Jorge I Ugaz1, Minki Chatterji2, James N Gribble3, Susan Mitchell2. 1. International Health Division, Abt Associates, Bethesda, MD, USA. Electronic address: Jorge_Ugaz@abtassoc.com. 2. International Health Division, Abt Associates, Bethesda, MD, USA. 3. Futures Group, Washington DC, USA.
Abstract
OBJECTIVE: To examine trends in the source of modern contraception (public versus private sector); method choice (long-acting or permanent methods versus short-acting methods); and method and source combined. METHODS: A retrospective analysis was conducted using data collected by national Demographic and Health Surveys and Reproductive Health Surveys during the period 1992-2012. The dataset included 18 low-income countries in Sub-Saharan Africa, 10 from Latin America and the Caribbean (LAC), and 8 from Asia. RESULTS: A substantial proportion-between 40% and 49%-of modern contraceptive users relied on the private sector in Asia and LAC in the last 20years, yet the proportion has been smaller in Sub-Saharan Africa, between 27% and 30%. Increased use of short-acting methods from both public and private sectors has driven the rise in contraceptive prevalence in Asia and LAC. Similarly, increased contraceptive prevalence in Sub-Saharan Africa reflected the increased use of short-acting methods obtained mainly through the public sector, with only limited use of long-acting or permanent methods through the private sector. CONCLUSION: The private sector has played a key role in the increase of modern CPR and the provision of modern contraceptives around the world, providing almost half of them in low-income countries. Yet, such increase was driven primarily by a more substantial role in the provision of short-acting methods than long acting and permanent methods. Crown
OBJECTIVE: To examine trends in the source of modern contraception (public versus private sector); method choice (long-acting or permanent methods versus short-acting methods); and method and source combined. METHODS: A retrospective analysis was conducted using data collected by national Demographic and Health Surveys and Reproductive Health Surveys during the period 1992-2012. The dataset included 18 low-income countries in Sub-Saharan Africa, 10 from Latin America and the Caribbean (LAC), and 8 from Asia. RESULTS: A substantial proportion-between 40% and 49%-of modern contraceptive users relied on the private sector in Asia and LAC in the last 20years, yet the proportion has been smaller in Sub-Saharan Africa, between 27% and 30%. Increased use of short-acting methods from both public and private sectors has driven the rise in contraceptive prevalence in Asia and LAC. Similarly, increased contraceptive prevalence in Sub-Saharan Africa reflected the increased use of short-acting methods obtained mainly through the public sector, with only limited use of long-acting or permanent methods through the private sector. CONCLUSION: The private sector has played a key role in the increase of modern CPR and the provision of modern contraceptives around the world, providing almost half of them in low-income countries. Yet, such increase was driven primarily by a more substantial role in the provision of short-acting methods than long acting and permanent methods. Crown
Authors: Annie Haakenstad; Olivia Angelino; Caleb M S Irvine; Zulfiqar A Bhutta; Kelly Bienhoff; Corinne Bintz; Kate Causey; M Ashworth Dirac; Nancy Fullman; Emmanuela Gakidou; Thomas Glucksman; Simon I Hay; Nathaniel J Henry; Ira Martopullo; Ali H Mokdad; John Everett Mumford; Stephen S Lim; Christopher J L Murray; Rafael Lozano Journal: Lancet Date: 2022-07-23 Impact factor: 202.731
Authors: Rodolfo Gomez Ponce de Leon; Fernanda Ewerling; Suzanne Jacob Serruya; Mariangela F Silveira; Antonio Sanhueza; Ali Moazzam; Francisco Becerra-Posada; Carolina V N Coll; Franciele Hellwig; Cesar G Victora; Aluisio J D Barros Journal: Lancet Glob Health Date: 2019-02 Impact factor: 26.763