Skip to main content

Main menu

  • Content
    • Current Issue
    • Advance Access
    • Archive
    • Supplements
    • Special Collections
    • Topic Collections
  • For Authors
    • Instructions for Authors
    • Tips for Writing About Programs in GHSP
      • Local Voices Webinar
      • Connecting Creators and Users of Knowledge
    • Submit Manuscript
    • Publish a Supplement
    • Promote Your Article
    • Resources for Writing Journal Articles
  • About
    • About GHSP
    • Editorial Team
    • Advisory Board
    • FAQs
    • Instructions for Reviewers

User menu

  • My Alerts

Search

  • Advanced search
Global Health: Science and Practice
  • My Alerts

Global Health: Science and Practice

Dedicated to what works in global health programs

Advanced Search

  • Content
    • Current Issue
    • Advance Access
    • Archive
    • Supplements
    • Special Collections
    • Topic Collections
  • For Authors
    • Instructions for Authors
    • Tips for Writing About Programs in GHSP
    • Submit Manuscript
    • Publish a Supplement
    • Promote Your Article
    • Resources for Writing Journal Articles
  • About
    • About GHSP
    • Editorial Team
    • Advisory Board
    • FAQs
    • Instructions for Reviewers
  • Alerts
  • Find GHSP on LinkedIn
  • Visit GHSP on Facebook
  • RSS
ORIGINAL ARTICLE
Open Access

Increasing Contraceptive Access for Hard-to-Reach Populations With Vouchers and Social Franchising in Uganda

Benjamin Bellows, Anna Mackay, Antonia Dingle, Richard Tuyiragize, William Nnyombi and Aisha Dasgupta
Global Health: Science and Practice September 2017, 5(3):446-455; https://doi.org/10.9745/GHSP-D-17-00065
Benjamin Bellows
aPopulation Council, Lusaka, Zambia.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: bbellows{at}popcouncil.org
Anna Mackay
bMarie Stopes International, London, UK.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Antonia Dingle
cIndependent consultant, London, UK.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Richard Tuyiragize
dMarie Stopes Uganda, Kampala, Uganda.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
William Nnyombi
dMarie Stopes Uganda, Kampala, Uganda.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Aisha Dasgupta
bMarie Stopes International, London, UK.
eUnited Nations Population Division, New York, NY, USA.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
PreviousNext
  • Article
  • Figures & Tables
  • Info & Metrics
  • Comments
  • PDF
Loading

Figures & Tables

Figures

  • Tables
  • FIGURE 1
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 1

    Marie Stopes Uganda Family Planning Social Franchise and Voucher Program Design and Functions

  • FIGURE 2
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 2

    Date of Family Planning Voucher Clients' First Visit to a Marie Stopes Uganda Social Franchise Facility, January 2011 to January 2015

  • FIGURE 3
    • Download figure
    • Open in new tab
    • Download powerpoint
    FIGURE 3

    Marie Stopes Uganda Voucher Program Users Compared With National Estimates of LARC and PM Users, 2011–2014

    Abbreviations: DHS, Demographic and Health Survey; LARC, long-acting reversible contraceptive; PM, permanent methods; PMA, Performance, Monitoring, and Accountability.

Tables

  • Figures
    • View popup
    TABLE 1.

    Family Planning Voucher Client Characteristics, 2011–2014 (N=330,826)

    CharacteristicValue
    Age,a years, median (IQR)28 (23–32)
    No. of surviving children, median (IQR)3 (2–5)
    Education, No. (%)
        None101,052 (30.6)
        Some or completed primary161,424 (48.8)
        Some or completed secondary61,449 (18.6)
        Post-secondary3,857 (1.2)
        Missing2,937 (0.8)
    Occupation, No. (%)
        Unemployed/housewife157,395 (47.6)
        Agriculture/laborer74,532 (22.5)
        Professional9,537 (2.9)
        Other13,702 (4.1)
        Missing75,660 (22.9)
    • Abbreviation: IQR, interquartile range.

    • ↵a Data on age were missing for 2,064 clients.

    • View popup
    TABLE 2.

    Source of Information About the Voucher Program and Benefits (N=330,826)

    SourceNo. (%)
    Community-based distributor154,162 (46.6)
    Health care worker39,704 (12.0)
    Missing/none35,536 (10.7)
    Friend/relative30,750 (9.3)
    Radio29,156 (8.8)
    Satisfied user20,078 (6.1)
    Behavior change communication promotions12,365 (3.7)
    Other4,153 (1.3)
    Branding3,946 (1.2)
    Community mobilization976 (0.3)
    • View popup
    TABLE 3.

