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ORIGINAL ARTICLE
Open Access

Contraceptive Method Mix: Updates and Implications

Jane T. Bertrand, John Ross, Tara M. Sullivan, Karen Hardee and James D. Shelton
Global Health: Science and Practice December 2020, 8(4):666-679; https://doi.org/10.9745/GHSP-D-20-00229
Jane T. Bertrand
aTulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA.
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  • For correspondence: bertrand@tulane.edu
John Ross
bIndependent consultant, New Paltz, NY, USA.
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Tara M. Sullivan
cKnowledge Management Programs, Johns Hopkins Center for Communication Programs, Baltimore, MD, USA.
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Karen Hardee
dWhat Works Association, Arlington, VA, USA.
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James D. Shelton
eIndependent consultant, Boyds, MD, USA.
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  • FIGURE 1.
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    FIGURE 1.

    Changes in the Method Mix Between Earliest and Latest Surveys, by Method and Region, Change per Year, Weighted by Population

    Abbreviation: IUD, intrauterine device.

  • FIGURE 2.
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    FIGURE 2.

    Rwanda: Changes in Method Mix Between 1983 and 2014a

    Abbreviation: IUD, intrauterine device.a In the middle of Figure 2, the share due to traditional methods increased and the shares for modern methods fell. The timing corresponds to the Rwanda genocide in mid-1994; overall contraceptive use fell from about 20% to about 13% between the surveys of 1992 and 1996 but proportionately less for traditional methods than for resupply methods dependent upon logistics systems.

  • FIGURE 3.
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    FIGURE 3.

    Ghana: Changes in Method Mix Between 1979 and 2017

    Abbreviation: IUD, intrauterine device.

  • FIGURE 4.
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    FIGURE 4.

    Contraceptive Method Mix in Each Region and All Countries, Population Weighted

    Abbreviation: IUD, intrauterine device.

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    FIGURE 5.

    Relationship Between the Measure of Average Deviation and Contraceptive Prevalence Rate, 113 Latest Surveys

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    TABLE 1.

    Method Mix for Latest Surveys to Compare Unweighted and Weighted Results

    FemaleSterilizationMaleSterilizationIUDImplantInjectablePillCondomTraditionalSum
    AsiaUnweighted13.41.924.82.513.917.813.212.6100.0
    Weighted38.72.622.01.06.610.010.78.4100.0
    Latin AmericaUnweighted29.11.28.41.916.419.114.39.5100.0
    Weighted30.82.69.22.510.723.213.27.8100.0
    Middle East/North AfricaUnweighted7.20.320.20.24.629.48.629.5100.0
    Weighted7.70.623.40.35.632.08.222.2100.0
    Sub-Saharan AfricaUnweighted3.90.23.411.330.821.412.016.9100.0
    Weighted3.50.13.113.935.718.97.817.0100.0
    TotalUnweighted11.60.812.05.519.622.011.916.6100.0
    Weighted29.12.017.53.312.014.810.211.0100.0
    • Abbreviation: IUD, intrauterine device.

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    TABLE 2.

    The 34 Countries That Have a Method Skew (>50%) as of the Most Recent Survey and Method Causing the Skew, Based on Women Married or in Union

    MethodCountrySkew (%)
    InjectableEthiopia64.4
    Liberia62.8
    Haiti61.7
    Sierra Leone54.3
    Myanmar52.9
    Mozambique51.9
    Indonesia51.8
    Madagascar51.1
    Malawi50.8
    TraditionalAzerbaijan76.8
    South Sudan65.7
    DR Congo64.8
    Armenia51.9
    Libya51.6
    Bahrain51.3
    Mauritius50.7
    PillSudan77.6
    Algeria77.5
    Morocco74.7
    Saudi Arabia62.0
    Zimbabwe61.7
    Mauritania59.8
    Laos50.6
    IUDTurkmenistan87.5
    Uzbekistan80.0
    Tajikistan64.4
    Kyrgyzstan55.6
    Kazakhstan54.4
    Egypt51.5
    Female SterilizationIndia67.7
    Dominican Rep.58.6
    El Salvador51.7
    CondomHong Kong70.0
    Botswana69.3
    • Abbreviation: IUD, intrauterine device.

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Global Health: Science and Practice: 8 (4)
Global Health: Science and Practice
Vol. 8, No. 4
December 23, 2020
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Contraceptive Method Mix: Updates and Implications
Jane T. Bertrand, John Ross, Tara M. Sullivan, Karen Hardee, James D. Shelton
Global Health: Science and Practice Dec 2020, 8 (4) 666-679; DOI: 10.9745/GHSP-D-20-00229

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Contraceptive Method Mix: Updates and Implications
Jane T. Bertrand, John Ross, Tara M. Sullivan, Karen Hardee, James D. Shelton
Global Health: Science and Practice Dec 2020, 8 (4) 666-679; DOI: 10.9745/GHSP-D-20-00229
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