Introducing a new contraceptive technology in Kyrgyzstan

To expand the FP method mix in Batken Oblast, Kyrgyzstan by introducing Standard Days Method (SDM). 273 reproductive health care workers were trained in SDM. Cycle beads were procured and adapted promotional materials were distributed. Data for integrating SDM into the national FP register was collected and reported to MOH. Regular unscheduled monitoring visits occurred to trained providers, clients, partners, and mother-in-laws.1,729 new SDM users started from May 2007 to February 2008. The majority of clients were monitored for 8 consecutive months. 24 clients discontinued the method due to: 6 unintended pregnancies, 3 husbands did not like the method, 5 planned pregnancies, and 10 moved. The project had 1 pregnancy among every 289 users-less than .1% pregnancy rate, less than the standard rate for the method.

75% of trained providers received SDM Certification, which indicated they passed knowledge and skills tests and were able to successfully counsel clients on SDM in regular practice settings. 98% of users and partners correctly explained how to use SDM and the meaning of bead colors. 56% made a joint decision with their partner to use SDM. 80% of partners support continued use and the majority of users plan to continue use. SDM proved to be a culturally appropriate and effective method in Kyrgyzstan, in terms of pregnancy rate, user satisfaction, increased couples communication, and family and community support for the method. Scale up and replication of activities is recommended for other areas with similar conditions, including high literacy rate and low HIV prevalence.