scholarly journals The Maximum CPR Model: a demographic tool for family planning policy

2019 ◽  
Vol 3 ◽  
pp. 1736
Author(s):  
Kristin Bietsch ◽  
Emily Sonneveldt
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Policy Makers ◽  
Number Of Children ◽  
Planning Policy ◽  
Family Planning Programs ◽  
Postpartum Family Planning ◽  
Ideal Number ◽  
Contraceptive Prevalence ◽  
Mathematical Construction

The Maximum CPR Model (MCM) allows demographers, policy makers, and family planning advocates to determine a country’s highest potential contraceptive prevalence rate (CPR), based on an ideal number of children, demographic life events, and population structure. Understanding the highest potential level of CPR achievable under current circumstances in a population leads to realistic expectations and appropriate policy implementation. Countries with a large gap between current CPR and maximum CPR can focus on removing blocks to contraceptive use, while countries where the maximum potential CPR is near the actual CPR may need to shift their focus to demand generation or postpartum family planning programs. With a focus on equality of access to family planning, MCM produces CPR for all women, regardless of marital status. This paper details the mathematical construction of the MCM. A version of the model is available online for easy use by non-technical audiences in English and French.

scholarly journals The Maximum CPR Model: a demographic tool for family planning policy

2020 ◽  
Vol 3 ◽  
pp. 1736
Author(s):  
Kristin Bietsch ◽  
Emily Sonneveldt
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Policy Makers ◽  
Number Of Children ◽  
Planning Policy ◽  
Family Planning Programs ◽  
Postpartum Family Planning ◽  
Ideal Number ◽  
Contraceptive Prevalence ◽  
Mathematical Construction

The Maximum CPR Model (MCM) allows demographers, policy makers, and family planning advocates to determine a country’s highest potential contraceptive prevalence rate (CPR), based on an ideal number of children, demographic life events, and population structure. Understanding the highest potential level of CPR achievable under current circumstances in a population leads to realistic expectations and appropriate policy implementation. Countries with a large gap between current CPR and maximum CPR can focus on removing blocks to contraceptive use, while countries where the maximum potential CPR is near the actual CPR may need to shift their focus to demand generation or postpartum family planning programs. With a focus on equality of access to family planning, MCM produces CPR for all women, regardless of marital status. This paper details the mathematical construction of the MCM. A version of the model is available online for easy use by non-technical audiences in English and French.

scholarly journals The maximum contraceptive prevalence ‘demand curve’: guiding discussions on programmatic investments

2017 ◽  
Vol 1 ◽  
pp. 15 ◽  
Author(s):  
Michelle Weinberger ◽  
Emily Sonneveldt ◽  
John Stover
Keyword(s):  
Family Planning ◽  
Quantitative Assessment ◽  
Contraceptive Use ◽  
Demand Curve ◽  
Modern Contraceptive ◽  
Contraceptive Prevalence Rate ◽  
Number Of Children ◽  
Ideal Number ◽  
Contraceptive Prevalence ◽  
Potential Use

Most frameworks for family planning include both access and demand interventions. Understanding how these two are linked and when each should be prioritized is difficult. The maximum contraceptive prevalence ‘demand curve’ was created based on a relationship between the modern contraceptive prevalence rate (mCPR) and mean ideal number of children to allow for a quantitative assessment of the balance between access and demand interventions. The curve represents the maximum mCPR that is likely to be seen given fertility intentions and related norms and constructs that influence contraceptive use. The gap between a country’s mCPR and this maximum is referred to as the ‘potential use gap.’ This concept can be used by countries to prioritize access investments where the gap is large, and discuss implications for future contraceptive use where the gap is small. It is also used within the FP Goals model to ensure mCPR growth from access interventions does not exceed available demand.

scholarly journals Quality of Family Planning Care as Enabling Factor for Modern Contraceptive Use in Indonesia: Evidence from PMA2020 Survey

