Evaluation of natural family planning programmes in liberia and zambia

Ronald H. Gray; Robert T. Kambic; Claude A. Lanctot; Mary C. Martin; Roselind Wesley; Richard Cremins

doi:10.1017/S0021932000020538

Evaluation of natural family planning programmes in liberia and zambia

Ronald H. Gray, Robert T. Kambic, Claude A. Lanctot, Mary C. Martin, Roselind Wesley, Richard Cremins

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

12 Scopus citations

Abstract

Studies to evaluate use-effectiveness and cost-effectiveness of natural family planning (NFP) were conducted in Liberia and Zambia. The Liberian programme provided uni-purpose NFP services to 1055 clients mainly in rural areas; the Zambian programme provided NFP services integrated with MCH to 2709 clients predominantly in urban areas. The one-year life table continuation and unplanned pregnancy rates were 78–9 and 4.3 per 100 woman-years in Liberia, compared to 71.2 and 8–9 in Zambia. However, high rates of loss to follow-up mandate caution in interpretation of these results, especially in Zambia. More women progressed to autonomous NFP use in Liberia (58%) than in Zambia (35-3%). However, programme costs per couple-year protection were lower in Zambia (US$25-7) than in Liberia (US$47. 1). Costs per couple-year protection were higher during learning than autonomy, and declined over time. These studies suggest that NFP programmes can achieve acceptable use- and cost-effectiveness in Africa.

Original language	English (US)
Pages (from-to)	249-258
Number of pages	10
Journal	Journal of Biosocial Science
Volume	25
Issue number	2
DOIs	https://doi.org/10.1017/S0021932000020538
State	Published - Apr 1993

ASJC Scopus subject areas

General Social Sciences
Public Health, Environmental and Occupational Health

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title = "Evaluation of natural family planning programmes in liberia and zambia",

abstract = "Studies to evaluate use-effectiveness and cost-effectiveness of natural family planning (NFP) were conducted in Liberia and Zambia. The Liberian programme provided uni-purpose NFP services to 1055 clients mainly in rural areas; the Zambian programme provided NFP services integrated with MCH to 2709 clients predominantly in urban areas. The one-year life table continuation and unplanned pregnancy rates were 78–9 and 4.3 per 100 woman-years in Liberia, compared to 71.2 and 8–9 in Zambia. However, high rates of loss to follow-up mandate caution in interpretation of these results, especially in Zambia. More women progressed to autonomous NFP use in Liberia (58%) than in Zambia (35-3%). However, programme costs per couple-year protection were lower in Zambia (US$25-7) than in Liberia (US$47. 1). Costs per couple-year protection were higher during learning than autonomy, and declined over time. These studies suggest that NFP programmes can achieve acceptable use- and cost-effectiveness in Africa.",

author = "Gray, {Ronald H.} and Kambic, {Robert T.} and Lanctot, {Claude A.} and Martin, {Mary C.} and Roselind Wesley and Richard Cremins",

note = "Funding Information: Support for this study was provided by co-operative agreement DPE-0632-A00-3049 from the Agency for International Development (AID), and by the Institute for International Studies in Natural Family Planning of Georgetown University under Co-operative Agreement DPE-3040-A-00-5064-00. Computing consultation was supported by NICHD Grant P30HD06268 to the Hopkins Population Center. We are grateful for the advice and encouragement provided by Mr J. Spieler, USAID.",

year = "1993",

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AU - Kambic, Robert T.

AU - Lanctot, Claude A.

AU - Martin, Mary C.

AU - Wesley, Roselind

AU - Cremins, Richard

N1 - Funding Information: Support for this study was provided by co-operative agreement DPE-0632-A00-3049 from the Agency for International Development (AID), and by the Institute for International Studies in Natural Family Planning of Georgetown University under Co-operative Agreement DPE-3040-A-00-5064-00. Computing consultation was supported by NICHD Grant P30HD06268 to the Hopkins Population Center. We are grateful for the advice and encouragement provided by Mr J. Spieler, USAID.

PY - 1993/4

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N2 - Studies to evaluate use-effectiveness and cost-effectiveness of natural family planning (NFP) were conducted in Liberia and Zambia. The Liberian programme provided uni-purpose NFP services to 1055 clients mainly in rural areas; the Zambian programme provided NFP services integrated with MCH to 2709 clients predominantly in urban areas. The one-year life table continuation and unplanned pregnancy rates were 78–9 and 4.3 per 100 woman-years in Liberia, compared to 71.2 and 8–9 in Zambia. However, high rates of loss to follow-up mandate caution in interpretation of these results, especially in Zambia. More women progressed to autonomous NFP use in Liberia (58%) than in Zambia (35-3%). However, programme costs per couple-year protection were lower in Zambia (US$25-7) than in Liberia (US$47. 1). Costs per couple-year protection were higher during learning than autonomy, and declined over time. These studies suggest that NFP programmes can achieve acceptable use- and cost-effectiveness in Africa.

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Evaluation of natural family planning programmes in liberia and zambia

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