Online Program

Enhancing contraceptive stock out information with a couple years protection lost measure – a useful tool for family planning programs

Monday, November 4, 2013 : 10:30 a.m. - 10:45 a.m.

Hilary M. Schwandt, PhD, Fairhaven College, Western Washington University, Bellingham, WA
Marc Boulay, PhD, Center for Communication Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
Abdulmumin Saad, MBBS, MPH, PhD, Nigerian Urban Reproductive Health Initiative (NURHI), Johns Hopkins Bloomberg School of Public Health, Center for Communication Programs, Baltimore, MD
Background: Programs aiming to increase the contraceptive prevalence rate must address contraceptive supply stock out issues in order to ensure that the supply is available to meet the increase in demand. The use of a binary measure recording whether or not a stock out has occurred at a specific facility obscures important information about the potential negative effect of that stock out, such as the potential number of new contraceptive adopters lost due to the stock out. Methods: Using monitoring data on stock outs at focal family planning cities, as part of the Nigeria Urban Reproductive Health Initiative (NURHI), we created a summary measure that includes important information about the potential effect of a stock out - the couple years protection lost (CYPL) measure. The CYPL combines information on client flow, stock outs and the published couple year protection for each method – and then is summed and presented as an aggregate measure at the facility level. Results: The results show that two facilities in Abuja with the same number of absolute contraceptive stock outs (10) between January and April 2012 have widely divergent CYPLs of 516 and 175. Similarly, two other facilities with widely divergent actual stock outs (4 and 10) have the same 175 CYPL value. Discussion: With the CYPL measure programs can target those family planning facilities with the most widely damaging stock outs first, to strategically reduce the negative impact of stock outs in an informed order of priority.

Learning Areas:

Public health or related research

Learning Objectives:
Explain the Couple Year Protection Lost method for measuring and comparing contraceptive stock outs at family planning facilities.

Keyword(s): Family Planning, Service Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am been the co-principal investigator for some federally funded grants and other privately funded grants. Among my interests has been the promotion of reproductive health in various sub-Saharan Africa countries.
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.

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