CONTRACEPTIVE INTRODUCTION AND THE MANAGEMENT OF CHOICE - THE ROLE OFCYCLOFEM IN INDONESIA

This paper presents a programmatic perspective on the relationship bet ween the introduction of new contraceptive technology and expanding co ntraceptive options, using the example of cyclofem in Indonesia. Past approaches to contraceptive introduction have considered only the char acteristics of the new method in the decision-making process. In asses sing whether the introduction of a new method actually expands contrac eptive choice for women and whether the program has the managerial cap abilities to assure quality of care in this process, the authors argue that consideration must be given to all methods within a delivery sys tem and how new technology relates to the management of contraceptive choice. Using this perspective, the authors suggest that choice would not necessarily be expanded with scaled-up service delivery of a new o nce-a month injectable in the Indonesian public sector context.