Figures & Tables
Figures
- FIGURE 1.
Monthly Trends in the Number of DMPA-SC Units Provided by District, Uganda, April 2016–March 2017
Abbreviation: DMPA-SC, subcutaneous depot medroxyprogesterone acetate.
During an RHU outreach event in Kabarole district, Uganda, a provider shows women waiting for family planning services what Sayana Press looks like and provides information about the method. © 2016 Irene Kugonza/RHU.
- FIGURE 2.
Percentage Distribution of Family Planning Methods by Service Delivery Channel, 4 Districts of Uganda, April 2016–March 2017
Abbreviations: DMPA-IM, intramuscular depot medroxyprogesterone acetate; DMPA-SC, subcutaneous depot medroxyprogesterone acetate; IUD, intrauterine device; VHT, village health team.
Note: Pills include combined oral contraceptives and progestin-only pills; condoms include male and female condoms; and permanent methods include tubal ligation and vasectomy.
Tables
District Subregion TFR Teenage Pregnancy (%) mCPR (%) Unmet Need for Family Planning (%) Mbale Bugisu 5.6 28.2 43.2 22.1 Kabarole Toro 5.4 30.3 37.4 41.3 Mbarara Ankole 4.9 18.9 36.2 44.5 Kabale Kigezo 4.6 15.5 43.2 NA National 5.4 24.8 34.8 31.9 Abbreviations: NA, not available (due to small numbers of data); mCPR, modern contraceptive prevalence rate; TFR, total fertility rate.
Source: UBOS and ICF (2018).9
- TABLE 2.
Sayana Press Learning Project Activities by Service Delivery Channel, Uganda, April 2016–March 2017
Service Delivery Channels VHTs Static Clinic Mobile Outreach Public Sector RHU Clinics Number supported 40 VHTs (40% men, 60% women; 10 VHTs per district selected from existing cadre of active VHTs) 26 clinics with outreach site Kabale (9)
Kabarole (4)
Mbale (6)
Mbarara (7)
4 clinics (1 RHU static clinic per project district) Mobile outreach conducted in 26 public-sector clinic sites Service delivery Comprehensive family planning counseling, information, and awareness raising
Short-acting methods (DMPA-IM, DMPA-SC, oral contraceptives, condoms)
Referral to mobile outreach teams, RHU clinics, or public-sector clinics for long-acting methods and other SRH services
Comprehensive family planning counseling and information
Short-acting methods (DMPA-IM, DMPA-SC, oral contraceptives, condoms)
Long-acting methods (implants and IUDs)
Permanent methods (tubal ligation and vasectomy)
Other SRH services (including HIV and STI testing/treatment and cervical cancer screening)
Trainings All 40 VHTs received a 7-day training on: Comprehensive counseling on all methods (including DMPA-SC)
Provision of DMPA-SC
Provision of other short-acting methods
Referral processes
Project data collection
42 facility-based providers (nurses, midwives, and clinical officers) drawn from public-sector facilities with outreach site and RHU facilities received a 2-day training on: Comprehensive counseling on all methods including DMPA-SC
Provision of DMPA-SC
Refresher training on all family planning methods
FP supplies and equipment VHTs obtained FP commodities from RHU clinics in project districts FP commodities provided through the NMS All FP commodities (including DMPA-SC) provided through UHMG All FP commodities and equipment provided by RHU outreach teams Additional support provided Monthly supportive supervision provided by RHU clinical staff
Comprehensive counseling on all methods including DMPA-SC
NA NA NA Demand creation 1 stakeholders' meeting involving 118 participants (including district health officers and religious and community leaders) drawn from all 4 project districts
Educational outreach by RHU providers or VHTs about importance of family planning method through door-to-door mobilization, group information sessions, IEC materials, and media (mainly TV and radio programs)
Abbreviations: DMPA-IM, intramuscular depot medroxyprogesterone acetate; DMPA-SC, subcutaneous depot medroxyprogesterone acetate; FP, family planning; IEC, information, education, and communication; IUD, intrauterine device; NA, not applicable; NMS, National Medical Stores; RHU, Reproductive Health Uganda; SRH, sexual and reproductive health; STI, sexually transmitted infection; UHMG, Uganda Health Marketing Group; VHT, village health team.
- TABLE 3.
Number of DMPA-SC Units Provided by Project District and Service Delivery Channel, Uganda, April 2016–March 2017
District Service Delivery Channel Monthly Average No. Total No. Clinics No. (%) Outreach No. (%) VHTs No. (%) Mbale 131 (2.7) 1060 (22.2) 3589 (75.1) 4780 398 Kabarole 110 (3.5) 881 (28.0) 2157 (68.5) 3148 262 Mbarara 87 (4.2) 405 (19.6) 1579 (76.2) 2071 173 Kabale 267 (6.2) 1388 (32.5) 2619 (61.3) 4274 356 Total 595 (4.2) 3734 (26.2) 9944 (69.7) 14,273 1189 Abbreviations: DMPA-SC, subcutaneous depot medroxyprogesterone acetate; VHT, village health team.
- TABLE 4.
Volume of Family Planning Methods Provided Before and During the Intervention by Contraceptive Method, 4 Districts of Uganda
Method 6 Months Before Intervention (Oct 2015–Mar 2016) No. (%) First 6 Months of Intervention (Apr 2016–Sep 2016) No. (%) Second 6 Months of Intervention (Oct 2016–Mar 2017) No. (%) Total No. Pillsa 2303 (10.8) 3378 (8.4) 3216 (7.6) 8897 DMPA-IM 4292 (20.0) 9115 (22.7) 11,933 (28.3) 25,340 DMPA-SC — 6470 (16.1) 7803 (18.5) 14,273 Implants 1926 (9.0) 2140 (5.3) 2262 (5.4) 6328 IUD 217 (1.0) 280 (0.7) 254 (0.6) 751 Permanent methodsb 21 (0.1) 94 (0.2) 123 (0.3) 238 Condomsc 12,662 (59.1) 18,646 (46.5) 16,540 (39.3) 47,848 Total 21,421 (100.0) 40,123 (100.0) 42,131 (100.0) 103,675 Total CYPs 7073 11,491 13,009 31,573 Abbreviations: CYP, couple-years of protection; DMPA-IM, intramuscular depot medroxyprogesterone acetate; DMPA-SC, subcutaneous depot medroxyprogesterone acetate; IUD, intrauterine device.
↵a Includes combined oral contraceptives and progesterone-only pills.
↵b Includes tubal ligation and vasectomy.
↵c Includes both male and female condoms.
- TABLE 5.
Percentage Distribution of Family Planning Clients by Age and Method, 4 Districts of Uganda, April 2016–March 2017
Method Age Category Total (N) <25 Years (%) ≥25 Years (%) Pills 38.4 61.6 6594 DMPA-IM 36.8 63.2 21,048 DMPA-SC 42.6 57.4 14,273 Implants 21.6 78.4 4402 IUD 16.9 83.1 534 Permanent methods 2.3 97.7 217 Condoms 48.1 51.9 35,186 All methods 42.1 57.9 82,254 Abbreviations: DMPA-IM, intramuscular depot medroxyprogesterone acetate; DMPA-SC, subcutaneous depot medroxyprogesterone acetate; IUD, intrauterine device.
Note: Pills include combined oral contraceptives and progestin-only pills; condoms include male and female condoms; and permanent methods include tubal ligation and vasectomy.