2021 ◽  
Author(s):  
Nurjaeni Nurjaeni ◽  
Yothin Sawangdee ◽  
Umaporn Pattaravanich ◽  
Charamporn Holumyong ◽  
Aphichat Chamratrithirong
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Modern Method ◽  
Modern Contraceptive ◽  
Number Of Children ◽  
Modern Family ◽  
Modern Contraceptive Use ◽  
Ideal Number ◽  
Modern Family Planning

Abstract BackgroundThe utilization of modern family planning methods is a key pointer that mirrors universal access to reproductive health cares. Fulfilling unmet needs for modern contraceptives may decrease the level of maternal mortality by almost a third. This research employed the 2016 PMA2020 survey to assess multilevel variables related to modern family planning method use among women of reproductive age in Indonesia. MethodData from interviews of female and Service Delivery Point (SDP) of the 2016 Performance Monitoring and Accountability 2020 (PMA2020) survey were linked to generate a merged dataset comprising women’s individual, cluster and SDP factors (N=10,210). Multilevel analysis was done to assess the influence of contextual factors including a summary index of SDP quality FP care on woman’s modern family planning practice. Adjusted odds ratios and 95% CIs were analysed and interpreted.ResultsModern contraceptive prevalence among women of childbearing age was 42.3% in 2016. There was a considerable variation in the likelihood of modern method use across the 372 clusters/EAs. Age, education, marital status, parity, residency, region, woman’s FP decision autonomy, cluster’s average ideal number of children, percentage of females dissatisfied with FP, and percent of females visited by CHVs were significant factors for modern FP use after adjusting for multilevel characteristics. Quality of FP care was revealed to be a significant enabling factor for modern contraceptive use in Indonesia. ConclusionsModern contraceptive prevalence among females aged 15-49 years was relatively low in 2016. The findings indicate that an advancement in modern method use can be gained by improving quality of family planning care. Likewise, an enhancement in women’s FP decision autonomy and their level of education, decline in women’s ideal number of children and diminution of the dissatisfaction with family planning are all major concerns to be addressed. Family planning policies must tackle adverse cultural norms and inequities in quality of family planning care and women’s education that would produce welfares to women, children, and communities.

scholarly journals A qualitative exploration of contraceptive use and discontinuation among women with an unmet need for modern contraception in Kenya

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Susan Ontiri ◽  
Lilian Mutea ◽  
Violet Naanyu ◽  
Mark Kabue ◽  
Regien Biesma ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Peer Influence ◽  
Contraceptive Use ◽  
Unmet Need ◽  
Modern Contraceptive ◽  
Modern Contraception ◽  
Modern Contraceptives ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background Addressing the unmet need for modern contraception underpins the goal of all family planning and contraception programs. Contraceptive discontinuation among those in need of a method hinders the attainment of the fertility desires of women, which may result in unintended pregnancies. This paper presents experiences of contraceptive use, reasons for discontinuation, and future intentions to use modern contraceptives. Methods Qualitative data were collected in two rural counties in Kenya in 2019 from women with unmet need for contraception who were former modern contraceptive users. Additional data was collected from male partners of some of the women interviewed. In-depth interviews and focus group discussions explored previous experience with contraceptive use, reasons for discontinuation, and future intentionality to use. Following data collection, digitally recorded data were transcribed verbatim, translated, and coded using thematic analysis through an inductive approach. Results Use of modern contraception to prevent pregnancy and plan for family size was a strong motivator for uptake of contraceptives. The contraceptive methods used were mainly sourced from public health facilities though adolescents got them from the private sector. Reasons for discontinued use included side effects, method failure, peer influence, gender-based violence due to covert use of contraceptives, and failure within the health system. Five reasons were provided for those not willing to use in the future: fear of side effects, cost of contraceptive services, family conflicts over the use of modern contraceptives, reduced need, and a shift to traditional methods. Conclusion This study expands the literature by examining reasons for contraceptive discontinuation and future intentionality to use among women in need of contraception. The results underscore the need for family planning interventions that incorporate quality of care in service provision to address contraceptive discontinuation. Engaging men and other social influencers in family planning programs and services will help garner support for contraception, rather than focusing exclusively on women. The results of this study can inform implementation of family planning programs in Kenya and beyond to ensure they address the concerns of former modern contraception users.

