保护指标的几年:更新现有方法和添加新方法的新全球指南
Elena Lebetkin1, Markus J Steiner2, Emily Sonneveldt3
1FHI 360, Durham, NC, USA. elebetkin@fhi360.org.
Global health, science and practice
|April 8, 2024
概括
对避孕方法的新转换因子改善了计划生育计划的评估. 此更新提供了四种关键方法的基本数据,确保准确监测避孕保护.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 计划生育计划的评估计划的评估计划.
背景情况:
- 几年保护 (CYP) 是监测计划生育 (FP) 计划绩效的关键指标.
- 以前的CYP计算更新发生在2000年和2011年,随着避孕方法的发展,需要进一步修订.
- 自2011年更新以来,四种现代避孕方法,包括Levoplant植入物,仅含孕激素的药片 (POP),Caya隔膜和激素子宫内器械,需要新的CYP转化因子.
研究的目的:
- 为了确定四种特定避孕方法的更新几年保护 (CYP) 转换系数.
- 确保精确的绩效监测和评估计划生育计划使用这些现代避孕方法.
主要方法:
- 进行了出版和灰色文献的综合文献评论.
- 与主题专家进行商,以收集关于避孕继续率,有效期和有效性的最新数据.
- 使用已建立的方法和相似方法的数据计算新的CYP转化因子,如适用.
主要成果:
- 为Levoplant植入物分配新的CYP转化因子 (每种植入物2.5个CYP).
- 为仅含孕激素的药片 (POP) 建立了新的CYP转化因子 (每包0.0833个CYP,相当于每次CYP的12个周期).
- 确定了Caya隔膜 (每个装置1个CYP) 和激素子宫内器械 (每个装置4.8个CYP) 的新CYP转化因子.
结论:
- 几年保护 (CYP) 仍然是计划生育计划的重要指标.
- 新避孕方法的开发和新出现的证据需要定期更新CYP转化因子.
- 为了一致性和准确性,建议采用标准化流程来更新和记录未来的CYP修订.
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