Family Planning Update - Ethiopia and Africa
According to the June 2018 Track 20 Report, a monitoring service in support of the FP 2020 agenda, the modern contraceptive prevalence rate (mCPR) needs to increase by eight percentage points per year to reach this target, a rate considerably above historic averages.
“The Track 20 Report shows that we are at an mCPR of 37%,” says Dagnachew Alemayehu, National Key Accounts Manager for DKT.
“This means that 60% of the contraceptive need in Ethiopia has been met, but 40% of women that would like to use contraceptives are unable to do so for a variety of reasons.”
Results from the sixth round of PMA 2020 data collection are expected in early September. Track 20 monitoring reports use data from PMA 2020 surveys as well as the Ethiopian Demographic and Health Surveys (EDHS).
One interesting development to watch will be the emergence of implant contraceptives, particularly among unmarried sexually active women.
Between Rounds 4 and 5 of PMA 2020 data collection, implant use increased from 15.3% to 33.2% of method mix among sexually active unmarried women. Over the same period, the use of injectable contraceptives decreased from 51.2% to 33.2% of method mix.
“The emerging importance of implant contraceptives is interesting,” says Rory Harrington, DKT Ethiopia Country Director.
“Is this being fueled by word of mouth? What is attracting young women to the method?”
DKT’s own distribution, which targets the private sector, seemingly supports the trend around implants.
“In the first six months of 2018, implant contraceptive sales were up 30% year-over-year,” says Dagnachew.
“This was considerably ahead of most of our other products.”
DKT distributed 20,193 implant contraceptives from January - June 2018.
The latest PMA 2020 report shows that the private sector may hold the greatest opportunity for increasing mCPR.
While approximately 90% of public facilities had stock of most methods in the PMA 2020 R5 report, just 11.4% and 15.9% of private facilities offered IUCDs and implants, respectively.
“Catalyzing the private sector could be the key to the next phase of mCPR growth and reaching our national targets,” says Dagnachew.
MCPR in Africa
Gains in West Africa, Uganda with mixed results elsewhereEthiopia and Kenya’s successes in family planning programming are well-known, but what about other African countries? The chart below shows recent trends in modern contraceptive prevalence (mCPR) among married women ages 15 - 49 years old. (Data from PMA 2020 reports, Rounds 3 - 6).