Strategic Approach to Contraceptive Introduction: Offering SDM in Title X clinics

High rates of contraceptive discontinuation and unwanted pregnancies suggest that additional family planning method options are needed. However, adding new methods utilizes valuable resources but does not always have the intended effect. To maximize the benefit of contraceptive introduction, the Strategic Approach articulated by the World Health Organization calls for a participatory process beginning with a needs assessment and continuing with introduction and evaluation research. Results of a needs assessment in four Title X clinics revealed potential demand for fertility awareness-based methods among the communities served and willingness among providers to offer these methods. Focus group participants liked the Standard Days Method (SDM), one such fertility awareness-based method, because it was simple, had no side effects, and required partner involvement. Utilizing needs assessment results, the introduction strategy was tailored to each setting. Preliminary results of post-introduction provider and client interviews suggest that in spite of an initial learning curve, providers felt confident and wanted to continue offering the method, and that clients chose it and used it correctly and satisfactorily. Following the strategic approach had many benefits when it came to method integration. Clinic leadership implemented training and outreach activities with greater confidence knowing that a demand for this method existed, and providers were able to discuss potential client concerns during trainings. Needs assessment results shaped key messages used on posters and client materials and enabled outreach activities to be targeted to key audiences. Continued follow up of SDM clients and dissemination of integration tools and strategies is planned.