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Causes of Clinic Drop-Out Among Iranian Pill Users

Published online by Cambridge University Press:  31 July 2008

Che-fu Lee
Affiliation:
Catholic University of America, Washington DC, USA
Mohammad M. Khan
Affiliation:
Catholic University of America, Washington DC, USA
Ali Eftekhari
Affiliation:
Catholic University of America, Washington DC, USA
Mahnaz Dana
Affiliation:
Catholic University of America, Washington DC, USA

Summary

A national study of the Iran family planning programme is yet to be undertaken. This paper reports clinic continuation rates and causes of drop-out among Iranian pill acceptors based on patient records at three selected clinics in Shiraz and Marvdasht. All three clinics were shown to have a cumulative continuation rate of over 50% up to 1 year. Causes of clinic drop-out varied between rural and urban pill users by time of acceptance and by the acceptors’ background characteristics. The probability of drop-out for unreported reasons was related to level of motivation. The effect of follow-up by clinic motivators was clearly demonstrated in the temporal pattern of drop-out among rural acceptors. The probability of drop-out for medical side effects was related to knowledge about them and users’ own experience. Risk of accidental pregnancy was seen to reduce as pill users gained experience.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1978

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