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FIELD ACTION REPORT
Open Access

Increasing Contraceptive Use Through Free Family Planning Special Days in Poor Urban Areas in Francophone West Africa

Mamadou Kandji, Hawa Talla, René Jean Firmin Nakoulma, Sujata Naik Bijou, Cheikh Ibrahima Diop, Josephat Avoce, Fatoumata Bamba and Fatimata Sow
Global Health: Science and Practice May 2024, 12(Supplement 2):e2200227; https://doi.org/10.9745/GHSP-D-22-00227
Mamadou Kandji
aThe Challenge Initiative, Francophone West Africa Hub, IntraHealth International, Dakar, Senegal.
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  • For correspondence: mkandji{at}intrahealth.org
Hawa Talla
bClinton Health Access Initiative, Dakar, Senegal.
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René Jean Firmin Nakoulma
aThe Challenge Initiative, Francophone West Africa Hub, IntraHealth International, Dakar, Senegal.
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Sujata Naik Bijou
cIntraHealth International, Chapel Hill, NC, USA.
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Cheikh Ibrahima Diop
aThe Challenge Initiative, Francophone West Africa Hub, IntraHealth International, Dakar, Senegal.
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Josephat Avoce
aThe Challenge Initiative, Francophone West Africa Hub, IntraHealth International, Dakar, Senegal.
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Fatoumata Bamba
dMinistry of Health and Public Hygiene, Cote d'Ivoire.
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Fatimata Sow
aThe Challenge Initiative, Francophone West Africa Hub, IntraHealth International, Dakar, Senegal.
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    Community members attend a family planning sensitization session as part of a Family Planning Special Day intervention during the COVID-19 pandemic in Abobo, Abidjan, Côte d’Ivoire. © 2020 Kouakou Yao Degah Bienvenu Attoumbre/The Challenge Initiative Francophone West Africa–IntraHealth International

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    Women attend a Family Planning Special Day in Niamey, Niger. © 2021 Fatimata Sow/The Challenge Initiative Francophone West Africa–IntraHealth International

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    FIGURE 1

    Percentage of The Challenge Initiative–Supported Health Facilities That Organized Family Planning Special Days in Francophone West Africa by City, July 2020–June 2021

    Abbreviation: UCOZ, Union of Zou Municipalities.

  • FIGURE 2
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    FIGURE 2

    Percentage of Health Personnel Mobilized for Family Planning Special Days in Francophone West Africa by Category, July 2020–June 2021 (N=525)

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    FIGURE 3

    Number of Health Personnel Mobilized for Family Planning Special Days in Francophone West Africa by Category and City, July 2020–June 2021

    Abbreviation: UCOZ, Union of Zou Municipalities.

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    FIGURE 4

    Expense Categories for Family Planning Special Days in Francophone West Africa, July 2020–June 2021

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    TABLE 1.

    TCI-Supported Cities Implementing Family Planning Special Days in Francophone West Africa, July 2020–June 2021

    CountryCityPopulation, No.Women of Reproductive Age, No.Participating Health Facilities, No.Contraceptive Prevalence Rates per Country per Region, %6–10Unmet Need Rate per Country per Region, %6–10
    BeninAbomey Calavi1,480,982355,436639.937.5
    UCOZ1,228,667294,88011613.931.2
    Cotonou1,108,320265,9977319.835
    Burkina FasoKoudougou183,332408,2076731.816.3
    Ouagadougou2,415,266876,1041533816.9
    Côte d'IvoireAbidjan5,616,6332,684,75115521.721.9
    Bouaké931,851145,9533221.918.6
    NigerNiamey1,565,056375,6136226.217.7
    SenegalNioro365,53487,7285123.622.6
    Ziguinchor319,42579,85610922.622.7
    Total15,215,0665,574,525881
    • Abbreviations: TCI, The Challenge Initiative; UCOZ, Union of Zou Municipalities.

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    TABLE 2.

