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

Research output: Contribution to journalArticle


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
Issue number2
StatePublished - Apr 1993


ASJC Scopus subject areas

  • Social Sciences(all)
  • Public Health, Environmental and Occupational Health

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. https://doi.org/10.1017/S0021932000020538