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Assessing the contraceptive supply environment in Kinshasa, DRC: trend data from PMA2020
S Babazadeh1, S Lea1, P Kayembe2
1Global Health Management and Policy, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, Suite 1900, New Orleans, LA 70112, USA and.
Performance Monitoring and Accountability 2020 (PMA2020) survey data reveals significant gaps in family planning services in Kinshasa. Many facilities offering family planning had limited method availability and frequent stockouts, hindering contraceptive access.
Area of Science:
- Public Health
- Reproductive Health
- Health Systems Research
Background:
- The Performance Monitoring and Accountability 2020 (PMA2020) program collects crucial data on contraceptive use and supply chains in multiple countries.
- Understanding the dynamics of family planning (FP) service delivery is essential for improving reproductive health outcomes.
Purpose of the Study:
- To assess the contraceptive supply environment in Kinshasa, DRC, using PMA2020 data from 2014-2016.
- To identify challenges in service delivery points (SDPs) offering family planning (FP) services.
Main Methods:
- PMA2020 utilized a two-stage cluster sampling design in Kinshasa.
- Data were collected annually from 2014 to 2016 from a sample of service delivery points (SDPs).
Main Results:
- A significant proportion of SDPs offering FP services had limited method availability and experienced frequent contraceptive stockouts.
- Long-acting reversible contraceptives were less available and more prone to stockouts than short-acting methods.
- Inconsistent pricing and lack of posted prices were observed across facilities.
Conclusions:
- The contraceptive supply environment in Kinshasa showed persistent challenges between 2014 and 2016.
- Actionable data from PMA2020 can inform improvements in FP service delivery if utilized by local stakeholders.
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