    Indicators Used in Analysis of Family Planning Special Days in Francophone West Africa

    IndicatorDefinitionData Source
    Average number of days of FPSDs held per facilityThe total number of days of FPSDs divided by the total number of facilities that held FPSDsProject data
    Number of people sensitized on FPSDsThe number of people (men and women) who were informed about the FPSDsHMIS data
    Total number of users recruited during the FPSDsThe total number of new and existing FP users who were served during the FPSDsHMIS data
    Annual client volume for FPSDs

    The total number of users (new and existing) adjusted for:

    • Seasonality (rolling sums) with 12-month rolling sum (July 2020–June 2021) for each contraceptive method

    • Revisits (for short-acting methods) using inverse CYP coefficients

    HMIS data
    Daily FPSDs yield or average number of users recruited per dayThe total number of users recruited at FPSDs out of the total number of days for FPSDsHMIS data
    Total number of adolescents and youth recruited at FPSDsThe total number of new and existing FP users, aged 15–24 years, who were served at FPSDsHMIS data
    Average cost of FPSDsThe overall amount spent on FPSDs divided by the total number days of FPSDs conductedProject data
    Average operational cost of recruiting a female FP user through FPSDsThe total amount spent on FPSDs divided by the total number of FP users recruited through FPSDsProject data
    • Abbreviations: CYP, couple-years protection; FP, family planning; FPSD, Family Planning Special Day; HMIS, health management information system.

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    TABLE 3

    Average Number of Family Planning Special Days in Francophone West Africa per Health Facility in Cities, July 2020–June 2021

    CountryCityHealth Facilities That Organized FPSDs, No.Total FPSDs Organized, No.Average FPSDs Organized per Health Facility, No.
    Côte d'IvoireAbidjan42561.3
    Bouake15775.1
    Subtotal571332.3
    BeninUCOZ761662.2
    Abomey-Calavi15463.1
    Cotonou521733.3
    Subtotal1433852.7
    NigerNiamey36822.3
    Burkina FasoOuagadougou56951.7
    Koudougou61971.6
    Subtotal1171921.6
    SenegalZiguinchor551082.0
    Nioro441463.3
    Subtotal992542.6
    Total4521,0462.3
    • Abbreviations: FPSD, Family Planning Special Day; UCOZ, Union of Zou Municipalities.

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    TABLE 4.

    Beneficiaries of Family Planning Special Days in Francophone West Africa by Age Group and Method Type, July 2020–June 2021

    Type of ContraceptiveMethodUsers Aged 15–19 Years, No.Users Aged 20–24 Years, No.Users Aged 25–49 Years, No.Total Users, No. (%)
    NewExistingNewExistingNewExisting
    Implants2,9267125,2432,1358,7084,83324,557 (34.3)
    Injectable2,0351,0324,0003,5326,2857,41424,298 (33.9)
    Pills1,0588171,5881,9542,0153,43310,865 (15.2)
    Condoms1,8176561,6038971,4871,1727,632 (10.6)
    IUD188745672411,8851,1954,150 (5.8)
    Emergency contraceptive201442253432167 (0.2)
    Total8,0443,30513,0438,78420,41418,07971,669 (100)
    • Abbreviation: IUD, intrauterine device.

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    TABLE 5.

    Annual Family Planning Client Volume During Family Planning Special Days in Francophone West Africa by Age Group and Method Category, July 2020–June 2021

    Contraceptive MethodUsers Aged 15–19 Years, No.Users Aged 20–24 Years, No.Users Aged 25–49 Years, No.Total Users, No. (%)
    Long-acting3,5877,60615,22726,420 (78)
    Short-acting1,1882,4044,0497,641 (22)
    Total4,77510,01019,27634,061 (100)
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    TABLE 6.

    Daily Performance of Family Planning Special Days by City in Francophone West Africa, July 2020–June 2021

    CountryCityTotal Users Recruited at FPSDs, No.Total FPSDs, No.Average Users Recruited per FPSD, No.Total Providers, No.Average Users Recruited per FPSD per Provider, No.
    Côte d'IvoireAbidjan12,450562221713.1
    Bouake5,8507776203.8
    Subtotal18,300133138373.7
    BeninUCOZ16,45416699234.3
    Abomey-Calavi3,7844682194.3
    Cotonou4,13117324231.0
    Subtotal24,36938563651.0
    NigerNiamey7,9478297253.9
    Burkina FasoOuagadougou8,29095871270.7
    Koudougou2,0659721370.6
    Subtotal10,355192541640.3
    SenegalZiguinchor5,33810849232.1
    Nioro5,36014637261.4
    Subtotal10,69825442490.9
    Total71,6691,046683400.2
    • Abbreviations: FPSD, Family Planning Special Day; UCOZ, Union of Zou Municipalities.

