Abstract
Expanding access to family planning (FP) is a principal objective of global family planning efforts and has been a driving force of national family planning programs in recent years. Many country programs are working alongside with the international family planning community to expand access to modern contraceptives. However, there is a challenging need for measuring all aspects of access. Measuring access usually requires linking information from multiple sources (e.g., individual women and facilities). To assess the influence of access to family planning services on modern contraceptive use among women, we link four rounds of individual women and service delivery points survey data from PMA2020 in Kinshasa. Multilevel logistics regression on pooled data is performed to test the influence of facility-level access factors on individual-level contraceptive use. We add variables tailored from a conceptual framework to cover elements of access to family planning: administrative access, geographic or physical access, economic access or affordability, cognitive access, service quality, and psychological access. We find that the effect of community and facility-level access factors varies extensively but having fewer stocked-out facilities and more facilities with long-acting permanent methods (LAPM) increases the odds of using modern contraceptives among women in Kinshasa. Our study shows that reliable supply chain with a broad array of method mix will increase the odds of modern contraceptive use at community level among women in Kinshasa. Using to community-oriented practices and service delivery along with empowering women to make health-related decisions should become a priority of family planning programs and international stakeholders in the country.
Highlights
BackgroundExpanding access to family planning (FP) is a principal objective of global family planning efforts and has been a driving force of national family planning programs in recent years
This study uses four consecutive rounds of population-based and facility-based survey data collected in Kinshasa through Performance Monitoring and Accountability 2020 (PMA2020), a multi-country platform which, similar to the Demographic and Health Survey (DHS) and Service Provision Assessment (SPA), surveys female respondents and service delivery points (SDP) about family planning [30]
Our analysis shows that at least one third of women had never been exposed to any FP messages
Summary
BackgroundExpanding access to family planning (FP) is a principal objective of global family planning efforts and has been a driving force of national family planning programs in recent years. Influence of supply access factors on modern contraceptive use available data that harmonizes the international family planning survey series Performance Monitoring for Action, or PMA (formerly known as Performance Monitoring and Accountability 2020 or PMA2020)
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