International Family Planning Perspectives
Volume 27, Number 2, June 2001

 

Consequences of the Shift from Domiciliary Distribution To Site-Based Family Planning Services in Bangladesh
TABLES

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.

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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.

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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.

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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.

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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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