scholarly journals KASUS KELAHIRAN YANG TIDAK DIINGINKAN DI DAERAH ISTIMEWA YOGYAKARTA ANALISIS DATA SDKI 1991

Populasi ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Helly Prajitno Soetjipto ◽  
Sukamdi Sukamdi
Keyword(s):  
Family Planning ◽  
Low Income ◽  
Family Planning Program ◽  
Married Women ◽  
Low Fertility ◽  
Planning Program ◽  
Economic Activities ◽  
Number Of Children ◽  
Ideal Number ◽  
The Relationship

This study is intended to pursue the previous attempts in examining the relationship between low fertility regime and the case of births which had been delivered unintendedly in Yogyakarta. Using an unweighted sample of 575 married women in the Indonesian Demographic and Health Survey 1991, this study found that 75 cases out of 474 last birth children were bom unintendedly (beyond the range of ideal number of children). Most of the 75 cases were bom by women who have 2 or 3 ideal number of children and by a devoted Family Planning acceptors. Most of the women have limited accesses in education and economic activities. The case of unwantednes were found predominantly among women older than 25 years. Even though only a tentative findings, this study shed some light to the fact that Family Planning program to some extent may contribute to the rate of unwantedness. Apolicy is needed especially in reducing the risk of unwantedness among the low-income women.

scholarly journals Women’s Membership in Health Insurance and Correlation with Contraception Use in Indonesia

2016 ◽  
Vol 9 (2) ◽  
pp. 85
Author(s):  
Misnaniarti Misnaniarti
Keyword(s):  
Health Insurance ◽  
Family Planning ◽  
Contraceptive Use ◽  
Multinomial Logistic Regression ◽  
Family Planning Services ◽  
Chi Square ◽  
Data Set ◽  
Number Of Children ◽  
Contraception Use

<p><strong>BACKGROUND &amp; PURPOSE: </strong>One important effort in reducing the Maternal Mortality Rate is integration of Family Planning services into Health Insurance policy. This is giving affordability in health service financing through providing contraceptive accordance with established policy. The purpose of this study is to examine women’s participation in health insurance and correlations to contraception use.</p><p><strong>MATERIAL &amp; METHODS: </strong>The study used the 2012 Indonesian Demographic and Health Survey data-set. Samples were women aged 15 to 49 years, of married status or living together (n=33,465). The dependent variable was contraception used for three categories: Using Long Term Contraceptive, using non-Long Term Contraceptive, and not using any kind of contraception. Data analysis used Chi-square and multinomial logistic regression with complex sample.</p><p><strong>RESULTS: </strong>10.6% of women were found to have used a Long Term Contraception method. Health insurance membership has correlations to contraceptive use (OR=1.241 and 0.964, <em>p</em>&lt;0.05, CI 95%), with confounder variables of age (<em>p</em>&lt;0.05, OR=1.428 and 0.648), education (<em>p</em>&lt;0.05, OR=1.402 and 1.064), work status (<em>p</em>&lt;0.05, OR=1.151 and 0.966), parity (<em>p</em>&lt;0.05, OR=3.114 and 1.685), perception of ideal number of children (<em>p</em>&lt;0.05, OR=2.057 and 1.682), husband’s education (<em>p</em>&lt;0.05, OR=0.166 and 0.920), husband's work (<em>p</em>&lt;0.05, OR=1.247 and 2.469), and role of media (<em>p</em>&lt;0.05, OR=1.255 and 1.084).</p><p><strong>CONCLUSION &amp; RECOMMENDATIONS: </strong>This study was empirical evidence in Indonesia that health insurance factors have a significant correlation to Long Term Contraceptive use in women. It is recommended for government to maintain and improve policies that integrate Family Planning services into National Health Insurance. </p>

scholarly journals Contraceptive prevalence and factors influencing utilization among women in Pakistan: a focus on gender-based violence

