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ORIGINAL ARTICLE
Open Access

Assessment of Family Planning Service Availability and Readiness in 10 African Countries

Moazzam Ali, Madeline Farron, Thandassery Ramachandran Dilip and Rachel Folz
Global Health: Science and Practice October 2018, 6(3):473-483; https://doi.org/10.9745/GHSP-D-18-00041
Moazzam Ali
aDepartment of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
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  • For correspondence: alimoa{at}who.int
Madeline Farron
bUniversity of Michigan School of Public Health, Ann Arbor, MI, USA.
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Thandassery Ramachandran Dilip
cDepartment of Maternal, Newborn, Child, and Adolescent Health, World Health Organization, Geneva, Switzerland.
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Rachel Folz
aDepartment of Reproductive Health and Research, World Health Organization, Geneva, Switzerland.
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Figures & Tables

Figures

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  • FIGURE 1
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    FIGURE 1

    Percentage of Health Facilities Providing Family Planning, by Urban and Rural Location

    Abbreviation: DRC, Democratic Republic of the Congo.

  • FIGURE 2
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    FIGURE 2

    Percentage of Health Facilities Providing Family Planning Services, by Type of Facility

    Abbreviation: DRC, Democratic Republic of the Congo.

    * “Other facilities” includes all health care providers not managed by the government, including private sector, faith-based organizations, NGOs, and other similar organizations.

  • FIGURE 3
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    FIGURE 3

    Percentage of Facilities Providing Oral Contraceptives, Reported Compared With Observeda

    Abbreviation: DRC, Democratic Republic of the Congo.

    a Reported percentage refers to percentage of facilities where a SARA survey respondent reported that a health facility is providing oral contraceptive services. Actual percentage refers to the percentage of facilities where a SARA surveyor observed at least 1 valid stock of oral contraceptives in the service area or in a place where they are routinely stored in the health facility, on the day of the assessment

  • FIGURE 4
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    FIGURE 4

    Percentage of Facilities Providing Injectable Contraceptives, Reported Compared With Observeda

    Abbreviation: DRC, Democratic Republic of the Congo.

    a Reported percentage refers to percentage of facilities where a SARA survey respondent reported that a health facility is providing oral contraceptive services. Actual percentage refers to the percentage of facilities where a SARA surveyor observed at least 1 valid stock of oral contraceptives in the service area or in a place where they are routinely stored in the health facility, on the day of the assessment.

  • FIGURE 5
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    FIGURE 5

    Percentage of Health Facilities With Stock-Outs of Injectable and Oral Contraceptives

    Abbreviation: DRC, Democratic Republic of the Congo.

    Percentage stock-out refers to the proportion of facilities providing family planning services, where a SARA surveyor did not observe at least 1 valid stock of injectable or oral contraceptives in the service area or in the place where they are routinely stored in the health facility, on the day of the assessment.

  • FIGURE 6
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    FIGURE 6

    Percentage of Facilities Providing Family Planning Services With All Tracer Itemsa

    Abbreviation: DRC, the Democratic Republic of the Congo.

    a Tracer items include availability of guidelines for family planning, staff trained in family planning services, blood pressure apparatus, combined oral contraceptive pills, injectable contraceptives, and male condoms on the day of facility assessment.

  • FIGURE 7
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    FIGURE 7

    Percentage of Health Facilities Providing Family Planning Services to Unmarried Adolescents

    Abbreviations: DRC, Democratic Republic of the Congo; FP, family planning.

Tables

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    TABLE 1.

    Percentage of Facilities Providing Contraceptives, by Type of Contraceptive Offered

     CountryYear of SARA SurveyProvides FP Services (%)COCs (%)POPs (%)CICs (%)POIs (%)Male Condoms (%)Female Condoms (%)IUDs (%)Implants (%)CycleBeads for SDM (%)ECPs (%)Male Sterilization (%)Female Sterilization (%)Total No. of Facilities
    Benin2015837246685364186471442112788
    Burkina Faso2014918980NA8987834981807834766
    Djibouti20155750493230452329121371282
    DRC201433231412192818911167131,555
    Mauritania201667645544595528202939NANA288
    Niger201596959151938561488691512372
    Sierra Leone201394898533799279253374311455
    Tanzania2012836863375468918232643681,297
    Togo20128465443866651640463117NA4100
    Uganda20139285595898414283010681315209
    • Abbreviations: CICs, combined injectable contraceptives; COCs, combined oral contraceptives; DRC, Democratic Republic of the Congo; ECPs, emergency contraceptive pills; FP, family planning; IUD, intrauterine device; NA, not available; POIs, progestin-only injectables; POPs, progestin-only pills; SARA, Service Availability and Readiness Assessment; SDM, Standard Days Method.

    • View popup
    TABLE 2.

    Percentage of Facilities Providing Family Planning Services With Guidelines, Trained Staff, and Equipment

    CountryYearFP Guidelines (%)At Least 1 Trained FP Staff (%)BP Apparatus (%)All 3 Items (%)
    Benin201564479635
    Burkina Faso201487789868
    Djibouti201574668755
    DRC201453518533
    Mauritania2016445491NA
    Niger201582788352
    Sierra Leone201359758342
    Tanzania2012574589NA
    Togo201267428836
    Uganda201344498628
    • Abbreviations: BP, blood pressure; DRC, Democratic Republic of the Congo; FP, family planning; NA, not available.

Additional Files

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    Files in this Data Supplement:

    • Download Supplement Table - Percentage of Health Facilities With Stock of Oral Contraceptives, Injectables, and Male Condoms on the Day of SARA Survey, by Type and Location of Facility
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Global Health: Science and Practice: 6 (3)
Global Health: Science and Practice
Vol. 6, No. 3
October 03, 2018
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Assessment of Family Planning Service Availability and Readiness in 10 African Countries
Moazzam Ali, Madeline Farron, Thandassery Ramachandran Dilip, Rachel Folz
Global Health: Science and Practice Oct 2018, 6 (3) 473-483; DOI: 10.9745/GHSP-D-18-00041

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Assessment of Family Planning Service Availability and Readiness in 10 African Countries
Moazzam Ali, Madeline Farron, Thandassery Ramachandran Dilip, Rachel Folz
Global Health: Science and Practice Oct 2018, 6 (3) 473-483; DOI: 10.9745/GHSP-D-18-00041
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