부산대학교 도서관

The effectiveness and cost-effectiveness of postpartum family planning service provision were assessed in a study of 1,560 women giving birth in 1988-1989 at the largest hospital of the Peruvian Social Security Institute (IPSS). Contraceptive counseling and temporary methods were offered to one ward of postpartum women, while a second ward, acting as a control group, was discharged without being offered comparable services. In the second half of the study period, almost 90% of the experimental group accepted family planning prior to discharge, and 25% of the women received an IUD. Six months after delivery, 82% of the members of the experimental group were using a contraceptive method, with 40% using an IUD; by comparison, 69% of controls were using a method, and 27% an IUD. Because in-patient IUD insertion was estimated to cost $9.38 per woman, compared with $24.16 for an interval insertion, implementing postpartum family planning services in all IPSS hospitals in Lima could save 3-5% of the annual projected IPSS family planning budget for Lima and free up 6% of the current outpatient delivery capacity.