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ORIGINAL ARTICLE
Open Access

Can Family Planning Service Statistics Be Used to Track Population-Level Outcomes?

Robert J Magnani, John Ross, Jessica Williamson and Michelle Weinberger
Global Health: Science and Practice March 2018, 6(1):93-102; https://doi.org/10.9745/GHSP-D-17-00341
Robert J Magnani
aAvenir Health, Glastonbury, CN, USA.
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  • For correspondence: rmagnani{at}avenirhealth.org
John Ross
bIndependent consultant, New Paltz, NY, USA.
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Jessica Williamson
aAvenir Health, Glastonbury, CN, USA.
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Michelle Weinberger
aAvenir Health, Glastonbury, CN, USA.
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Figures & Tables

Figures

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  • FIGURE 1.
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    FIGURE 1.

    Options for Projecting the mCPR Trend Since the Last Large-Scale Survey

    Abbreviation: mCPR, modern contraceptive prevalence rate.

  • FIGURE 2.
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    FIGURE 2.

    Variance, Level Bias, and Slope Bias as Components of Mean Square Error

    Abbreviations: EMU, estimated modern use; mCPR, modern contraceptive prevalence rate; WCU, World Contraceptive Use.

Tables

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    • View popup
    TABLE 1.

    Countries Included in the Analyses, by Availability of Service Statistics Data Elements

    Countries With Service Statistics Available (N=22)Years of Data Available
    3–45–6≥7
    Commodities data only (n=10)415
    Commodities and visits data (n=4)
        Commodities211
        Visits121
    Commodities and users data (n=5)
        Commodities23
        Users131
    Visits and users data (n=1)
        Visits1
        Users1
    Commodities, visits, and users data (n=2)
        Commodities2
        Visits2
        Users11
    • View popup
    TABLE 2.

    Median MSE Results Across Countries Providing at Least 1 Service Statistics Data Element

    MSE ComponentCommodities to Clients Data (21 Countries)Service Visits Data (7 Countries)Current Users Data (8 Countries)
    RMSE0.06950.09610.1864
    Variance0.00140.00020.0012
    Level bias0.31140.34520.5774
    Slope bias0.01140.00690.0104
    • Abbreviations: MSE, mean square error; RMSE, root mean square error.

    • View popup
    TABLE 3.

    Relationship Between Service Statistics Estimates and Survey-Based Estimates of mCPR

    RelationshipCommodities to Clients Data (21 Countries)Service Visits Data (7 Countries)Current Users Data (8 Countries)
    Service statistics estimates always < survey estimates1453
    Service statistics estimates always > survey estimates514
    Varies by year211
    • Abbreviation: mCPR, modern contraceptive prevalence rate.

    • View popup
    TABLE 4.

    Pairwise Comparisons of Median MSE Across Countries Providing at Least 2 Service Statistics Data Elements

    MSE ComponentCommodities vs. Visits (6 Countries)Commodities vs. Users (7 Countries)Visits vs. Users (3 Countries)
    Commodities DataVisits DataCommodities DataUsers DataVisits DataUsers Data
    RMSE0.08590.11820.10190.22160.21630.2115
    Variance0.00090.00010.00100.00130.00030.0008
    Level bias0.40540.44830.31030.56640.60150.5904
    Slope bias0.00290.01120.01610.00790.01580.0129
    • Abbreviations: MSE, mean square error; RMSE, root mean square error.

    • Note: Data from the 2 countries that collect all 3 types of service statistics are included in this table.

Additional Files

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  • Supplemental material

    The link below includes all the supplements mentioned in the article by Magnani et al:
    Supplement 1: List of countries included in the analyses
    Supplement 2: Data conversion factors
    Supplement 3: Calculation of long-acting reversible contraceptive users from service visits and commodities to clients data
    Supplement 4: Formulae for computing the components of mean square error
    Supplement 5: Country calculations of MSE

    Files in this Data Supplement:

    • Download Supplements 1-5
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Global Health: Science and Practice: 6 (1)
Global Health: Science and Practice
Vol. 6, No. 1
March 21, 2018
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Can Family Planning Service Statistics Be Used to Track Population-Level Outcomes?
Robert J Magnani, John Ross, Jessica Williamson, Michelle Weinberger
Global Health: Science and Practice Mar 2018, 6 (1) 93-102; DOI: 10.9745/GHSP-D-17-00341

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Can Family Planning Service Statistics Be Used to Track Population-Level Outcomes?
Robert J Magnani, John Ross, Jessica Williamson, Michelle Weinberger
Global Health: Science and Practice Mar 2018, 6 (1) 93-102; DOI: 10.9745/GHSP-D-17-00341
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