Overview of Global Analysis and Description of Qualitative Analysis

Emily Sonneveldt

Purpose

Advocacy– Will serve to set the stage and the foundation for global and country-

specific advocacy.

– To promote an evidence-based case for increased attention, resources and programming for LAPMs

Identify areas for further research

Creation of data depository

Methodology

Secondary analysis of DHS data

Projections using Reality Check and Spectrum

Research Questions

Who are current LA/PM users and how do they differ from other modern method users, traditional method users, and non-users?

What is the potential market for LA/PM? How big is it and what segments of the population are viable targets for LA/PM?

Question 1: Profiles of Users

Comparison of LA, PM, short-acting, traditional, and non-users

Variables: age, method mix, parity, ideal number of children, knowledge, residence, source of FP, wealth quintiles

Countries with DHS after 2000 (originally just USAID PRN Countries +)– Creation of 3 databases

> Long acting Method Countries (41)

> Permanent Method Countries (40)

> Combined LA/PM Countries (35)

Grouping of countries

Sections Included Today

Method Mix

Parity

Knowledge

Quintile Analysis

Estimating potential markets

Method Mix of Spacers and Limiters

Method Mix

0%

10%

20%

30%

Ghana Kenya Madagascar Malawi Rwanda Senegal Tanzania Uganda Zambia

TM

SAM

LA

Spacers

0%

10%

20%

30%

Ghana Kenya Madagascar Malawi Rwanda Senegal Tanzania Uganda Zambia

TM

SAM

LA

PM

Limiters

Trends in CPR and LA/PM

Method Mix0%

10%

20%

30%

40%

50%

1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

LA/PM as Percentage of the Method Mix

0%

20%

40%

60%

80%

100%

1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Benin Cameroon Ghana Kenya Madagascar Malawi Namibia

Rwanda Senegal Tanzania Uganda Zambia Zimbabwe

Contraceptive Prevalence Rate

Desired Fertility

0

2

4

6

8

10

1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

Benin Cameroon Ghana Kenya Madagascar Malawi Namibia

Rwanda Senegal Tanzania Uganda Zambia Zimbabwe

Mean Ideal Number of Children

Intention to use LA/PM

Method Mix

0%

20%

40%

60%

80%

100%

PM

LA

SAM

Trad

Other

DK

Preferred Future Method among Women with an Unmet Need to Limit

Parity of Women Using Permanent Methods

Women using permanent methods have already exceeded their desired parity.

0

2

4

6

8

10

Beni

n

Cam

eroo

n

Gha

na

Keny

a

Leso

tho

Mad

agas

car

Mal

awi

Nam

ibia

Rwan

da

Sene

gal

Swaz

iland

Tanz

ania

Uga

nda

Zam

bia

Zim

babw

e

Bang

lade

sh

Cam

bodi

a

Indi

a (U

P)

Indo

nesi

a

Nep

al

Paki

stan

Phili

ppin

es

Viet

nam

Boliv

ia

Colu

mbi

a

DR

Hai

ti

Hon

dura

s

Nic

arag

ua

Peru

Egyp

t

Jord

an

Mor

occo

Turk

ey

Ukr

aine

Mean Parity Ideal Parity

Mean and Ideal Parity of Permanent Method Users

Parity

Parity of Women Using Permanent Methods

0

2

4

6

8

10

Be

nin

Cam

ero

on

Gh

ana

Ke

nya

Leso

tho

Mad

agas

car

Mal

awi

Nam

ibia

Rw

and

a

Sen

ega

l

Swaz

ilan

d

Tan

zan

ia

Uga

nd

a

Zam

bia

Zim

bab

we

Ban

glad

esh

Cam

bo

dia

Ind

ia (

UP

)

Ind

on

esi

a

Ne

pal

Pak

ista

n

Ph

ilip

pin

es

Bo

livia

Co

lum

bia

DR

Hai

ti

Ho

nd

ura

s

Nic

arag

ua

Pe

ru

Egyp

t

Jord

an

Mo

rocc

o

Turk

ey

Ukr

ain

e

Mean Parity Ideal Parity

Poorest Quintile

0

2

4

6

8

10

Be

nin

Ca

me

roo

n

Gh

an

a

Ke

ny

a

Le

soth

o

Ma

da

ga

sca

r

Ma

law

i

Na

mib

ia

Rw

an

da

Se

ne

ga

l

Sw

azi

lan

d

Ta

nza

nia

Ug

an

da

Za

mb

ia

Zim

ba

bw

e

Ba

ng

lad

esh

Ca

mb

od

ia

Ind

ia (

UP

)

