Contraception

Meeting Rural Demand: A Case for Combining Community-Based Distribution and Social Marketing of Injectable Contraceptives in Tigray, Ethiopia

Ndola Prata
Karen Weidert
Ashley Fraser
Amanuel Gessessew
2013
Background

In Sub-Saharan Africa, policy changes have begun to pave the way for community distribution of injectable contraceptives but sustaining such efforts remains challenging. Combining social marketing with community-based distribution provides an opportunity to recover some program costs and compensate workers with proceeds from contraceptive sales. This paper proposes a model for increasing access to injectable contraceptives in rural settings by using community-based...

The Impact of Freedom on Fertility Decline

Martha Campbell
Malcolm Potts
Ndola Prata
2013

Although fertility decline often correlates with improvements in socioeconomic conditions, many demographers have found flaws in demographic transition theories that depend on changes in distal factors such as increased wealth or education. Human beings worldwide engage in sexual intercourse much more frequently than is needed to conceive the number of children they want, and for women who do not have access to the information and means they need to separate sex from childbearing, the default position is a large family. In many societies, male patriarchal drives to control female...

Women’s Limited Choice and Availability of Modern Contraception at Retail Outlets and Public-Sector Facilities in Luanda, Angola, 2012–2015

Ndola Prata
Benjamin Nieto-Andrade
Eva Fidel
Rebecca Simmons
Dana Sievers
Anya Fedorova
Suzanne Bell
Karen Weidert
2017

Despite high rates of unintended pregnancy, access to a wide range of contraceptive methods, especially injectables and long-acting reversible contraceptives (LARCs), is severely limited in both public and private facilities. Knowledge of contraceptive choices is likewise limited, yet a substantial proportion of women are not using their preferred method among the methods they know of.

Abstract:

In Angola, many women want to use family planning but lack access to affordable and preferred methods. This article assesses the link between women’s choice and...

Cost of providing injectable contraceptives through a community-based social marketing program in Tigray, Ethiopia

Ndola Prata
Janelle Downinga
Suzanne Bell
Karen Weidert
Hagos Godefay
Amanuel Gessessew
2016
Objective

To provide a cost analysis of an injectable contraceptive program combining community-based distribution and social marketing in Tigray, Ethiopia.

Methods

We conducted a cost analysis, modeling the costs and programmatic outcomes of the program’s initial implementation in 3 districts of Tigray, Ethiopia. Costs were estimated from a review of program expense records, invoices, and interviews with health workers. Programmatic outcomes include number of injections and couple-year of protection (CYP) provided. We performed a sensitivity analysis on the average number of...