Transforming Family Planning: New Insights on Contraceptive Use
A new method improves understanding of family planning trends.
Shauna Mooney, Leontine Alkema, Emily Sonneveldt, Kristin Bietsch, Jessica Williamson, Niamh Cahill
― 5 min read
Table of Contents
Family planning is important for the health and well-being of individuals and communities. It allows people to decide how many children they want and when to have them. Access to family planning services can lead to better health outcomes for women and children. It also plays a role in reducing poverty. To keep track of how well family planning programs are doing, we need to measure certain key indicators, such as Modern Contraceptive Prevalence Rate, or [MCPR](/en/keywords/modern-contraceptive-prevalence-rate--kwl6r8l) for short.
What is mCPR?
mCPR is the percentage of women who use modern methods of contraception. This includes a range of options like condoms, birth control pills, and sterilization procedures. Monitoring mCPR helps countries understand their progress in providing family planning services and can guide policy decisions. However, tracking this data isn’t easy, especially in low- and middle-income countries where surveys are often limited.
The Problem of Data Gaps
Many countries conduct large-scale health surveys only every few years. This can leave gaps in data when trying to monitor family planning indicators. If there's no recent survey, how can countries assess their progress? This is where service statistics come into play. These are routinely collected data that health facilities gather while providing family planning services.
Service Statistics as a Solution
Service statistics can be used to create an estimate called Estimated Modern Use (EMU). EMUs pull from various types of service data, such as how many contraceptive items are distributed or how many people visit family planning providers. Studies have found that changes in EMUs can often predict changes in mCPR, giving us a potential lifeline during data-sparse periods.
Uncertainty in EMUs
UnderstandingOne challenge with using EMUs is that they come with uncertainty. Not all service statistics are created equal. The accuracy of EMUs can vary widely between countries and even between different types of data within the same country. This uncertainty can make it hard to use EMU data effectively when estimating mCPR.
A New Approach to EMUs
To better utilize the EMUs in mCPR estimates, researchers developed a new method that takes uncertainty into account. This approach uses advanced statistical modeling to analyze service statistics and derive more accurate mCPR estimates. By capturing the uncertainty associated with EMUs and accounting for different country contexts, the model aims to provide clearer insights into family planning progress.
Benefits of the New Approach
Preliminary results show that including EMU data significantly improves mCPR estimates. By validating this method against actual survey outcomes, researchers found that the new model made better predictions than those relying only on survey data. This is great news for countries trying to keep tabs on their family planning goals.
Real-World Examples
To illustrate how the new method works, let's look at a few hypothetical countries.
Country A
In Country A, officials struggled to track contraceptive use with only survey data from 2018. Yet service statistics from health facilities provided data up to 2022. Using the new model, experts found that the mCPR had likely risen significantly since the last survey. This insight was vital for informing future family planning strategies.
Country B
Country B also faced data challenges. It lacked recent survey data; however, EMU statistics suggested an uptick in contraceptive use. With the new approach, officials could better gauge this change despite the uncertainty, helping them make informed decisions without being solely reliant on outdated surveys.
Country C
In contrast, Country C had high uncertainty around its EMUs. The inclusion of this uncertainty in the new model highlighted the limitations of using service statistics alone. Officials used this information to reinforce the need for more regular surveys or alternative data sources to track progress accurately.
Country D
Country D had no EMU data available before the most recent survey. Despite this setback, the new model still provided estimates that reflected actual trends in modern contraceptive use, showing that even in challenging circumstances, there is value in interpreting the available data.
Country E
Country E recently conducted a survey in 2022 and saw minimal changes in estimates when EMUs were integrated. This example demonstrated that when recent survey data is available, using EMUs might not produce significant additional insights.
Country F
Finally, despite being similar to Country E, Country F had a different set of service statistics that told a different story. Here, EMUs suggested an increase in the use of modern contraceptives. The new model helped to make sense of these trends and allowed officials to plan accordingly.
Conclusion
In the ever-changing landscape of family planning, having accurate and timely information is crucial. As countries face challenges in gathering data, the new approach to EMU integration provides a way to improve estimates of modern contraceptive use. By considering uncertainty and drawing on service statistics, officials can make data-driven decisions that ultimately lead to better health outcomes for women and children.
With these tools and methods in place, countries are better equipped to monitor their family planning goals and adapt as necessary. After all, when it comes to family planning, the more accurate the data, the better the decisions—and that can only lead to healthier outcomes in every sense of the word.
So, let’s keep those stats coming, and who knows? Maybe in the future, we’ll find out that the best method of family planning doesn’t just involve contraception, but also the right data!
Original Source
Title: Enhancing the use of family planning service statistics using a Bayesian modelling approach to inform estimates of modern contraceptive use in low- and middle-income countries
Abstract: Monitoring family planning indicators, such as modern contraceptive prevalence rate (mCPR), is essential for family planning programming. The Family Planning Estimation Tool (FPET) uses survey data to estimate and forecast family planning indicators, including mCPR, over time. However, sole reliance on large-scale surveys, carried out on average every 3-5 years, can lead to data gaps. Service statistics are a readily available data source, routinely collected in conjunction with service delivery. Various service statistics data types can be used to derive a family planning indicator called Estimated Modern Use (EMU). In a number of countries, annual rates of change in EMU have been found to be predictive of true rates of change in mCPR. However, it has been challenging to capture the varying levels of uncertainty associated with the EMU indicator across different countries and service statistics data types and to subsequently quantify this uncertainty when using EMU in FPET. We present a new approach to using EMUs in FPET to inform mCPR estimates, using annual EMU rates of change as input, and accounting for uncertainty associated with the EMU derivation process. The approach also considers additional country-type-specific uncertainty. We assess the EMU type-specific uncertainty at the country level, via a Bayesian hierarchical modelling approach. Validation results and anonymised country-level case studies highlight improved predictive performance and provide insights into the impact of including EMU data on mCPR estimates compared to using survey data alone. Together, they demonstrate that EMUs can help countries monitor progress toward their family planning goals more effectively.
Authors: Shauna Mooney, Leontine Alkema, Emily Sonneveldt, Kristin Bietsch, Jessica Williamson, Niamh Cahill
Last Update: 2024-12-11 00:00:00
Language: English
Source URL: https://arxiv.org/abs/2412.08606
Source PDF: https://arxiv.org/pdf/2412.08606
Licence: https://creativecommons.org/licenses/by/4.0/
Changes: This summary was created with assistance from AI and may have inaccuracies. For accurate information, please refer to the original source documents linked here.
Thank you to arxiv for use of its open access interoperability.