To investigate a method of using patient-held records to
collect contraception data in Malawi, that could be used to explore
contraceptive discontinuation and method switching.
In 2012, all 7393 women aged 15 to 49 years living in
the area covered by the Karonga demographic surveillance site were offered a
family planning card, which was attached to the woman’s health passport – a
patient-held medical record. Health-care providers were trained to use the
cards to record details of contraception given to women. During the study,
providers underwent refresher training sessions and received motivational text
messages to improve data completeness. After one year, the family planning
cards were collected for analysis.
Of the 7393 eligible women, 6861 (92.8%) received a family
planning card and 4678 (63.3%) returned it after one year. Details of
87.3% (2725/3122) of contacts between health-care providers and the women had
been recorded by health-care providers on either family planning cards or health
passports. Lower-level health-care providers were more diligent at recording
data on the family planning cards than higher-level providers.
The use of family planning cards was an effective way of
recording details of contraception provided by family planning providers. The
involvement of health-care providers was key to the success of this approach.
Data collected in this way should prove helpful in producing accurate estimates
of method switching and the continuity of contraceptive use by women.
Full article at: http://goo.gl/SdpH2O
By: 
a Ruth Ngwalo,b Keith Branson,a Levie Gondwe,c Frank Taulo,d Bagrey Ngwira,d Basia Zaba,a andAmelia C Crampinc
a Ruth Ngwalo,b Keith Branson,a Levie Gondwe,c Frank Taulo,d Bagrey Ngwira,d Basia Zaba,a andAmelia C Crampinc
aLondon School of Hygiene & Tropical
Medicine, Keppel Street, London, WC1E 7HT, England.
bDistrict Health Office, Karonga, Malawi.
cKaronga Prevention Study, Chilumba,
Malawi.
dCollege of Medicine, University of Malawi,
Blantyre, Malawi.
Corresponding
author.
Correspondence to Aisha NZ Dasgupta (email: ku.ca.mthsl@atpugsad.ahsia).
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