{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T18:41:03Z","timestamp":1777574463574,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2007,12,21]],"date-time":"2007-12-21T00:00:00Z","timestamp":1198195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eval Health Prof"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:p>Providers underutilize evidence-based practice guidelines as they prescribe contraceptives. To discern biases in guideline utilization by 172 providers of three countries, this study used observations from simulated clients trained to choose oral contraceptives. Providers implemented less than one third of the guideline set, but they addressed, more frequently than other guidelines, items categorized as essential by expert opinion ( p &lt; .01). Indian providers emphasized instructions on method use in 9-minute consultations, Rwandan providers emphasized contraindications in 29-minute sessions, and Peruvian providers did not emphasize any single guideline category. Providers should use job aids to improve guideline utilization. Those pressed for time need an evidence-based, rather than arbitrary, selection of essential guidelines that optimizes client outcomes. Practice-based research must be generated to meet this need.<\/jats:p>","DOI":"10.1177\/0163278707311868","type":"journal-article","created":{"date-parts":[[2007,12,21]],"date-time":"2007-12-21T20:54:28Z","timestamp":1198270468000},"page":"3-21","source":"Crossref","is-referenced-by-count":4,"title":["Provider Selection of Evidence-Based Contraception Guidelines in Service Provision"],"prefix":"10.1177","volume":"31","author":[{"given":"Federico R.","family":"Le\u00f3n","sequence":"first","affiliation":[{"name":"Georgetown University Institute for Reproductive Health,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecka","family":"Lundgren","sequence":"additional","affiliation":[{"name":"Georgetown University Institute for Reproductive Health"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Jennings","sequence":"additional","affiliation":[{"name":"Georgetown University Institute for Reproductive Health"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,12,21]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(02)00288-3"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/S0010-7824(99)00106-7"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1177\/0163278705284440"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.2307\/2673816"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.2307\/2137834"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.2307\/1966669"},{"key":"atypb7","volume-title":"The world factbook","author":"Central Intelligence Agency.","year":"2007"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/17.6.535"},{"key":"atypb9","volume-title":"Contraceptive technology: International","author":"Hatcher, R.A.","year":"1989"},{"key":"atypb10","volume-title":"Peru: Encuesta demogr\u00e1fica y de salud familiar 2000 [Peru: Demographic and family health survey 2000]","author":"Instituto Nacional de Estad\u00edstica e Inform\u00e1tica.","year":"2001"},{"key":"atypb11","volume-title":"National Family Health Survey (NFHS-3), India, 2005\u20142006: Jharkand","author":"International Institute for Population Sciences and ORC Macro.","year":"2006"},{"key":"atypb12","volume-title":"The essentials of contraceptive technology: A handbook for clinical staff","author":"Johns Hopkins Population Information Program.","year":"1997"},{"key":"atypb13","unstructured":"Kahn, M.E., Gupta, R.B. & Patel, B.C. (1999). The quality and coverage of family planning services in Uttar Pradesh: Client perspectives. In M. E. Koenig & M. E. Kahn (Eds.), Quality of care within the Indian family planning program: The challenge ahead (pp. 49\u201469). New York: Population Council."},{"key":"atypb14","doi-asserted-by":"publisher","DOI":"10.1363\/3116205"},{"key":"atypb15","doi-asserted-by":"publisher","DOI":"10.2307\/2991913"},{"key":"atypb16","volume-title":"The job aids-assisted Balanced Counseling Strategy causes positive effects on essential providers' service behaviors. Peru Provider-Client Interaction Quality of Care Project Bulletin No. 8","author":"Le\u00f3n, F.R.","year":"2001"},{"key":"atypb17","doi-asserted-by":"publisher","DOI":"10.1177\/0193841X07301202"},{"key":"atypb18","doi-asserted-by":"publisher","DOI":"10.1783\/147118906778586480"},{"key":"atypb19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1728-4465.2005.00049.x"},{"key":"atypb20","doi-asserted-by":"publisher","DOI":"10.1783\/147118907780254277"},{"key":"atypb21","doi-asserted-by":"publisher","DOI":"10.1177\/0193841X06289044"},{"key":"atypb22","doi-asserted-by":"publisher","DOI":"10.2307\/2673802"},{"key":"atypb23","doi-asserted-by":"publisher","DOI":"10.1177\/0193841X05277117"},{"key":"atypb24","volume-title":"One-year client impacts of quality of care improvements achieved in Peru. Frontiers in Reproductive Health Program final project report. Lima, Peru","author":"Le\u00f3n, F.R.","year":"2004"},{"key":"atypb25","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7366.679"},{"key":"atypb26","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(97)00076-2"},{"key":"atypb27","doi-asserted-by":"crossref","first-page":"48","DOI":"10.2307\/2133434","volume":"20","author":"Mensch, B.S.","year":"1994","journal-title":"International Family Planning Perspectives"},{"key":"atypb28","volume-title":"Clinic-based family planning and reproductive health services in Africa: Findings from Situation Analysis studies","author":"Miller, K.","year":"1998"},{"key":"atypb29","volume-title":"Norma t\u00e9cnica de planificaci\u00f3n familiar [Family planning technical norms]","author":"Ministerio de Salud del Per\u00fa [Peru's Ministry of Health].","year":"2005"},{"key":"atypb30","doi-asserted-by":"publisher","DOI":"10.2307\/2950826"},{"key":"atypb31","volume-title":"3rd general census of population and housing: Report on the preliminary results","author":"Rwanda National Census Service.","year":"2003"},{"key":"atypb32","doi-asserted-by":"publisher","DOI":"10.2307\/3097750"},{"key":"atypb33","volume-title":"Nonparametric statistics for the behavioral sciences","author":"Siegel, S.","year":"1956"},{"key":"atypb34","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzl072"},{"key":"atypb35","doi-asserted-by":"publisher","DOI":"10.1177\/0163278705284441"},{"key":"atypb36","doi-asserted-by":"publisher","DOI":"10.1080\/00016340600590451"},{"key":"atypb37","volume-title":"The quality of reproductive health care in Gujarat: Perspectives of female health workers and their clients","author":"Visaria, L.","year":"1999"},{"key":"atypb38","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19930801)72:3+<1093::AID-CNCR2820721326>3.0.CO;2-B"},{"key":"atypb39","doi-asserted-by":"publisher","DOI":"10.2307\/2648269"},{"key":"atypb40","volume-title":"Medical eligibility criteria for contraceptive use","author":"World Health Organization.","year":"2004","edition":"3"},{"key":"atypb41","volume-title":"Selected practice recommendations for contraceptive use","author":"World Health Organization.","year":"2005","edition":"2"},{"key":"atypb42","volume-title":"Turning research into practice: Suggested actions from case-studies of sexual and reproductive health research","author":"World Health Organization.","year":"2006"}],"container-title":["Evaluation &amp; the Health Professions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0163278707311868","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0163278707311868","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:22:33Z","timestamp":1777404153000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0163278707311868"}},"subtitle":["A Study in India, Peru, and Rwanda"],"short-title":[],"issued":{"date-parts":[[2007,12,21]]},"references-count":42,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2008,3]]}},"alternative-id":["10.1177\/0163278707311868"],"URL":"https:\/\/doi.org\/10.1177\/0163278707311868","relation":{},"ISSN":["0163-2787","1552-3918"],"issn-type":[{"value":"0163-2787","type":"print"},{"value":"1552-3918","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,12,21]]}}}