Abstract
Background: Although Myanmar has made good progress in family planning by increased contraceptive prevalence rate (CPR) from 41% in 2007 to 52.2% in 2016, it remains lower than the target of 60% by 2020. There are also huge disparities sub-nationally, ranging from 25% to 60%. While there is a strong need to monitor the progress of family planning program regularly at the national and sub-national level, Myanmar has limited surveys, data quality and methodological issues in its Health Management Information System (HMIS), and a scattered rollout of the Logistic Management Information System (LMIS). Methods: To identify viable options for annual monitoring, four data sources: modelled contraceptive prevalence rate for modern methods (mCPR) estimates from Track20's Family Planning Estimation Tool (FPET); method-specific prevalence from the 2015-16 Myanmar Demographic and Health Survey (DHS); mCPR estimates and method prevalence from HMIS and estimates of modern method use (EMU) based on commodity consumption data from LMIS, were compared for the years 2015-2017. Estimates of mCPR from HMIS were tested for accuracy based on whether they fell within the 95% confidence interval of mCPR estimates from the FPET for the corresponding years. EMU from LMIS was also tested for those years and states/regions where available. Results: For annual tracking of mCPR, direct estimates of HMIS were considered carefully, as they were much higher than those of the DHS survey and were not matched by FPET results, except in Chin and Kayin. To monitor the method mix, HMIS data can be used as these are similar pattern with DHS in both national and State/Regional level except Chin and Kayin. LMIS could be used in annual tracking when there are high reporting rates and valid information of consumption. Conclusions: Track20's FPET is the method of choice to get valid information for annual monitoring of family planning program.
Highlights
It would be helpful to have contextual information about the development of the Health Management Information System (HMIS) and Logistic Management Information System (LMIS)
The objective of this study is to review existing sources of data on the modern contraceptive prevalence rate and methodspecific prevalence in Myanmar to identify viable options for annual monitoring of the family planning program at the national and state/regional level
Data sources In order to understand what data may best serve annual monitoring of the performance of the family planning program in Myanmar, both at the national and state/regional level, four data sources of modern contraceptive use were used to compare: 1. Modelled modern contraceptive prevalence rate (mCPR) estimates from Track20’s Family Planning Estimation Tool (FPET) tool, based on nationally and state/regionally representative surveys[10] for Myanmar: Myanmar Demographic and Health Survey (DHS) (2015–16), Multiple Indicator Cluster Survey (2010), Fertility and Reproductive Health Survey (1991,1997, 2001 & 2007) (While FPET tool can be incooperated with both survey and service statistics data, FPET run for Myanmar could not use the service statistics data due to data validity.)
Summary
It would be helpful to have contextual information about the development of the HMIS and LMIS . While there is a strong need to monitor the progress of family planning program regularly at the national and sub-national level, Myanmar has limited surveys, data quality and methodological issues in its Health Management Information System (HMIS), and a scattered rollout of the Logistic Management Information System (LMIS). Methods: To identify viable options for annual monitoring, four data sources: modelled contraceptive prevalence rate for modern methods (mCPR) estimates from Track20’s Family Planning Estimation Tool (FPET); method-specific prevalence from the 2015-16 Myanmar Demographic and Health Survey (DHS); mCPR estimates and method prevalence from HMIS and estimates of modern method use (EMU) based on commodity consumption data from LMIS, were used to compare for the years 2015-2017. To monitor the method mix, HMIS data can be used as these are similar pattern with DHS in both national and State/Regional level except Chin and Kayin. Conclusions: Track20’s FPET is the method of choice to get valid information for annual monitoring of family planning program
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