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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
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
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