Measures of the Association of Service Delivery Approach With Elements of FFIC, by Country
| Outcome | DRC (N=235) | Tanzania (N=200) | Uganda (N=150) | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Static (n=55) % | Outreach/Special FP Day (n=180) % | OR (95% CI)a or P Valueb | Static (n=100) % | Outreach (n=100) % | OR (95% CI)a | Static (n=90) % | Outreach (n=60) % | OR (95% CI)aor P Valueb | |
| All women | |||||||||
| 1. Obtained a method | 94.6 | 98.3 | 3.4 (0.4,27.9) | 94.0 | 91.0 | 0.6 (0.1,5.9) | 91.1 | 81.7 | 0.4 (0.1,2.3) |
| 2. Reported being asked about reproductive intentions | 80.0 | 59.4 | 0.4 (0.1,2.7) | 94.0 | 75.0 | 0.2 (0.1,0.7)** | 64.4 | 55.0 | 0.7 (0.4,1.3) |
| 3. Reported discussing three or more methods with provider | 65.5 | 78.3 | 1.9 (0.4,10.1) | 90.0 | 81.0 | 0.5 (0.2,1.1) | 26.7 | 41.7 | 2.0 (0.3,12.5) |
| 4. Given a chance to ask questions | 61.8 | 48.3 | 0.6 (0.1,2.4) | 72.0 | 70.0 | 0.9 (0.7,1.2) | 75.6 | 96.7 | 9.4 (0.8,115.2) |
| Women who adopted an FP method | n=52 | n=177 | n=94 | n=91 | n=82 | n=49 | |||
| 5. Obtained FP method of choice | 100.0 | 98.3 | NA | 92.6 | 96.7 | 2.4 (0.2,24.7) | 97.6 | 95.9 | 0.6 (0.1,2.6) |
| 6. Participated in FP decision making | 96.2 | 74.0 | 0.1 (0.0,0.4)*** | 97.9 | 87.9 | 0.2 (0.0,2.3) | 92.7 | 89.8 | 0.7 (0.4,1.4) |
| 7. Counseled on method received | 80.8 | 83.6 | 1.2 (0.2,8.7) | 93.6 | 87.9 | 0.5 (0.4,0.6)*** | 39.0 | 42.9 | 1.2 (0.2,6.1) |
| 8. Counseled on benefits of method received | 69.2 | 75.1 | 1.4 (0.3,6.6) | 84.0 | 78.0 | 0.7 (0.4,1.1) | 76.8 | 85.7 | 1.8 (0.6,5.4) |
| 9. Counseled on side effects of method received | 69.2 | 62.7 | 0.7 (0.2,3.2) | 75.5 | 58.2 | 0.5 (0.2,1.1) | 63.4 | 65.3 | 1.1 (0.6,1.9) |
| FFIC composite: Percentage of women who adopted an FP method responding positively to ALL indicators 3 through 9 | 48.1 | 19.2 | 0.3 (0.1,1.3) | 48.9 | 31.9 | 0.5 (0.4,0.7)*** | 22.0 | 20.4 | 0.9 (0.1,5.6) |
| Women who adopted a LARC | n=35 | n=172 | n=54 | n=68 | n=24 | n=28 | |||
| 10. Told where to get implant/IUD removed | 74.3 | 70.4 | 0.8 (0.2,3.8) | 96.2 | 79.1 | 0.1 (0.1,0.2)*** | 79.2 | 92.9 | 3.4 (1.4,10.2)* |
| 11. Told when to get implant/IUD removed | 85.7 | 81.4 | 0.7 (0.1,4.3) | 98.1 | 89.4 | 0.2 (0.0,2.6) | 91.7 | 96.4 | 2.5 (1.4,4.2)*** |
| 12. Told could have implant/IUD removed whenever wanted | 77.1 | 76.7 | 1.0 (0.1,6.7) | 84.9 | 68.7 | 0.4 (0.1,1.3) | 83.3 | 96.4 | 5.4 (0.6,51.6) |
| 13. Could correctly state when implant or IUD would expire | 85.7 | 80.8 | 0.7 (0.1,4.1) | 88.9 | 86.8 | 0.8 (0.5,1.4) | 91.7 | 92.9 | 1.2 (0.6,2.2) |
| FFIC LARC composite: Percentage of women who adopted a LARC responding positively to ALL indicators 3 through 13 | 37.1 | 15.7 | 0.3 (0.1,1.8) | 40.7 | 26.4 | 0.5 (0.3,0.8)** | 20.8 | 17.9 | 0.8 (0.1,5.1) |
| FFIC mean score | |||||||||
| FFIC mean score: Average number of indicators 3 through 9 for which response was positive (highest possible score = 7) among women who adopted an FP method | 5.5 | 5.2 | .23 | 6.1 | 5.6 | .02* | 4.8 | 5.1 | .15 |
| FFIC mean LARC score: Average number of indicators 3 through 13 for which response was positive (highest possible score = 11) among women who adopted a LARC | 8.5 | 8.3 | .70 | 9.8 | 8.7 | .002** | 8.3 | 8.6 | .33 |
Abbreviations: CI, confidence interval; DRC, Democratic Republic of the Congo; FFIC, full, free, and informed choice; FP, family planning; IUD, intrauterine device; LARC, long-acting reversible contraception; OR, odds ratio.
↵* P≤.05;
↵** P≤.01;
↵*** P≤.001.
↵a Error estimates are adjusted for clustering by facility.
↵b P values are reported for the FFIC mean scores at the end of the table.