For generations, women have relied on fertility awareness methods to plan and prevent pregnancy, for over a decade, many have been aided by digital tools to do so. New contraceptive fertility tracking apps (CFTAs)-that are backed by clinical efficacy trials to support their effectiveness as contraception-have the potential to enhance method choice and offer users a unique contraceptive option, but there is little evidence to inform the decisions around expanding access, particularly in low-and middle-income countries. We conducted a mixed methods study with quantitative online surveys (n = 1600) and qualitative interviews (n = 36) to explore the potential appeal of and demand for a hypothetical CFTA in one such market, the Philippines. Interest in using a CFTA was high among our Internet-engaged, urban study population, with 83.9% "definitely" or "probably" interested in using it. Across demographic profiles, respondents perceived the appeal of the method as "natural" and "convenient." A majority were willing to pay for the method, though notably at a price (5.20 USD) below that of currently available CFTAs. We discuss various important factors to be considered before bringing a method like this to new markets, including the potential implications of equity constraints in reaching a wider market and the unexpected prevalence of other period-tracking apps not intended as contraception being used in this market that could complicate any future roll-out. These issues could be explored further with additional research.

中文翻译：

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有一个应用程序可以做到这一点：探索菲律宾的避孕生育力跟踪应用程序市场。


几代人以来，女性一直依靠生育意识方法来计划和预防怀孕，十多年来，许多女性都在数字工具的帮助下做到了这一点。新的避孕生育追踪应用程序（CFTA）得到了临床疗效试验的支持，以支持其避孕的有效性，有可能增强方法选择并为用户提供独特的避孕选择，但几乎没有证据可以为扩大使用范围的决策提供信息，特别是在低收入和中等收入国家。我们进行了一项混合方法研究，包括定量在线调查 (n = 1600) 和定性访谈 (n = 36)，以探讨菲律宾这样一个市场中假设的 CFTA 的潜在吸引力和需求。在我们使用互联网的城市研究人群中，对使用 CFTA 的兴趣很高，83.9% 的人“肯定”或“可能”有兴趣使用它。从人口统计数据来看，受访者认为该方法的吸引力是“自然”和“方便”。大多数人愿意支付该方法的费用，尽管价格（5.20 美元）低于当前可用的 CFTA。我们讨论了在将此类方法引入新市场之前需要考虑的各种重要因素，包括股权限制对进入更广泛市场的潜在影响，以及该市场中非避孕用途的其他经期追踪应用程序的意外流行。可能会使未来的推出变得复杂。这些问题可以通过额外的研究进一步探讨。