Figures & Tables
Figures
- FIGURE.
Direct Service Delivery Cost of the LNG IUS per CYPa Compared With Cost per CYP of Other Contraceptive Methods (2015 US$)
Abbreviations: COCs, combined oral contraceptives; CYP, couple-year of protection; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine device; LNG IUS, levonorgestrel intrauterine system; NET‐EN, norethisterone enanthate.
a The public‐sector transfer price for Medicines360’s LNG IUS depends on volumes. The calculated LNG IUS cost per CYP of US$6.34 in this chart reflects a US$15 per unit public‐sector transfer price based on a weighted average for an order of 100,000 units.
b Although the commodity cost of Sino-implant (II) implants (US$8 per unit) is lower than the commodity cost of Jadelle implants (US$8.50 per unit), Sino-implant (II) is labeled for 4 years of use with a CYP conversion factor of 3.2 years while Jadelle is labeled for 5 years of use with a CYP conversion factor of 3.8 years. Thus, the cost per CYP for Jadelle is slightly lower than that of Sino--implant (II).
Tables
- TABLE 1. Contraceptive Prevalence Among Married Women of Reproductive Age in Kenya, 1988–2015
Percentage of Married Women Using: Survey Year Any Modern Method Injectable Copper IUD Implant 1988–1989 17.9 3.3 3.7 0.0 1993 27.3 7.2 4.2 0.0 1998 31.5 11.8 2.7 0.8 2003 31.5 14.3 2.4 1.7 2008–2009 39.4 21.6 1.6 1.9 2014 53.2 26.4 3.4 9.9 2015 63.1 29.2 4.8 16.1 Abbreviation: IUD, intrauterine device.
Source of data: 2015 survey from Performance Monitoring and Accountability 2020 (PMA2020)15; all other surveys from Demographic and Health Surveys.16
- TABLE 2. Per Unit Costs of Commodities, Consumable Supplies, and Instruments Included in the Model (US$)
Method Commodity Consumables for Insertion/Initial Provision Consumables for Resupply Consumables for Removal Instruments COCs $0.27 NA NA NA NA Copper IUD $0.35 $0.90 NA $0.90 $0.13 DMPA injectable $0.72 $0.34 $0.34 NA NA Female condom $0.45 NA NA NA NA Female sterilization NA $6.64 NA NA $0.15 Implanon implants $8.50 $1.32 NA $1.32 $0.03 Jadelle implants $8.50 $1.32 NA $1.32 $0.03 LNG IUS $15.00 $0.90 NA $0.90 $0.13 Male condom $0.03 NA NA NA NA Male sterilization NA $4.67 NA NA $0.03 NET-EN injectable $1.15 $0.34 $0.34 NA NA Sayana Press injectable $1.00 $0.34 $0.34 NA NA Sino-implant (II) implants $8.00 $1.32 NA $1.32 $0.03 Abbreviations: COCs, combined oral contraceptives; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine device; LNG IUS, levonorgestrel intrauterine system; NA, not applicable; NET-EN, norethisterone enanthate.
Source of data: UNFPA AccessRH Product Catalog,23 IDA Foundation E-catalogue,24 Stephens,10 and personal communication with international medical supplier Shendu Pak (for cost of instruments required for long-acting and permanent methods). Supply and commodity costs can fluctuate over time; the prices used in the model were accessed in September 2015.
- TABLE 3. Total Labor Time Included in the Model for Counseling, Insertion, Removal, and/or Resupply by Method and Provider Cadre
Nurse-Midwife Physician Unpaid Health Worker Method Counseling and Method Provision Follow-up or Resupply Removal Method Provision Counseling and Method Provision Resupply COCs 25 min 5 min NA NA NA NA DMPA injectable 25 min 5 min NA NA NA NA Female condom 20 min 5 min NA NA NA NA Female sterilization 60 min 10 min NA 30 min NA NA Implanon implants 35 min 10 min 15 min NA NA NA Copper IUD 35 min 10 min 10 min NA NA NA Jadelle implants 35 min 10 min 15 min NA NA NA LNG IUS 35 min 10 min 10 min NA NA NA Male condom NA NA NA NA 20 min 5 min Male sterilization 60 min 10 min NA 30 min NA NA NET-EN injectable 25 min 5 min NA NA NA NA Sayana Press injectable 25 min 5 min NA NA NA NA Sino-implant (II) implants 35 min 10 min 15 min NA NA NA Abbreviations: COCs, combined oral contraceptives; DMPA, depot medroxyprogesterone acetate; IUD, intrauterine device; LNG IUS, levonorgestrel intrauterine system; NA, not applicable; NET--EN, norethisterone enanthate.
Source of data: Futures Institute.25
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