Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Evaluation & the Health Professions
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
0163278707311868v1
31/1/3    most recent
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by León, F. R.
Right arrow Articles by Jennings, V.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by León, F. R.
Right arrow Articles by Jennings, V.
Right arrowPubmed/NCBI databases
Medline Plus Health Information
*Birth Control
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Provider Selection of Evidence-Based Contraception Guidelines in Service Provision

A Study in India, Peru, and Rwanda

Federico R. León

Georgetown University Institute for Reproductive Health, frleon{at}amauta.rcp.net.pe

Rebecka Lundgren

Georgetown University Institute for Reproductive Health

Victoria Jennings

Georgetown University Institute for Reproductive Health

Providers underutilize evidence-based practice guidelines as they prescribe contraceptives. To discern biases in guideline utilization by 172 providers of three countries, this study used observations from simulated clients trained to choose oral contraceptives. Providers implemented less than one third of the guideline set, but they addressed, more frequently than other guidelines, items categorized as essential by expert opinion (p < .01). Indian providers emphasized instructions on method use in 9-minute consultations, Rwandan providers emphasized contraindications in 29-minute sessions, and Peruvian providers did not emphasize any single guideline category. Providers should use job aids to improve guideline utilization. Those pressed for time need an evidence-based, rather than arbitrary, selection of essential guidelines that optimizes client outcomes. Practice-based research must be generated to meet this need.

Key Words: contraception • practice guidelines • provider implementation

This version was published on March 1, 2008

Evaluation & the Health Professions, Vol. 31, No. 1, 3-21 (2008)
DOI: 10.1177/0163278707311868
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?