Evaluation of natural family planning programmes in Liberia and Zambia

Ronald H Gray, R. T. Kambic, C. A. Lanctot, M. C. Martin, R. Wesley, R. Cremins

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)249-258
Number of pages10
JournalJournal of Biosocial Science
Volume25
Issue number2
StatePublished - 1993

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Liberia
Natural Family Planning Methods
Zambia
Family Planning Services
family planning
evaluation
costs
Cost-Benefit Analysis
Unplanned Pregnancy
Costs and Cost Analysis
Life Tables
Pregnancy Rate
pregnancy
urban area
rural area
autonomy
Learning
interpretation
learning

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Demography

Cite this

Gray, R. H., Kambic, R. T., Lanctot, C. A., Martin, M. C., Wesley, R., & Cremins, R. (1993). Evaluation of natural family planning programmes in Liberia and Zambia. Journal of Biosocial Science, 25(2), 249-258.

Evaluation of natural family planning programmes in Liberia and Zambia. / Gray, Ronald H; Kambic, R. T.; Lanctot, C. A.; Martin, M. C.; Wesley, R.; Cremins, R.

In: Journal of Biosocial Science, Vol. 25, No. 2, 1993, p. 249-258.

Research output: Contribution to journalArticle

Gray, RH, Kambic, RT, Lanctot, CA, Martin, MC, Wesley, R & Cremins, R 1993, 'Evaluation of natural family planning programmes in Liberia and Zambia', Journal of Biosocial Science, vol. 25, no. 2, pp. 249-258.
Gray RH, Kambic RT, Lanctot CA, Martin MC, Wesley R, Cremins R. Evaluation of natural family planning programmes in Liberia and Zambia. Journal of Biosocial Science. 1993;25(2):249-258.
Gray, Ronald H ; Kambic, R. T. ; Lanctot, C. A. ; Martin, M. C. ; Wesley, R. ; Cremins, R. / Evaluation of natural family planning programmes in Liberia and Zambia. In: Journal of Biosocial Science. 1993 ; Vol. 25, No. 2. pp. 249-258.
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