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Assessing family planning progress in exemplar countries: development of a conceptual framework and case study
Zahid Ali Memon1, Hina Najmi2, Abeer Mian3
1Department of Community Health Sciences, The Aga Khan University, Karachi, Sindh, Pakistan zahid.memon@aku.edu.
BMJ Global Health
|June 9, 2026
Summary
This study examined family planning (FP) progress in six countries using mixed methods. Key drivers of contraceptive uptake were identified, emphasizing context-specific interventions for improved reproductive health outcomes.
Area of Science:
- Reproductive Health
- Global Health
- Health Services Research
Background:
- Family planning (FP) is crucial for reproductive health, enabling individuals to control fertility through contraceptive methods.
- The Exemplars in Family Planning (EFP) project examines determinants of FP progress in countries with exceptional health outcomes.
Purpose of the Study:
- To outline the methodology of the EFP project, which uses mixed-methods to analyze factors influencing family planning progress.
- To identify cross-cutting themes and drivers of modern contraceptive prevalence in diverse country contexts.
Main Methods:
- Mixed-methods approach integrating quantitative (trend analysis, decomposition) and qualitative (interviews, policy assessment) data.
- Case studies in six countries exceeding expectations for health outcomes.
- Data triangulation, systematic reviews, and stakeholder engagement for robust validation.
Main Results:
- Nuanced understanding of FP progress by analyzing interactions between government programs, service delivery, and individual determinants.
- Quantified contributions of population characteristics, behavioral factors, and interventions to contraceptive uptake.
- Identified key cross-cutting drivers and contextual factors influencing family planning.
Conclusions:
- Multicountry, mixed-methods analysis led by local researchers enhances rigor and contextualization.
- Evidence-informed guidance for improving contraceptive uptake and demand satisfaction.
- Highlights the need for context-specific interventions and further longitudinal research.
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