    Family Planning Methods Selected by Voucher Clients, 2011–2014

    2011201220132014Total
    No. (%)No. (%)No. (%)No. (%)No. (%)
    Implants5,617 (89.4)40,900 (85.8)80,743 (70.8)103,769 (63.7)231,029 (69.8)
    IUDs660 (10.5)5,741 (12.0)27,720 (24.3)48,822 (29.9)82,943 (25.1)
    Bi-tubal ligation4 (0.1)778 (1.6)5,093 (4.5)9,726 (5.9)15,601 (4.7)
    Vasectomy1 (<0.1)58 (0.1)236 (0.2)425 (0.3)720 (0.2)
    No method given0 (0.0)78 (0.2)160 (0.1)65 (<0.1)303 (0.1)
    Injectables0 (0.0)98 (0.2)60 (0.1)25 (<0.1)183 (0.1)
    Oral contraceptive pills0 (0.0)22 (0.1)9 (<0.1)6 (<0.1)37 (<0.1)
    Condoms0 (0.0)1 (<0.1)3 (<0.1)1 (<0.1)5 (<0.1)
    Emergency contraception0 (0.0)1 (<0.1)3 (<0.1)1 (<0.1)5 (<0.1)
    Total6,282 (100.0)47,677 (100.0)114,027 (100.0)162,840 (100.0)330,826 (100.0)
    • Abbreviation: IUD, intrauterine device.

    • View popup
    TABLE 4.

    Estimated Impact of the Marie Stopes Uganda Social Franchise and Voucher Program, 2011–2014

    2011201220132014
    Unintended pregnancies averted6,00055,000145,000218,000
    Maternal deaths averted10150360520
    Direct health care costs saved (2014 USD)429,0003,400,0009,100,00013,800,000
PreviousNext
Back to top

In this issue

Global Health: Science and Practice: 5 (3)
Global Health: Science and Practice
Vol. 5, No. 3
September 27, 2017
  • Table of Contents
  • About the Cover
  • Index by Author
  • Complete Issue (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word about Global Health: Science and Practice.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Increasing Contraceptive Access for Hard-to-Reach Populations With Vouchers and Social Franchising in Uganda
(Your Name) has forwarded a page to you from Global Health: Science and Practice
(Your Name) thought you would like to see this page from the Global Health: Science and Practice web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Increasing Contraceptive Access for Hard-to-Reach Populations With Vouchers and Social Franchising in Uganda
Benjamin Bellows, Anna Mackay, Antonia Dingle, Richard Tuyiragize, William Nnyombi, Aisha Dasgupta
Global Health: Science and Practice Sep 2017, 5 (3) 446-455; DOI: 10.9745/GHSP-D-17-00065

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Increasing Contraceptive Access for Hard-to-Reach Populations With Vouchers and Social Franchising in Uganda
Benjamin Bellows, Anna Mackay, Antonia Dingle, Richard Tuyiragize, William Nnyombi, Aisha Dasgupta
Global Health: Science and Practice Sep 2017, 5 (3) 446-455; DOI: 10.9745/GHSP-D-17-00065
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Statistics from Altmetric.com

Jump to section

  • Article
    • ABSTRACT
    • BACKGROUND
    • METHODS
    • RESULTS
    • DISCUSSION
    • CONCLUSION
    • Acknowledgments
    • Notes
    • REFERENCES
  • Figures & Tables
  • Info & Metrics
  • Comments
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Social franchising in healthcare: a systematic review and narrative synthesis of implementation and outcomes
  • Liftoff: The Blossoming of Contraceptive Implant Use in Africa
  • Google Scholar

More in this TOC Section

  • Patterns and Drivers of Packaged (Fortified) Maize Flour Purchase in Urban and Peri-Urban Kenya
  • Exploring a Road Map to Achieving Tobacco Endgame in sub-Saharan Africa: A Qualitative Study Among Stakeholders From 12 Countries
  • Stakeholder Perceptions on Innovative Private Pharmacy Distribution Channels and Implications for Medicine Quality in Zambia: A Qualitative Study
Show more ORIGINAL ARTICLE

Similar Articles

Subjects

  • Health Topics
    • Family Planning and Reproductive Health
Johns Hopkins Center for Communication Programs

Follow Us On

  • LinkedIn
  • Facebook
  • RSS

Articles

  • Current Issue
  • Advance Access Articles
  • Past Issues
  • Topic Collections
  • Most Read Articles
  • Supplements

More Information

  • Submit a Paper
  • Instructions for Authors
  • Instructions for Reviewers

About

  • About GHSP
  • Advisory Board
  • FAQs
  • Privacy Policy
  • Contact Us

© 2026 Creative Commons Attribution 4.0 International License. ISSN: 2169-575X

Powered by HighWire