Abstract
Background: The Consumer’s Market for Family Planning (CM4FP) project was designed to address limitations of existing family planning (FP) data sources that prevent a full understanding of the total FP market. CM4FP data provide a picture of the complete supply environment and how consumers experience it. Study objectives were to 1) test a ring-fenced census approach consisting of an outlet census in a defined geographical area and a household survey in a smaller inner ring, to comprehensively map the total FP market in a local geography; 2) explore FP supply market dynamism through longitudinal data collection from contraceptive outlets; and 3) test a methodology for directly linking household and outlet data to measure the relationship between contraceptive demand and supply. Methods: Data were collected from study sites in Nigeria, Kenya, and Uganda from 2019 to 2020. Longitudinal outlet census data and repeated cross-sectional household survey data from women ages 18-49 were collected at three quarterly time points. Outlets were located in an outer ring geography to encompass locations likely visited by women sampled from a smaller inner ring. Data from women who received a contraceptive method in the past 12 months were linked to data for the outlet from which they received the method. Results: Datasets include product audits for 22,380 individual FP products, collected from a total of 1,836 outlets across 12 study sites. The datasets also contain data from 11,536 female respondents, of whom 1,975 were successfully matched to the outlet where they most recently obtained their method. Conclusions: CM4FP data are available at www.cm4fp.org. This unique dataset enables in-depth exploration of the family planning supply market in addition to interactions between the market and consumer perspectives and behaviors within each study site. The data can also be used to explore novel methodologies to inform future study designs.
Highlights
Several initiatives in the last decade have foregrounded family planning (FP) as a global public health priority
The FP2020 partnership engaged a variety of global stakeholders—including governments, foundations, civil society organizations, and the private sector—to set a goal of reaching 120 million new contraceptive users in low-income countries by 2020 (FP2020, 2020)
Current modern contraceptive use was selected as the overall metric for monitoring progress, those selecting the metric identified a need for attention to additional aspects of access to contraceptive services, including quality of care (Brown et al, 2014)
Summary
Several initiatives in the last decade have foregrounded family planning (FP) as a global public health priority. The Performance Monitoring for Action 2020 (PMA2020) project collects supply- and demand-side data on family planning to track progress toward the FP2020 goals (Zimmerman et al, 2017) Neither of these data approaches, allow for direct, one-to-one linkage of contraceptive users to the outlets from which they obtained contraceptive services, which could provide key information regarding the relationship between supply-side data and measures of contraceptive use, and on the validity of using service statistics to monitor progress toward global goals. The Consumer’s Market for Family Planning (CM4FP) project was designed to pilot an innovative approach for directly linking women with the local total market for FP This was achieved by conducting a census of the FP market in localized geographies and capturing longitudinal data on FP product availability, in tandem with surveys on women nested within the outlet census area, to provide a picture of the complete FP supply environment and how it is experienced by consumers. This paper provides an outline of the study methodology and description of the publicly available data
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