TY - JOUR
T1 - Assessing the contraceptive supply environment in Kinshasa, DRC
T2 - Trend data from PMA2020
AU - Babazadeh, S.
AU - Lea, S.
AU - Kayembe, P.
AU - Akilimali, P.
AU - Eitmann, L.
AU - Anglewicz, P.
AU - Bertrand, J.
N1 - Funding Information:
PMA2020 is a survey research project implemented by the Bill and Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health, funded by the Bill and Melinda Gates Foundation (grant # OPP1079004). This article was prepared with support from the Bill and Melinda Gates Foundation (grant 45 #OPP1117997) to the Tulane School of Public Health and Tropical Medicine. The findings and conclusions contained within are those of the authors and do not necessarily reflect positions or policies of the Bill & Melinda Gates Foundation. This study received human subjects approval from Tulane SPHTM (Ref #492318) and from the Kinshasa School of Public Health (2013–2014: ESP/CE/070/13; 2015–2016: ESP/CE/070b/2015; 2015–2016: ESP/CE/070c/2015).
Funding Information:
PMA2020 is a survey research project implemented by the Bill and Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health, funded by the Bill and Melinda Gates Foundation (grant # OPP1079004).
Publisher Copyright:
© 2017 The Author.
PY - 2018/3/1
Y1 - 2018/3/1
N2 - Performance Monitoring and Accountability 2020 (PMA2020) is a population-based and facilitybased survey program conducted in 11 countries to track contraceptive use dynamics and the supply environment. Annual data collection provides trend data unavailable from any other source. Two-stage cluster sampling was used to select 58 enumeration areas in Kinshasa; data were collected in 2014, 2015 and 2016 from three to six service delivery points (SDPs) per EA. Of the 228- 248 SDPs surveyed each year, only two-thirds reported to offer family planning (FP) services. Of those reporting to offer FP, one-fifth or more did not do so on the day of the survey. As of 2016, only one-half of SDPs offering FP had at least three methods available, a proxy for contraceptive choice; only one in five had at least five methods. Long-acting reversible contraceptives, including implants and IUDs, were less widely offered and more often stocked out than resupply methods, including condoms, pills and injectables. Contraceptive stockouts were rampant: in 2016, over a quarter of the SDPs experienced stockouts of all methods (except condoms) in the previous 3 months, and two of the three most widely used methods-implants and injectables-were also the most likely to be stocked out. The findings documented the inconsistency in pricing of methods across facilities; moreover, less than one quarter of SDPs posted prices. Patterns in the contraceptive supply environment remained relatively unchanged between 2014 and 2016. The PMA2020 SDP module provides timely, actionable information to the DRC government, FP implementing organizations and donors involved in FP service delivery in Kinshasa, DRC. Yet the value of this information will be determined by the ability of the local FP stakeholders to use it in bringing the needed improvements identified by this survey to the contraceptive supply environment.
AB - Performance Monitoring and Accountability 2020 (PMA2020) is a population-based and facilitybased survey program conducted in 11 countries to track contraceptive use dynamics and the supply environment. Annual data collection provides trend data unavailable from any other source. Two-stage cluster sampling was used to select 58 enumeration areas in Kinshasa; data were collected in 2014, 2015 and 2016 from three to six service delivery points (SDPs) per EA. Of the 228- 248 SDPs surveyed each year, only two-thirds reported to offer family planning (FP) services. Of those reporting to offer FP, one-fifth or more did not do so on the day of the survey. As of 2016, only one-half of SDPs offering FP had at least three methods available, a proxy for contraceptive choice; only one in five had at least five methods. Long-acting reversible contraceptives, including implants and IUDs, were less widely offered and more often stocked out than resupply methods, including condoms, pills and injectables. Contraceptive stockouts were rampant: in 2016, over a quarter of the SDPs experienced stockouts of all methods (except condoms) in the previous 3 months, and two of the three most widely used methods-implants and injectables-were also the most likely to be stocked out. The findings documented the inconsistency in pricing of methods across facilities; moreover, less than one quarter of SDPs posted prices. Patterns in the contraceptive supply environment remained relatively unchanged between 2014 and 2016. The PMA2020 SDP module provides timely, actionable information to the DRC government, FP implementing organizations and donors involved in FP service delivery in Kinshasa, DRC. Yet the value of this information will be determined by the ability of the local FP stakeholders to use it in bringing the needed improvements identified by this survey to the contraceptive supply environment.
KW - Family planning
KW - assessment
KW - contraception
KW - developing countries
KW - evaluation
KW - health services
KW - programmes
KW - survey
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U2 - 10.1093/heapol/czx134
DO - 10.1093/heapol/czx134
M3 - Article
C2 - 29136172
AN - SCOPUS:85043388475
SN - 0268-1080
VL - 33
SP - 155
EP - 162
JO - Health policy and planning
JF - Health policy and planning
IS - 2
ER -