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PMA2020 is a five-year project that uses innovative mobile technology to support low-cost, rapid-turnaround, national-representative surveys to monitor key indicators for family planning. The project is implemented by local university and research organizations in ten countries, deploying a cadre of female resident enumerators trained in mobile-assisted data collection. PMA2020/Ghana is implemented by the Kwame Nkrumah University of Science and Technology (KNUST), School of Medical Sciences in collaboration with University of Development Studies (UDS) and with the support of the Ghana Health Service and Ghana Statistical Service. The project is funded by the Bill & Melinda Gates Foundation.

PMA2020/GHANA KEY FAMILY PLANNING INDICATORS

Trends in TFR and mCPR, 1988-2013

Select Family Planning Indicators Across Recent Surveys DHS 2008

mADDS 2013*

Family Planning indicators (married women, age 15-49) Contraceptive Prevalence Rate (CPR) % All Methods CPR

23.5

Modern Method Use mCPR

16.6

17.9

6.9

10.3

Unmet Need %

35.3

--

For Spacing

22.5

--

For Limiting

12.9

--

Total Demand %

58.8

--

Demand Satisfied %

28.2

--

Ratio of Lowest: Highest Wealth Quintiles: % Demand Satisfied

23:37

-:-

4.0

3.7

Adolescent Birth Rate (per 1000)

70

41

Recent Births Unintended %

37

32.0

Wanted Later

23

17.0

Wanted No More

14

15.0

--

42:22

Traditional Method Use

Fertility Indicators Total Fertility Rate (all women, age 15-49)

Ratio of Lowest vs. Highest Wealth Quintiles of % Births Unintended

Current Use, Need, Demand Satisfied, by Wealth Quintile

18+23+55= 25+32+65= 27+39+69= 24+36+57= 22+40+56=

30% 38% 39% 42% 41% 80 70 60 50 40 30 20 10 0

8+911+1514+13

For more information on PMA2020 please visit http://www.pma2020.org

Total Fertility Rate (TFR) # of Children Per Women

7 6 5 4 3 2 1 0

6.4

5.2

4.4

4.0

DHS 1988

DHS 1993

DHS 1998

DHS 2003

3.8

DHS 2008

mADDS 2013

Survey Year & Source

Modern Contraceptive Prevalence Rate (mCPR) 15.3

7.9

DHS 1988

13.5

13.2

10.7

9.3

DHS 1993

DHS 1998

DHS 2003

DHS 2008

mADDS 2013

Survey Year & Source

Current Modern Method Mix Among Married Contraceptive Users

Implants 15%

6+3+5412715 52+2+1228 Condom 6%

Sterilization 3% IUD 3%

Other 5%

Pill 27%

Injectable 41%

mCPR:17.9%

Current Modern Method Mix Among Unmarried Sexually Active Contraceptive Users Implants 2.3%

Unmet Need Traditional Method

4.4

Pill 28.11%

Modern Method

Q1 Q2 Q3 Q4 Q5

Injectable 12.43%

Condom 52.07%

Other 1.48%

IUD 1.78% BILL & MELINDA GATES INSTITUTE FOR POPULATION AND REPRODUCTIVE HEALTH

Sterilization 1.78%

mCPR:33.8%


PMA2020/GHANA

3025+352340+3520+85

INDICATORS FOR ACCESS, EQUITY, QUALITY AND CHOICE

Percentage of Facilities Stocked Out of Contraceptives in the Past 12 Months

Obtained Method of Choice

%

Method Chosen Alone Or Jointly

%

Paid For Services

%

Told Of Other Methods

%

Counseled On Side Effects

%

Sterlized Users Who Were Told That The Method Was Permanent

%

Percent Who Would Return To Provider And Refer A Friend, Or Family Member

%

40

30 Percentage of Facilities

For Current Female Users:

20

10

0

Pills

Public Private

Injectables IUDs Implants Male Condoms Contraceptive Method

Service Delivery Points (N=)

For Current Female Non-Users: (N=) First-year Contraceptive Discontinuation Rates

Public

Private

Pills

%

%

Injectables

%

%

IUDs

%

%

Implants

%

%

Female Sterilization

%

%

Male Condoms

%

%

Average Number Of Days Per Week Family Planning Is Offered

Method

Total

Pills

%

Injectables

%

Male Condoms

%

All Methods

%

Reasons for Non-Use Fertility-related Infrequent/No Sex

%

Menopausal

%

Wants Children

%

Opposition to use

Offering The Following Family Planning Methods:

Offering Family Planning Counseling/Services To Adolescents Supporting CHWs From This Facility With Mobile Teams Working From facility In The Last 12 Months Charging Fees For Family Planning Services

Personally Opposed

%

Partner Opposed

%

Lack of Knowledge

%

Method-Related Reasons

%

Fear Of Side Effects

%

Other

With Client feedback system Integrating Family Planning Into Their: Maternal Health Services HIV Services

Post-Abortion Services

%

SAMPLE DESIGN

For All Women of Reproductive Age, 15-49: Rural Median Age of Marriage Median Age at First Sex Median Age at First Birth Having First Births before 18 Received FP Information From Provider In Last 12 Months

Urban

mADDS used a two-stage cluster design with urban-rural, major ecological zones as the strata. A sample of 100 enumeration areas (EA) was drawn by the Ghana Statistical Service from its master sampling frame. For each EA, 42 households and 3-6 health service delivery points (SDPs) were selected. A random start method was used to systematically select households. Households with eligible females of reproductive age (15-49) were contacted and consented for interviews. The survey aimed for sample size of 3400 females and 500 SDPs. Data collection was conducted between September and October, 2013.

PMA 2020 Data Report  
PMA 2020 Data Report