contraceptive pill, intrauterine device, and two types of implant) at ten family planning facilities in Abuja, Nigeria, between January and August 2012. Read More

Endometrial cancer and oral contraceptives: meta-analysis

A meta-analysis of36 epidemiological study confirmed that use of oral contraceptives confers long-term protection against endometrial cancer. Individual participant datasets were sought from principal investigators and provided centrally for 27,276 women with endometrial cancer (cases) and 115,743 without endometrial cancer (controls). Read More

Quality of care and contraceptive use in urban Kenya

Survey data from 3,990 women were used to investigate whether family planning service quality was associated with current modern contraceptive use in five cities in Kenya in 2010. In addition, audits of selected facilities and service provider interviews were conducted in 260 facilities, and exit interviews were conducted with family planning clients at 126 high-volume clinics. Individual- and facility-level data were linked according to the source of the woman’s current method or other health service. Read More

Safety of the progesterone-releasing vaginal ring (PVR) among lactating women

This study reviewed published peer-reviewed literature regarding the safety and effectiveness of the progesterone-releasing vaginal ring (PVR), which releases a natural progesterone that suppresses ovulation and is specifically designed for breastfeeding women in the first postpartum year. All studies consistently showed that use of the PVR among breastfeeding women compares favourably to other methods of contraception with regard to effectiveness, does not compromise a woman’s breastfeeding performance, and does not adversely affect infant growth during the first year postpartum. Read More