International Family Planning Perspectives |
Consequences of the Shift from Domiciliary Distribution To Site-Based Family Planning Services in Bangladesh |
Table 1. Selected measures of family planning use in an urban area of Dhaka city (Zone 3), by year and quarter, before and after change in service delivery policy, 1996-1998 | ||||||||||||
Measure | Before change | After change | ||||||||||
1996 | 1997 | 1997 | 1998 | |||||||||
1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 | 1 | 2 | 3 | 4 | |
Contraceptive prevalence rate women of repro. age | 54 | 54 | 54 | 56 | 55 | 56 | 55 | 55 | 56 | 55 | 57 | 56 |
Among base sample | 54 | 56 | 56 | 58 | 59 | 59 | 60 | 60 | 61 | 60 | 62 | 62 |
Among newly enrolled | na | 21 | 24 | 25 | 28 | 30 | 29 | 30 | 31 | 33 | 32 | 32 |
Method mix | ||||||||||||
Pill | 23 | 23 | 23 | 22 | 24 | 24 | 22 | 23 | 24 | 24 | 24 | 24 |
Condom | 10 | 9 | 9 | 11 | 10 | 11 | 11 | 10 | 11 | 10 | 11 | 11 |
Injectable | 4 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 5 | 6 | 6 |
IUD/implant | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
Sterilization | 7 | 7 | 7 | 7 | 6 | 6 | 6 | 6 | 5 | 6 | 6 | 6 |
Traditional method | 7 | 7 | 7 | 8 | 7 | 7 | 8 | 8 | 8 | 7 | 7 | 6 |
No. of currently married women of reproductive age | ||||||||||||
Total | 5,000 | 5,070 | 5,100 | 5,005 | 5,198 | 5,080 | 5,250 | 5,343 | 5,305 | 5,357 | 5,361 | 5,445 |
Base sample | 5,000 | 4,855 | 4,710 | 4,622 | 4,563 | 4,501 | 4,489 | 4,462 | 4,430 | 4,392 | 4,374 | 4,349 |
Newly enrolled | na | 215 | 390 | 383 | 635 | 579 | 761 | 881 | 875 | 965 | 987 | 1,096 |
No. of current contraceptive users | ||||||||||||
Total | 2,695 | 2,721 | 2,754 | 2,783 | 2,883 | 2,838 | 2,910 | 2,951 | 2,964 | 2,942 | 3,031 | 3,048 |
Continuing | 2,383 | 2,336 | 2,350 | 2,398 | 2,451 | 2,483 | 2,519 | 2,501 | 2,509 | 2,515 | 2,559 | 2,597 |
New | 312 | 385 | 404 | 385 | 432 | 355 | 391 | 450 | 455 | 427 | 472 | 451 |
New acceptance rate§ | ||||||||||||
Total | 12 | 14 | 15 | 14 | 15 | 13 | 13 | 15 | 15 | 15 | 16 | 15 |
Drop-outs | ||||||||||||
Total number | 195 | 197 | 184 | 165 | 193 | 212 | 227 | 197 | 199 | 191 | 148 | 152 |
Rate | 8 | 8 | 7 | 6 | 7 | 8 | 8 | 7 | 7 | 7 | 5 | 6 |
% distribution of users, by source of method | ||||||||||||
Clinic | 35 | 37 | 38 | 35 | 36 | 36 | 33 | 34 | 35 | 36 | 38 | 39 |
Doorstep | 22 | 21 | 17 | 17 | 17 | 16 | 9 | 6 | 2 | 2 | 0 | 0 |
Pharmacy/shop | 30 | 30 | 31 | 32 | 33 | 35 | 42 | 43 | 45 | 47 | 48 | 50 |
Other | 13 | 12 | 14 | 16 | 14 | 13 | 16 | 17 | 18 | 15 | 14 | 11 |
The base sample consists of women who remained in the sample between the first quarter and the subsequent quarter. Newly enrolled women are those who were not in the base sample in the first quarter, but who joined the study group in a subsequent quarter. §The new acceptance rate is the number of women who initiated contraceptive use in a particular quarter divided by the total number of contraceptive users in that quarter. The contraceptive dropout rate is calculated by taking the number of contraceptive users in the previous quarter for whom there is information in a given quarter, subtracting the number of users from the preceding quarter who are continuing users and then dividing the result by the number of users in the previous quarter included in the given quarter. Other includes traditional methods and supplies obtained from neighbors. |
Table 2. Percentage distribution of all urban women and of urban women who obtained family planning services from clinics and pharmacies or shops, by socioeconomic characteristics, Oct.-Dec. 1998 | ||
Characteristic | Total | Obtained from clinic/pharmacy/shop |
(N=5,445) | (N=2,714) | |
Education (in years) | ||
0 | 45 | 44 |
1-5 | 27 | 35** |
>=6 | 28 | 21 |
Residence | ||
Slum | 38 | 40 |
Nonslum | 62 | 60 |
Total | 100 | 100 |
