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ORIGINAL ARTICLE
Open Access

Availability and Quality of Family Planning Services in the Democratic Republic of the Congo: High Potential for Improvement

Dieudonné Mpunga, JP Lumbayi, Nelly Dikamba, Albert Mwembo, Mala Ali Mapatano and Gilbert Wembodinga
Global Health: Science and Practice June 2017, 5(2):274-285; https://doi.org/10.9745/GHSP-D-16-00205
Dieudonné Mpunga
aKinshasa School of Public Health, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo (DRC).
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  • For correspondence: mpungadieudonn@yahoo.fr
JP Lumbayi
bMinistry of Public Health, Kinshasa, DRC.
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Nelly Dikamba
aKinshasa School of Public Health, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo (DRC).
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Albert Mwembo
cLubumbashi School of Public Health, Faculty of Medicine, University of Lubumbashi, Lubumbashi, DRC.
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Mala Ali Mapatano
aKinshasa School of Public Health, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo (DRC).
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Gilbert Wembodinga
aKinshasa School of Public Health, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of the Congo (DRC).
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  • FIGURE 1
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    FIGURE 1

    Percentage of Health Facilities With Family Planning Services Available by Province, Broken Down by Those With 3+ Methods Available, DRC, 2014 (N=1,555 Health Facilities Nationally)

    Abbreviation: DRC, Democratic Republic of the Congo.

  • FIGURE 2
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    FIGURE 2

    Percentage of Health Facilities With Specific Contraceptive Methods in Stock at the Time of the Survey, DRC, 2014 (N=1,555 Facilitiesa)

    Abbreviation: DRC, Democratic Republic of the Congo.

    a Data are based on the full sample of 1,555 health facilities surveyed, not the subset that had family planning services available as defined by the index of availability.

  • FIGURE 3
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    FIGURE 3

    Percentage of Health Facilities With Family Planning Services Available That Met the Criteria for High Quality, by Element and in Total, DRC, 2014 (N=513 Health Facilities)

    Abbreviation: DRC, Democratic Republic of the Congo.

  • FIGURE 4
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    FIGURE 4

    Percentage of Health Facilities With Family Planning Services Available That Were Rated “High” on Service Quality,a Nationally and by Province, DRC, 2014 (N=513 Health Facilities)

    Abbreviation: DRC, Democratic Republic of the Congo.

    a Facilities were assessed as providing high-quality family planning services if they met all 4 criteria of the quality index: (1) availability of at least 1 staff trained in family planning in the prior 2 years; (2) existence of service delivery guidelines in family planning; (3) availability of, at minimum, male condoms, combined oral contraceptive pills, and injectables; and (4) availability of a sphygmomanometer.

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    TABLE 1 Percentage of Health Facilities With Family Planning Services, as Defined by the Availability Index,a DRC, 2014 (N=1,555 Facilities)
    No. of Health FacilitiesFamily Planning Services Availablea No. (%)P Value
    Total1,555513 (33.0)
    Type<.001
        Hospitals433230 (53.1)
        Referral health centers24494 (38.5)
        Health centers498155 (31.1)
        Health posts38034 (8.9)
    Sector.37
        Public872296 (33.9)
        Private683217 (31.8)
    Location.02
        Urban367140 (38.1)
        Rural1,188373 (31.4)
    • Abbreviation: DRC, Democratic Republic of the Congo.

    • a Index of availability: (1) availability of a room for family planning service provision; (2) existence of staff assigned to family planning services; and (3) evidence of client use of family planning services from service statistics.

    • View popup
    TABLE 2. Quality of Family Planning Services by Health Facility Characteristic, DRC, 2014 (N=513 Health Facilities)
    High Quality No. (%)Low Quality No. (%)P Value
    Total103 (20.1)410 (79.9)
    Type<.001
        Hospitals63 (27.5)166 (72.5)
        Referral health centers17 (18.1)77 (81.9)
        Health centers23 (14.8)132 (85.2)
        Health posts0 (0.0)35 (100.0)
    Sector.02
        Public48 (16.4)245 (83.6)
        Private55 (25.0)165 (75.0)
    Location<.001
        Urban47 (35.1)87 (64.9)
        Rural56 (14.8)323 (85.2)
    • Abbreviation: DRC, Democratic Republic of the Congo.

    • View popup
    TABLE 3 Number of Contraceptive Methods Offered by Type of Health Facility, DRC, 2014 (N=513 Facilities With Family Planning Service Availability)
    No. of Contraceptive MethodsType of Health Facility (%)
    National and Provincial Hospitalsa(n=10)District Hospitals and Referral Health Centersa (n=217)Health Centers and Posts (n=286)All Health Facilities(N=513)
    030.034.867.953.4
    1–220.04.66.35.7
    3–40.05.48.87.3
    ≥550.055.217.133.6
    Mean number4.74.91.63.0
    • Abbreviation: DRC, Democratic Republic of the Congo.

    • ↵a In the DRC, hospitals are classified into 3 categories: national, provincial, and district.

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Global Health: Science and Practice: 5 (2)
Global Health: Science and Practice
Vol. 5, No. 2
June 27, 2017
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Availability and Quality of Family Planning Services in the Democratic Republic of the Congo: High Potential for Improvement
Dieudonné Mpunga, JP Lumbayi, Nelly Dikamba, Albert Mwembo, Mala Ali Mapatano, Gilbert Wembodinga
Global Health: Science and Practice Jun 2017, 5 (2) 274-285; DOI: 10.9745/GHSP-D-16-00205

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Availability and Quality of Family Planning Services in the Democratic Republic of the Congo: High Potential for Improvement
Dieudonné Mpunga, JP Lumbayi, Nelly Dikamba, Albert Mwembo, Mala Ali Mapatano, Gilbert Wembodinga
Global Health: Science and Practice Jun 2017, 5 (2) 274-285; DOI: 10.9745/GHSP-D-16-00205
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