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Table 5 Interventions to increase contraception uptake- Pros and cons based on literature as well as conference and survey/focus group discussions

From: Development of an integrated, district-wide approach to pre-pregnancy management for women with pre-existing diabetes in a multi-ethnic population

Interventions Content/ details Places (to be implemented) Pros Cons Included
Workshops for HCPsa and pharmacies [48] Available contraceptive methods for women with diabetes and insertion techniques for IUDb Primary and secondary care services and pharmacies Potentially motivates HCPs, updates their knowledge Lack of flexibility in time, High cost Yes
Courses for patients and their partners The importance of planning for pregnancy and available contraception options for women with diabetes Primary and secondary care services and pharmacies Potentially motivates patients and their partners, they can ask questions Lack of flexibility in time, High cost No
Accessibility of contraception Providing free condoms in health-care services (especially primary care centres) Primary and secondary care services, dental clinics, women’s health clinics, NDSSc Easily visible, encourages people to use contraception High cost No
Leaflets women and their partners’ awareness [49] Importance of planning pregnancy and contraception uptake in women with diabetes Primary and secondary care services, women’s health clinics and NDSSc Minimises potential conflicts which could exist within the couples High cost if mailed Yes
Mass-media, community and interpersonal channels [50] Benefits of IUD, wide range of available contraception options, importance of optimised diabetes management prior to pregnancy Primary and secondary care services, pharmacies and women’s health clinics Repetitions, accessible to the majority of population group High cost, not usable/usable for CALD women No
Web-based program including YouTube channel The importance of planning for pregnancy and role of contraception, education of contraception options The app will be addressed on leaflets, posters Accessible anytime, pre-existed Needs internet connection Yes
Checklist software for HCPs Contraception advice The link will be available on leaflet and posters Potentially motivates HCPs, updates their knowledge High cost
Needs to articulate with existing software
No
  1. aHCPs: Health care professionals
  2. bIUD: intrauterine device
  3. cNDSS: National Diabetes Service Scheme [47]- An initiative of the Australian Government administered with the assistance of Diabetes Australia