Figures & Tables
Figures
- FIGURE 1.
Voucher Movement and Funds Flow
Abbreviations: FP, family planning; VMA, voucher management agency.
A distribution agent gives a family planning voucher to a woman in rural Pakistan.
- FIGURE 2.
Wealth Index Distribution of the Rural Population in Pakistan and of MSS Voucher Clients for LARCs and PMs (N=1,557), 2014
Abbreviations: LARCs, long‐acting reversible contraceptives; MSS, Marie Stopes Society; PMs, permanent methods.
Source: Wealth index distribution of the rural population from the 2012-13 Pakistan Demographic and Health Survey11; of voucher clients, from the MSS annual client exit interview survey conducted in December 2014.
- FIGURE 3.
Vouchers Redeemed in Pakistan by Contraceptive Method, 2014
A voucher distribution agent in Yemen gives a family planning voucher to a client.
Tables
- TABLE 1. Contraceptive Prevalence Rates (%) in Yemen Nationally and in Lahj Governorate, 2013
Yemen Lahj Governorate Short-acting methods Pills 11.6 19.7 Injectables 4.2 2.3 LAM 4.0 4.1 Condoms 0.5 0.3 Subtotal 20.3 26.4 LARCs and PMs Implants 0.6 0.5 IUD 5.9 1.8 Female sterilization 2.3 1.5 Male sterilization 0.1 0.2 Subtotal 8.9 4.0 All modern methods 29.2 30.4 Abbreviations: IUD, intrauterine device; LAM, Lactational Amenorrhea Method; LARCs, long-acting reversible contraceptives; PMs, permanent methods.
Source: Yemen National Health and Demographic Survey 2013.9
- TABLE 2. Contraceptive Prevalence Rates (%) in Pakistan, by Urban and Rural Area and Province, 2012–2013
Pakistan (nationally) Urban Pakistan Rural Pakistan Punjab Province KPK Province Sindh Province Short-acting methods Condoms 8.8 14.8 5.8 9.9 7.0 8.0 Pills 1.6 1.5 1.6 1.1 2.7 1.8 Injectables 2.8 2.5 2.9 2.0 5.2 3.3 LAM 1.5 0.6 2.0 2.3 0.6 0.2 Subtotal 14.7 19.4 12.3 15.3 15.5 13.3 LARCs and PMs Implants 0.2 0.1 0.2 0.2 0.0 0.3 IUD 2.3 2.6 2.2 2.9 1.5 1.2 Female sterilization 8.7 9.6 8.2 10.2 2.4 9.7 Male sterilization 0.3 0.4 0.2 0.4 0.0 0.1 Subtotal 11.5 12.7 10.8 13.7 3.9 11.3 All modern methods 26.2 32.1 23.1 29.0 19.4 24.6 Abbreviations: IUD, intrauterine device; KPK, Khyber Pakhtunkhwa; LAM, Lactational Amenorrhea Method; LARCs, long-acting reversible contraceptives; PMs, permanent methods.
Source: Pakistan Demographic and Health Survey 2012-13.11
Source Female Sterilization IUD Pillsa Injectables Condomsa Total Public 66.5 53.3 46.5 56.3 17.7 45.6 Private 33.5 46.7 49.6 43.4 66.6 54.4 Abbreviation: IUD, intrauterine device.
↵a Percentages of public and private sources for pills and condoms do not total to 100 because some sources, such as shops, friends, and traditional birth attendants, are not shown.
Source: Pakistan Demographic and Health Survey 2012-13.11
Aspects Yemen Pakistan Geographical area Urban and rural areas in 2 governorates Rural areas in 13 districts in 3 provinces Type of VMA NGO NGO Type of family planning service providers Public and private Private (franchised network) Voucher distribution Local voucher distributors paid according to number of vouchers distributed and redeemed Local voucher distributors who receive a monthly stipend Identifying the priority poor population Geographical targeting of poor areas Means testing of socioeconomic status Cost of voucher Free (for family planning) Free (for family planning) Voucher package Counseling and LARCs/PMs (including follow-up and removal) Counseling and LARCs/PMs (including follow-up and removal) Abbreviations: LARCs, long-acting reversible contraceptives; PMs, permanent methods; VMA, voucher management agency.
- TABLE 5. Estimated Annual LARC and PM CPR and Expected 2014 Annual LARC and PM Uptake Among MWRA, Lahj Governorate, Yemen
CPR (%) CYP per Unit Annual CPRa (%) Expected 2014 Annual Uptake of LARCs/PMsb (No. of Women) Implants 0.5 3.2 0.156 188 IUD 1.8 4.6 0.391 471 Female sterilization 1.5 10.0 0.150 181 LARCs or PMs 3.8 0.697 840 Abbreviations: CPR, contraceptive prevalence rate; CYP, couple-years of protection; IUD, intrauterine device; LARC, long-acting reversible contraceptive; MWRA, married women of reproductive age; PM, permanent method.
↵a To obtain the annual CPR, we divided the CPR from the 2013 National Health and Demographic Survey9 by the CYP.
↵b To obtain the expected annual uptake of LARCs/PMs, we multiplied the population of MWRA (120,478) in 2004 by the annual CPR for each method.
- TABLE 6. Number of LARC and PM Services Provided Through the Yemen Voucher Program in Lahj Governorate, 2014
Expected No. of Women Choosing LARCs or PMs in 2014 No. of Women Choosing LARCs or PMs Through Vouchers in 2014 Percentage Difference Implants 117 273 133.3 IUD 292 428 46.6 Female sterilization 112 19 -83.0 Total 521 720 38.2 Abbreviations: IUD, intrauterine device; LARC, long-acting reversible contraceptive; PM, permanent method.
- TABLE 7. Estimated Annual LARC and PM CPR and Expected 2014 Annual LARC and PM Uptake Among MWRA, in 13 Pakistan Program Districts
CPR (%) CYP per Unit Annual CPRa (%) Expected 2014 Annual Uptake of LARCs/PMsb (No. of Women) Implants 0.2 3.2 0.06 285 IUD 2.2 4.6 0.48 2,278 Female sterilization 8.2 10.0 0.82 3,892 LARCs or PMs 10.6 1.36 6,455 Abbreviations: CPR, contraceptive prevalence rate; CYP, couple-years of protection; IUD, intrauterine device; LARC, long-acting reversible contraceptive; MWRA, married women of reproductive age; PM, permanent method.
↵a To obtain the annual CPR, we divided the CPR from the 2012-13 Demographic and Health Survey11 by the CYP.
↵b To obtain the expected annual uptake of LARCs/PMs, we multiplied the population of MWRA (474,600) in 2004 by the annual CPR for each method.
Expected in 2014 Total 2014 Through Vouchers Percentage Difference Implants 285 3,826 1,242% IUD 2,278 67,750 2,874% Female sterilization 3,892 2,063 -47% LARCs/PMs 6,455 73,639 1,041% Abbreviations: IUD, intrauterine device; LARC, long-acting reversible contraceptive; PM, permanent method.
Province Vouchers Distributed No. (%) Vouchers Redeemed No. (%) Redemption Rate (%) Punjab 52,249 (62) 49,969 (68) 95.6 KPK 18,989 (23) 12,304 (17) 64.8 Sindh 12,682 (15) 11,366 (15) 89.6 Total 83,920 (100) 73,639 (100) 87.7 Abbreviation: KPK, Khyber Pakhtunkhwa.