**Difference is statistically significant at p<.01. |
Table 3. Selected measures of family planning use in a rural area of Bangladesh (Paira), by year and months, before and after change in service delivery policy, 1994-1998 | |||||||||||||
Measure | Before change | After change | |||||||||||
1994 | 1995 | 1996 | 1997 | 1998 | |||||||||
Sept.-Dec. | Jan.-Apr. | May-Aug. | Sept.-Dec. | Jan.-Apr. | May-Aug. | Sept.- | Jan.-Apr. | May-Aug. | Sept.-Dec. | Jan.-Apr. | May-Aug. | Sept.-Dec. | |
Contraceptive prevalence rate | |||||||||||||
Among all currently married women of repro. age | 52 | 56 | 58 | 57 | 57 | 55 | 55 | 58 | 57 | 58 | 57 | 57 | 57 |
Among base sample | 52 | 56 | 59 | 57 | 57 | 56 | 58 | 63 | 60 | 61 | 60 | 60 | 61 |
Among newly enrolled | na | 11 | 17 | 25 | 21 | 25 | 21 | 24 | 26 | 29 | 32 | 33 | 35 |
Method mix | |||||||||||||
Pill | 18 | 19 | 20 | 19 | 19 | 19 | 19 | 21 | 22 | 22 | 22 | 22 | 22 |
Condom | 2 | 2 | 2 | 2 | 2 | 2 | 2 | 3 | 2 | 2 | 2 | 2 | 2 |
Injectable | 10 | 13 | 13 | 14 | 15 | 14 | 14 | 15 | 15 | 15 | 15 | 16 | 16 |
IUD/implant | 4 | 4 | 5 | 5 | 4 | 4 | 4 | 5 | 4 | 4 | 4 | 4 | 4 |
Sterilization | 11 | 12 | 12 | 11 | 11 | 11 | 11 | 11 | 11 | 12 | 11 | 11 | 11 |
Traditional method | 7 | 6 | 6 | 6 | 6 | 5 | 5 | 3 | 3 | 3 | 3 | 2 | 2 |
No. of currently married women of reproductive age | |||||||||||||
Total | 485 | 488 | 474 | 469 | 472 | 476 | 487 | 493 | 498 | 503 | 502 | 512 | 515 |
Base sample | 485 | 479 | 468 | 461 | 458 | 460 | 453 | 455 | 448 | 445 | 447 | 445 | 446 |
Newly enrolled | na | 9 | 6 | 8 | 14 | 16 | 34 | 38 | 50 | 58 | 55 | 67 | 69 |
No. of current contraceptive users | |||||||||||||
Total | 253 | 271 | 277 | 266 | 269 | 263 | 270 | 285 | 284 | 290 | 288 | 291 | 295 |
Continuing | 235 | 236 | 245 | 240 | 246 | 242 | 245 | 251 | 262 | 266 | 266 | 267 | 269 |
New | 18 | 35 | 32 | 26 | 23 | 21 | 25 | 34 | 22 | 24 | 22 | 24 | 26 |
New acceptance rate§ | |||||||||||||
Total | 7 | 13 | 12 | 10 | 9 | 8 | 9 | 12 | 8 | 8 | 8 | 8 | 9 |
Drop-outs | |||||||||||||
Total number | 14 | 14 | 20 | 13 | 15 | 17 | 15 | 13 | 13 | 12 | 9 | 10 | 9 |
Rate | 6 | 6 | 8 | 5 | 6 | 7 | 6 | 5 | 5 | 4 | 3 | 4 | 3 |
% distribution of users, by source of method | |||||||||||||
Clinic | 32 | 33 | 33 | 34 | 34 | 35 | 35 | 35 | 35 | 35 | 35 | 35 | 35 |
Doorstep | 43 | 27 | 19 | 19 | 12 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Pharmacy/shop | 10 | 13 | 13 | 11 | 12 | 14 | 15 | 15 | 15 | 14 | 14 | 15 | 15 |
Cluster spot | na | 13 | 22 | 24 | 30 | 35 | 35 | 36 | 39 | 42 | 43 | 44 | 44 |
Other | 15 | 14 | 13 | 12 | 12 | 16 | 15 | 14 | 11 | 9 | 8 | 6 | 6 |
The base sample consists of women who remained in the sample between the first study period and the subsequent period. Newly enrolled women are those who were not in the base sample in the first study period, but who joined the study group in a subsequent period. §The new acceptance rate is the number of women who initiated contraceptive use in a particular period divided by the total number of contraceptive users in that period. The contraceptive dropout rate is calculated by taking the number of contraceptive users in the previous period for whom there is information in a given period, subtracting the number of contraceptive users from the preceding period who are continuing use and then dividing the result by the number of users in the previous period included in the given period. Other includes traditional methods and supplies obtained from neighbors. Note: na=not applicable. |
Table 4. Selected measures of family planning use in a rural area of Bangladesh (Durgapur), by year and months, before and after change in service delivery policy, 1995-1998 | |||||||||||
Measure | Before change | After change | |||||||||
1995 | 1995 | 1996 | 1997 | 1998 | |||||||
