Abstract
Understanding choice of family planning provider is fundamental for policy makers and program managers as they seek ways to both improve the coverage and increase the sustainability and efficiency of family planning services for Egypt to achieve its population objectives. This study focuses first on providing a descriptive profile of the patterns of reliance on sources of family planning services during the early 2000s. Binomial logit models are then estimated to obtain a more in depth understanding of the determinants of the choice of family planning providers in Egypt using the 2000 Egypt Demographic and Health Survey. The study offers insights into a number of aspects of family planning service provision about which there has been less previous investigation. There are marked differences in the extent to which Egyptian women rely on public or private providers for family planning services depending on the type of method they are seeking. Among the more important findings is the consistency women display in the choice of provider among women reporting multiple segments of use. With regard to the determinants of the choice of provider for family planning services, perhaps the most interesting finding is that household wealth was not a significant determinant of the choice of provider. This may reflect that private sources met the demand for family planning services of significant proportions of women in rural areas and among those in the low income groups.
Highlights
Understanding choice of family planning provider is fundamental for policy makers and program managers as they seek ways to both improve the coverage and increase the sustainability and efficiency of family planning services for Egypt to achieve its population objectives
There are marked differences in the extent to which Egyptian women rely on public or private providers for family planning services depending on the type of method they are seeking
A number of conclusions can be drawn from this examination of family planning providers in the early 2000s
Summary
In Egypt during the early years of the 21st century, contraceptive and other reproductive health care services were offered by almost 5000 public health care unit, and more than 20,000 private-practice obstetrician-gynecologists, and other sources (such as private clinics, hospital, mosques/churches, NGOs, etc.). Despite of this medical network, which is almost equivalent to that in some developed countries, Egypt contraceptive prevalence rate reached only 56 percent in 2000 with 54 percent depending on modern methods and a total fertility rate of 3.5 live births/woman [9]. In looking at the sources for methods requiring resupply (e.g., the pill), the source was looked at from the point of view of the type of provider (clinical and pharmacy/nonclinical)
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