267468 Impact of supply on contraceptive use: Building evidence in Rwanda

Tuesday, October 30, 2012

Fidele Ngabo , Ministry of Health of Rwanda, Kigali, Rwanda
Andrew D. Inglis, MSc, PGradDip , USAID | Deliver Project, John Snow, Inc., Arlington, VA
Emma Stewart, MA , USAID | DELIVER PROJECT, John Snow, Inc., Arlington, VA
Suzy Sacher, MPH , USAID | DELIVER PROJECT, John Snow, Inc., Arlington, VA
Ariella Bock , John Snow, Inc., Arlington, VA
Dana G. Aronovich, MHS , USAID | Deliver Project, John Snow, Inc., Arlington, VA
Agnes Binagwaho , Ministry of Health of Rwanda, Kigali, Rwanda
Research has shown that the use of effective contraception prevents unwanted pregnancies and increases the likelihood of women and children living healthy and productive lives. While there has been a concerted effort in recent years among global donors and national governments to coordinate and increase access to contraception, most research has concentrated on factors influencing demand. Little evidence exists on the effect of product availability and supply of modern contraceptive methods on contraceptive use. Current analysis conducted under the USAID | DELIVER PROJECT demonstrates how the contraceptive prevalence rate (CPR) can be positively influenced by an effective supply chain that ensures the reliable availability of modern contraceptive methods.

According to 2010 Rwanda Demographic Health Survey (DHS) data, the modern CPR in Rwanda has tripled in the previous five years, due primarily to increased use of orals, injectable contraceptives, and implants. This significant growth is also reflected in logistics management information system (LMIS) data from the same time period; quantities of commodities issued increase at a similar rate. Analysis has shown that this is partially due to improvements in supply chain efficiency. Further sub-national temporal and spatial analysis is being conducted to further understand the relationship and effect of supply chain performance and product availability on CPR.

This analysis suggests that increasing the efficiency of the supply chain improves product availability and leads to growth in CPR. Therefore, sustaining the efficiency of the family planning supply chain plays a critical role in preventing unwanted pregnancies.

Learning Areas:
Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Other professions or practice related to public health
Program planning
Public health or related research

Learning Objectives:
Explain how effective supply chains influence product availability in developing countries. Discuss the relationship between product availability and contraceptive use in developing country settings. Describe how to apply spatial and temporal analysis at a sub-national level to compare population-based data to supply chain data.

Keywords: Access and Services, Contraceptives

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present on this research because I assisted with the design and research presented in the poster and am a co-author on this report. I will be attending the conference to present other work.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 4374.0: PRSH Posters