A study appearing in the March 2008 issue of the journal
Contraception reports that the Standard Days Method®,
a natural family planning method developed by researchers
from Georgetown University Medical Center’s Institute
for Reproductive Health, brings new women to family planning.
More than half the women who selected the Standard Days
Method had never previously used family planning and on
average, contraceptive use increased by 8 percent in communities
where the method was introduced.
“This is the first study that looks at provision of a
simple, modern method of natural family planning in regular
service delivery rather than in a clinical trial. This
distinction is important because clinical trials usually
provide more training and provider-user contact than in
typical family planning services,” said study co-author
Rebecka I. Lundgren, MPH, Deputy Director of the Institute
for Reproductive Health. “We found that the Standard Days
Method reached a group of women whose needs were not being
met by existing services. Programs embraced the method
as an additional choice because it is easy to use and
to teach, it actually works in the real world,” she said.
In a 2002 study, the Georgetown researchers found the
Standard Days Method to be more than 95 percent effective
and easy to use. To facilitate the use of the method,
the researchers developed a color-coded string of beads
called CycleBeads®. As a visual tool, CycleBeads helps
a woman track her cycle, know if she is on a day when
pregnancy is likely or not, and ensure her cycle length
is in the range to use the method effectively.
In the new study, the most common reason study participants
gave for choosing the Standard Days Method was that it
“does not have side affects nor affect women’s health”.
Participants also noted the low costs of CycleBeads. Although
natural family planning methods are frequently associated
with religious beliefs, relatively few women gave this
reason for selecting the method.
Education level, number of children, previous use of
modern family planning methods, and whether living in
an urban or rural area did not appear to affect a woman’s
decision to use the Standard Days Method. While the new
study reported that the general characteristics of Standard
Days Method users varied widely, it did find that 55 percent
had never before used any family planning method and few
were switching from another effective method.
“One of the most interesting things we found in this
study is how interested in and supportive of this method
men are,” said Victoria Jennings, Ph.D., Institute Director
and professor of obstetrics and gynecology at Georgetown
University Medical Center.
“These studies were conducted in a wide variety of cultural
settings, but in all of them, men found the method easy
to use and most stated that they planned to continue using
the Standard Days Method and would recommend it to others.”
The study, which was funded by the U.S. Agency for International
Development, followed 1,646 women who elected to use the
Standard Days Method at 14 sites in 6 countries. Women
who chose the method were interviewed at several points
during the study and their partners were interviewed at
the end of the study. Service delivery settings ranged
from maternity hospitals to community health services
and included non-traditional healthcare providers as an
agricultural cooperative and a program involved in water
and sanitation.