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Abstract

The 1974 National Acceptors Survey in the Philippines studied 4 methods of contraception: pill, IUD, rhythm, and condom. After 1 year, 72% of IUD acceptors had an IUD in place but only 29% of condom acceptors were still using condoms. Pills and rhythm were equally effective in terms of continuation and pregnancy rates. Continuation rates were higher among acceptors at postpartum clinics than at other clnics, higher among urban respondents than rural, and higher among older respondents. Those with more children had higher continuation rates, whereas those who wanted more children had lower continuation rates. Continuation rates also increased 1) as the duration of marriage lengthened; 2) with a later age at marriage; 3) with higher educational attainment; 4) among income-contributing respondents with higher incomes; 5) among previous contraceptive users; and 6) when physicians provided the services rather than nonmedical personnel, including medical screenings. Clinic attendance, husband's occupation, whether or not there was payment, and husband's support are other factors that seemed to affect continuation rates. Contraceptive effectiveness values were higher among pill and IUD acceptors. The percentage of reduction in fertility following acceptance of a method was 74% for IUDs and 27% for condoms. Fertility reduction was great among acceptors at postpartum clinics, acceptors in central visayas, and the highly educated. Future births averted ranged, for every 100 acceptors, 208 with the IUD, 32 with the condom, and 1 each pill and rhythm. Factors affecting method selection were administrative, beliefs, and preferences. The most common complaint about provision of clinical services was that the staff should spend more time in home visits (86%).

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The 1974 National Acceptors Survey.

The 1974 National Acceptors Survey in the Philippines studied 4 methods of contraception: pill, IUD, rhythm, and condom. After 1 year, 72% of IUD acceptors had an IUD in place but only 29% of condom acceptors were still using condoms. Pills and rhythm were equally effective in terms of continuation and pregnancy rates. Continuation rates were higher among acceptors at postpartum clinics than at other clnics, higher among urban respondents than rural, and higher among older respondents. Those with more children had higher continuation rates, whereas those who wanted more children had lower continuation rates. Continuation rates also increased 1) as the duration of marriage lengthened; 2) with a later age at marriage; 3) with higher educational attainment; 4) among income-contributing respondents with higher incomes; 5) among previous contraceptive users; and 6) when physicians provided the services rather than nonmedical personnel, including medical screenings. Clinic attendance, husband's occupation, whether or not there was payment, and husband's support are other factors that seemed to affect continuation rates. Contraceptive effectiveness values were higher among pill and IUD acceptors. The percentage of reduction in fertility following acceptance of a method was 74% for IUDs and 27% for condoms. Fertility reduction was great among acceptors at postpartum clinics, acceptors in central visayas, and the highly educated. Future births averted ranged, for every 100 acceptors, 208 with the IUD, 32 with the condom, and 1 each pill and rhythm. Factors affecting method selection were administrative, beliefs, and preferences. The most common complaint about provision of clinical services was that the staff should spend more time in home visits (86%).

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Keywords

national acceptors survey contraceptive effectiveness

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J, Laing J, Phillips Z, Zablan R, Llorente J, Cabigon,.The 1974 National Acceptors Survey.. 2 (7),2-7.

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