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FROM EFFICACY TO EFFECTIVENESS: SELECTING INDICATORS FOR A COMMUNITY-BASED LACTATIONAL AMENORRHOEA METHOD PROMOTION PROGRAMME

Published online by Cambridge University Press:  01 April 1998

DEBORAH E. BENDER
Affiliation:
Department of Health Policy and Administration and Carolina Population Center
ERIN DUSCH
Affiliation:
Department of Health Behavior and Health Education
MARGARET F. McCANN
Affiliation:
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill, NC 27599, USA

Abstract

This paper reviews the results of clinical trials and community studies of lactational amenorrhoea and its role as a contraceptive method (LAM). Indicators which are used in efficacy trials and effectiveness interventions are compared and sets of indicators of effectiveness appropriate to community-based LAM programmes are recommended. A five-tiered ecological framework is used to facilitate selection of indicators which range from individual to policy level outcomes. The indicator framework is intended as a tool for health practitioners in family planning and maternal and child health service delivery settings who are interested in designing programmatic interventions for the promotion of LAM, particularly among less well-educated women of lower socioeconomic communities.

Type
Research Article
Copyright
© 1998 Cambridge University Press

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