Ensuring access to contraception is fundamental to upholding human rights as well as contributing to improved health outcomes. It is enshrined in the United Nations’ Sustainable Development Goal 3 on Good Health and Well-being and explicitly its target 3.7.1: Ensure universal access to sexual and reproductive healthcare services, including family planning .1 Despite increases in contraceptive use in recent decades, an estimated 218 million women of reproductive age, mostly in low- and middle-income countries, have an unmet need for modern contraceptive methods.2 Meeting the unmet need for contraception across the reproductive cycle in low- and middle-income countries and offering all pregnant women and their newborns the standard care recommended by the World Health Organizatoin (WHO) would result in dramatic reductions of unintended pregnancies by 68%, unsafe abortions by 72%, maternal deaths by 62% and neonatal deaths by 69%.3 In addition, adequate contraceptive coverage among users can be improved by addressing suboptimal use and high discontinuation rates.4 Effective contraceptive counselling can help individuals choose a method that meets their needs and preferences, manage any side effects, and continue using their preferred method or switch to an alternative one.5 Indeed, a systematic review that synthesised the evidence on the comparative effectiveness of different contraceptive counselling strategies found that contraceptive counselling has the potential to improve the effective use of modern contraception and reduce unmet need.6 Interventions targeting women requesting or initiating a chosen method, including structured counselling on side effects, tended to show positive effects on contraceptive continuation. Counselling interventions focused on …

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加强避孕咨询：知识和实施研究方面的差距

确保获得避孕药具对于维护人权以及促进改善健康结果至关重要。它载于联合国关于良好健康和福祉的可持续发展目标 3，并明确其具体目标 3.7.1：确保普遍获得性和生殖保健服务，包括计划生育。1 尽管近几十年来避孕药具的使用有所增加，估计有 2.18 亿育龄妇女对现代避孕方法的需求未得到满足，其中大部分在低收入和中等收入国家。一项综合不同避孕咨询策略的比较有效性证据的系统评价发现，避孕咨询有可能提高现代避孕药具的有效使用并减少未满足的需求。 6 针对要求或开始选择一种方法的妇女的干预措施，包括结构化咨询在副作用方面，往往对避孕的延续有积极影响。咨询干预的重点是……