Ind

on

esi

a

Ne

pa

l

Pa

kis

tan

Ph

ilip

pin

es

Bo

liv

ia

Co

lum

bia

DR

Ha

iti

Ho

nd

ura

s

Nic

ara

gu

a

Pe

ru

Eg

yp

t

Jord

an

Mo

roc

co

Tu

rke

y

Uk

rain

e

Richest Quintile

Parity

Percent who have Exceeded their Desired Fertility

Parity

0%

20%

40%

60%

80%

100%

Benin Cameroon Ghana Kenya Lesotho Madagascar Malawi Namibia Rwanda Senegal Swaziland Tanzania Uganda Zambia Zimbabwe

LA Users PM Users SAM Users Trad Users Non-Users

Parity of Long-Acting Methods Users

Parity

0%

20%

40%

60%

80%

100%

% Users that Have Exceeded their Ideal Parity % Users that Have Met their Desired Parity% Users that Have Less than Desired Parity

LA Users

Knowledge of at Least one Modern Method

Knowledge

0%

20%

40%

60%

80%

100%

Percent of Women who can Name a Modern Method

Unpacking Knowledge

Knowledge

0%

20%

40%

60%

80%

100%

Can name at least one SAM Can name at least one LA method Can name at least one PM method

Knowledge of Methods Among Women Not Using Family Planning

Unpacking Knowledge

Knowledge

0%

20%

40%

60%

80%

100%

Can name at least one SAM Can name at least one LA method Can name at least one PM method

Knowledge of Methods Among Women Using a Traditional Method of Family Planning

Unpacking Knowledge

Knowledge

0%

20%

40%

60%

80%

100%

Can name at least one LA method Can name at least one PM method

Knowledge of Methods Among Women Using a Short Acting Method of Family Planning

Quintiles Analysis

0%

10%

20%

30%

40%

50%

Be

nin

Cam

ero

on

Gh

ana

Ke

nya

Leso

tho

Mad

agas

car

Mal

awi

Nam

ibia

Rw

and

a

Sen

ega

l

Swaz

ilan

d

Tan

zan

ia

Uga

nd

a

Zam

bia

Zim

bab

we

Poorest

Richest

Percentage of Family Planning Users that are Using an LA/PM in the Poorest and Richest Quintiles

Quintiles

Quintile Analysis

0%

20%

40%

60%

Poorest

Poorer

Middle

Richer

Richest

Distribution of LA/PM Users within Wealth Quintiles

Quintiles

Potential Market for LA/PM- Africa

Market

0

500,000

1,000,000

1,500,000

2,000,000

Benin DRC Ethiopia Ghana Kenya Madagascar Malawi Mali Mozambique Nigeria Rwanda Senegal Tanzania Uganda Zambia

Current and Potentail Market for LA/PM in 15 African Countries

Permanent Method Users Current LA Users Expanded Market (Unmet Need for Limiting) Expanded Market (SAM Users that want no more children)

Potential Market for LA/PM- Asia

Market

0

1,000,000

2,000,000

3,000,000

4,000,000

5,000,000

6,000,000

7,000,000

Bangladesh Nepal Pakistan Philippines Cambodia

Expanded Market (SAM Users that want no more children) Expanded Market (Unmet Need for Limiting) Current LA Users Permanent Method Users

Current and Potential Market for LA/PM in 5 Asian Countries

Uses for this Analysis

Identification of global issues and country specific situations, what is across the board, regional, and country specific– Development of advocacy messages

– Use in strategic targeting for messages

Combined with qualitative analysis to identify barriers to LA/PM use

Assist in the strategic design of programming, both country identification and strategies

Estimation of potential markets for LA/PM within countries and regions– Assist in planning for commodities

For more information please visit

www.respond-project.org