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Thao Thi Nguyen ◽  
Sarah Neal
Keyword(s):  
Family Planning ◽  
Contraceptive Use ◽  
Modern Contraceptive ◽  
Gender Based Violence ◽  
Contraceptive Methods ◽  
Content Type ◽  
Modern Contraception ◽  
Factors Influencing ◽  
Contraceptive Prevalence ◽  
Gender Based

PurposeIn this study, the authors determined the prevalence of contraceptive use among Pakistani women and assessed factors influencing the utilization of contraception with a particular focus on the experience of gender-based violence.Design/methodology/approachThe dataset used in this study was the Pakistan Demographic Health Survey 2018, which includes married women only. Bivariate analysis and multivariate logistic regression were used to investigate the association between contraceptive use and a number of explanatory variables including experience of gender-based violence.FindingsFrom 2006 to 2018, the contraceptive prevalence rate (CPR) and the use of modern contraceptive methods increased slowly. The findings of this study demonstrated that higher educational level and wealth index increased the likelihood of contraceptive uptake and the use of modern contraception. Media exposure to family planning and spousal communication were protective factors that encouraged women to use contraception, including modern contraception, to avoid unwanted pregnancy. Women who experienced gender-based violence (GBV) were more likely to use contraception than women who did not experience GBV.Research limitations/implicationsThe use of secondary data limited the variety of important variable that should be investigated including knowledge of women on SRH, the attitude of women toward SRH and family planning, the skills of a healthcare provider on counseling family planning, and other barrier variables such as transportation and willingness to pay for contraceptive methods. 10;The sensitivity of the topic is considered as another challenge when collecting data. Women might be hesitant to share about their GBV experience. The experience to GBV is also hard to define and depends on the feeling of each person, especially emotional violence.Originality/valueThis paper is one of the very few studies to examine the association between GBV and contraceptive use, and thus is valuable in opening up debate about the links between these two factors.

scholarly journals Family planning providers and contraceptive users in Rwanda employ strategies to prevent discontinuation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hilary Schwandt ◽  
Angel Boulware ◽  
Julia Corey ◽  
Ana Herrera ◽  
Ethan Hudler ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Contraceptive Use ◽  
First Year ◽  
Modern Contraceptive ◽  
Group Discussions ◽  
Program Success ◽  
Family Planning Programs ◽  
Contraceptive Discontinuation

Abstract Background In Rwanda, nearly a third of contraceptive users discontinue within the first year of use. Family planning programs often focus more on recruitment of new users as opposed to maintaining use among current users. A focus on sustaining users and minimizing discontinuation is imperative for long-term family planning program success. This study explores the efforts providers and contraceptive users in Rwanda employ to prevent one of the greatest challenges to family planning programs: contraceptive discontinuation. Methods This was a qualitative study conducted in Rwanda between February and July 2018. It included eight focus group discussions with 88 family planning providers and 32 in-depth interviews with experienced modern contraceptive users. Data were collected in two districts with the highest (Musanze) and lowest (Nyamasheke) rates of contraceptive use. Data were analyzed using thematic content approach. Results Family planning providers in this study used the following strategies to prevent discontinuation: counseling new users on the potential for side effects and switching, reminding clients about appointments for resupply, as well as supporting dissatisfied users by providing counseling, medicine for side effects, and discussing options for switching methods. Users, on the other hand, employed the following strategies to prevent discontinuation: having an understanding that experiences of side effects vary by individuals, supporting peers to sustain use, persisting with use despite experiences of side effects, and switching methods. Conclusions The strategies used by family planning providers and users in Rwanda to prevent discontinuation suggest the possibility of long-term sustained use of contraception in the country. Harnessing and supporting such strategies could contribute to sustaining or improving further contraceptive use in the country.

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