May-Aug. | Sept.-Dec. | Jan.-Apr. | May-Aug. | Sept.-Dec. | Jan.-Apr. | May-Aug. | Sept.-Dec. | Jan.-Apr. | May-Aug. | Sept.-Dec. | |
Contraceptive prevalence rate | |||||||||||
Among all currently married women of repro. age | 40 | 41 | 42 | 45 | 44 | 46 | 45 | 45 | 45 | 45 | 46 |
Among base sample | 40 | 42 | 43 | 45 | 44 | 48 | 46 | 46 | 47 | 47 | 47 |
Among newly enrolled | na | 13 | 27 | 36 | 25 | 27 | 29 | 31 | 33 | 34 | 36 |
Method mix | |||||||||||
Pill | 16 | 18 | 19 | 20 | 20 | 20 | 19 | 19 | 20 | 20 | 20 |
Condom | 2 | 2 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 | 3 |
Injectable | 3 | 4 | 4 | 5 | 5 | 6 | 7 | 8 | 8 | 8 | 9 |
IUD/implant | 2 | 3 | 3 | 3 | 3 | 3 | 4 | 4 | 3 | 3 | 3 |
Sterilization | 7 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 | 8 |
Traditional method | 10 | 6 | 5 | 6 | 5 | 6 | 4 | 3 | 3 | 3 | 3 |
No. of currently married women of reproductive age | |||||||||||
Total | 677 | 699 | 657 | 680 | 687 | 720 | 721 | 722 | 721 | 723 | 718 |
Base sample | 677 | 675 | 646 | 669 | 667 | 665 | 662 | 664 | 660 | 661 | 660 |
Newly enrolled | na | 24 | 11 | 11 | 20 | 55 | 59 | 58 | 61 | 62 | 58 |
No. of current contraceptive users | |||||||||||
Total | 271 | 286 | 279 | 303 | 301 | 331 | 324 | 322 | 327 | 328 | 329 |
Continuing | 259 | 257 | 252 | 266 | 258 | 286 | 289 | 285 | 293 | 295 | 297 |
New | 12 | 29 | 27 | 37 | 43 | 45 | 35 | 37 | 34 | 33 | 32 |
New acceptance rate§ | |||||||||||
Total | 4 | 10 | 10 | 12 | 14 | 14 | 11 | 12 | 10 | 10 | 10 |
Drop-outs | |||||||||||
Total number | 13 | 13 | 16 | 16 | 18 | 15 | 11 | 10 | 7 | 8 | 7 |
Rate | 5 | 5 | 6 | 6 | 7 | 5 | 4 | 3 | 2 | 3 | 2 |
% distribution of users, by source of method | |||||||||||
Clinic | 38 | 39 | 36 | 37 | 38 | 41 | 43 | 44 | 44 | 45 | 46 |
Doorstep | 36 | 17 | 17 | 14 | 12 | 0 | 0 | 0 | 0 | 0 | 0 |
Pharmacy/shop | 9 | 10 | 11 | 11 | 12 | 12 | 12 | 13 | 13 | 13 | 13 |
Cluster spot | na | 20 | 22 | 26 | 26 | 30 | 30 | 31 | 32 | 32 | 33 |
Other | 17 | 14 | 14 | 12 | 12 | 17 | 15 | 12 | 11 | 10 | 8 |
The base sample consists of women who remained in the sample between the first study period and the subsequent period. Newly enrolled women are those who were not in the base sample in the first study period, but who joined the study group in a subsequent period. §The new acceptance rate is the number of women who initiated contraceptive use in a particular period divided by the total number of contraceptive users in that period. The contraceptive dropout rate is calculated by taking the number of contraceptive users in the previous period for whom there is information in a given period, subtracting the number of contraceptive users from the preceding period who are continuing use and then dividing the result by the number of users in the previous period included in the given period. Other includes traditional methods and supplies obtained from neighbors. Note: na=not applicable. |
Table 5. Percentage distribution of all rural women and of rural women who obtained family planning services from cluster spots, by socioeconomic characteristics, according to area of residence, Oct.-Dec. 1998 | ||||
Characteristic | Paira | Durgapur | ||
Total | Obtained from cluster spots | Total | Obtained from cluster spots | |
(N=515) | (N=131) | (N=718) | (N=110) | |
Education (in years) | ||||
0 | 46 | 49 | 49 | 42 |
1-5 | 36 | 34 | 31 | 42* |
>=6 | 18 | 17 | 20 | 16 |
Amount of landholding | ||||
<50 decimals | 48 | 40 | 45 | 46 |
51-300 decimals | 37 | 51** | 26 | 45** |
>300 decimals | 15 | 9 | 29 | 9 |
Total | 100 | 100 | 100 | 100 |
*Difference is statistically significant at p<.05. **Difference is statistically significant at p<.01. One hundred decimals are equivalent to one acre. (One decimal is 432 square feet.) |
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© copyright 2001, The Alan Guttmacher Institute. |