Scaling up delivery of contraceptive implants in sub-Saharan Africa: operational experiences of Marie Stopes International

Number of Women Using an Implant Provided by Marie Stopes Uganda Versus Other Providers,^a 2001, 2006, and 2011

^a “Other providers” includes all private-sector organizations offering implants, other than Marie Stopes Uganda, and all public-sector providers, including Ministry of Health facilities.

Data for Marie Stopes Uganda users are from Marie Stopes International (MSI) service statistics and are modeled using MSI's Impact 2 model. These estimated user numbers include women who received an implant supplied by MSI that year as well as women who received implant services from MSI in past years who are modeled to still be protected by the implant. Data for implants provided by other providers are from 2001, 2006, and 2011 Uganda Demographic and Health Surveys and 2010 UN Population Prospects.

Number of LAPMs Provided by MSI in sub-Saharan Africa, by Method, 2000–2012

Abbreviations: LAPMs, long-acting and permanent methods; MSI, Marie Stopes International.

Data from MSI service statistics.

Method Mix Among Modern Method Users, Marie Stopes International (MSI) Users Versus the General Population, in African Countries Where MSI Operates, 2012

Data for MSI users are from MSI service statistics, with user numbers modeled using MSI's Impact 2 model. As explained in the footnote to Figure 1, LAPM users include those who received their method in prior years who continue to be protected. Because sterilization protects women for a longer duration than IUDs and implants, previous sterilization clients remain in the total “user” number for more years (until aging out at 49, based on median age of sterilization). Data for the general population are from Demographic and Health Surveys for those sub-Saharan African countries where MSI operates.⁸ For MSI user numbers, short-acting methods exclude condoms to avoid the risk of overestimating condom use because of user wastage and dual protection.

Proportion of Implants Delivered by MSI in sub-Saharan Africa, by Service Delivery Channel, 2012

Abbreviations: MSI, Marie Stopes International.

^a “Other” includes community-based distribution, community health workers, and miscellaneous providers.

Data from MSI service statistics. Data do not include 1,898 implants delivered through social marketing in Mali.

Most Influential Source of Information Affecting Decision to Choose MSI Services Among sub-Saharan African Clients^a Across All Service Delivery Channels,^b 2012 (N = 6,225)

Abbreviations: CBD, community-based distribution; MSI, Marie Stopes International.

^a Data from exit interviews in 11 sub-Saharan African countries, from August 2012 through December 2012.

^b Results were weighted by region and delivery channel where appropriate. When weighting by delivery channel, data were only used from countries where the relevant delivery channel had been surveyed.

Most Important Reason for Choosing Services From Marie Stopes International Among sub-Saharan African Clients^a Across All Service Delivery Channels,^b 2012 (N =  6,225)

^a Data from exit interviews in 11 sub-Saharan African countries, from August 2012 through December 2012.

^b Results were weighted by region and delivery channel where appropriate. When weighting by delivery channel, data were only used from countries where the relevant delivery channel had been surveyed.