    • View popup
    TABLE 7.

    Distribution of Financial Contributiona to Family Planning Special Days in Francophone West Africa by City and Source, July 2020–June 2021

    CountryCityCity Contribution, FCFA (%)TCI Contribution, FCFA (%)Total Contribution, FCFA
    Côte d'IvoireAbidjan9671200 (39)15274000 (61)24945200
    Bouake6090000 (39)9450000 (61)15540000
    Subtotal15761200 (39)24724000 (61)40485200
    BeninUCOZ4500000 (32)9652350 (68)14152350
    Abomey-Calavi2279720 (41)3343200 (59)5622920
    Cotonou5046800 (44)6474400 (56)11521200
    Subtotal11826520 (38)19469950 (62)31296470
    NigerNiamey11735400 (53)10350000 (47)22085400
    Burkina FasoOuagadougou850000 (5)15550000 (95)16400000
    Koudougou1539991 (23)5050000 (77)6589991
    Subtotal2389991 (10)20600000 (90)22989991
    SenegalZiguinchor6663265 (37)11585375 (63)18248640
    Nioro2846800 (28)7430000 (72)10276800
    Subtotal9510065 (33)19015375 (67)28525440
    Total51223176 (35)94159325 (65)145382501
    • Abbreviations: FCFA, West African CFA franc; TCI, The Challenge Initiative; UCOZ, Union of Zou Municipalities.

    • ↵a 611 West African CFA francs=US$1.

    • View popup
    TABLE 8.

    Average Cost per Day of Family Planning Special Days by City, July 2020–June 2021

    CityTotal Cost of FPSDs, FCFAaTotal FPSDs, No.Users Recruited Through FPSDs, No.Average Cost of FPSDs, FCFA (US$)Average Cost per User, FCFA (US$)
    Abidjan249452005612,450445450 (775)2004 (3)
    Bouake15540000775,850201818 (351)2656 (5)
    Abomey-Calavi5622920463,784122237 (213)1486 (3)
    UCOZ1415235016616,45485255 (148)860 (1)
    Cotonou115212001734,13166596 (116)2789 (5)
    Niamey22085400827,947269334 (468)2779 (5)
    Ouagadougou16400000958,290172631 (300)1978 (3)
    Koudougou6589991972,06567938 (118)3191 (6)
    Nioro102768001465,36070389 (122)1917 (3)
    Ziguinchor182486401085,338168968 (295)3419 (6)
    Total145382501104671,669138989 (242)2029 (4)
    • Abbreviations: FCFA, West African CFA franc; FP, family planning; FPSD, Family Planning Special Day; UCOZ, Union of Zou Municipalities.

    • ↵a 611 West African CFA francs=US$1.

Additional Files

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Global Health: Science and Practice: 12 (Supplement 2)
Global Health: Science and Practice
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Increasing Contraceptive Use Through Free Family Planning Special Days in Poor Urban Areas in Francophone West Africa
Mamadou Kandji, Hawa Talla, René Jean Firmin Nakoulma, Sujata Naik Bijou, Cheikh Ibrahima Diop, Josephat Avoce, Fatoumata Bamba, Fatimata Sow
Global Health: Science and Practice May 2024, 12 (Supplement 2) e2200227; DOI: 10.9745/GHSP-D-22-00227

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Increasing Contraceptive Use Through Free Family Planning Special Days in Poor Urban Areas in Francophone West Africa
Mamadou Kandji, Hawa Talla, René Jean Firmin Nakoulma, Sujata Naik Bijou, Cheikh Ibrahima Diop, Josephat Avoce, Fatoumata Bamba, Fatimata Sow
Global Health: Science and Practice May 2024, 12 (Supplement 2) e2200227; DOI: 10.9745/GHSP-D-22-00227
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