Abstract
Background: An estimated 214 million women have unmet need for family planning in developing regions. Improved utilization of the private sector is key to achieving universal access to a range of safe and effective modern contraceptive methods stipulated by FP2020 and SDG commitments. Until now, a lack of market data has limited understanding of the private sector's role in increasing contraceptive coverage and choice. Methods: In 2015, the FPwatch Project conducted representative outlet surveys in Ethiopia, Nigeria, and DRC using a full census approach in selected administrative areas. Every public and private sector outlet with the potential to sell or distribute modern contraceptives was approached. In outlets with modern contraceptives, product audits and provider interviews assessed contraceptive market composition, availability, and price. Findings: Excluding general retailers, 96% of potential outlets in Ethiopia, 55% in Nigeria, and 41% in DRC had modern contraceptive methods available. In Ethiopia, 41% of modern contraceptive stocking outlets were in the private sector compared with approximately 80% in Nigeria and DRC where drug shops were dominant. Ninety-five percent of private sector outlets in Ethiopia had modern contraceptive methods available; 37% had three or more methods. In Nigeria and DRC, only 54% and 42% of private sector outlets stocked modern contraceptives with 5% and 4% stocking three or more methods, respectively. High prices in Nigeria and DRC create barriers to consumer access and choice. Discussion: There is a missed opportunity to provide modern contraception through the private sector, particularly drug shops. Subsidies and interventions, like social marketing and social franchising, could leverage the private sector's role in increasing access to a range of contraceptives. Achieving global FP2020 commitments depends on the expansion of national contraceptive policies that promote greater partnership and cooperation with the private sector and improvement of decisions around funding streams of countries with large populations and high unmet need like Ethiopia, Nigeria, and DRC.
| Original language | English (US) |
|---|---|
| Article number | e0192522 |
| Journal | PLoS One |
| Volume | 13 |
| Issue number | 2 |
| DOIs | |
| State | Published - Feb 1 2018 |
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ASJC Scopus subject areas
- Biochemistry, Genetics and Molecular Biology(all)
- Agricultural and Biological Sciences(all)
Cite this
Getting to FP2020 : Harnessing the private sector to increase modern contraceptive access and choice in Ethiopia, Nigeria, and DRC. / Riley, Christina; Garfinkel, Danielle; Thanel, Katherine; Esch, Keith; Workalemahu, Endale; Anyanti, Jennifer; Mpanya, Godéfroid; Binanga, Arsène; Pope, Jen; Longfield, Kim; Bertrand, Jane; Shaw, Bryan; Andrada, Andrew; Auko, Eric; Bates, Katie; Chakrabory, Nirali; Chavasse, Desmond; Haslam, Tarryn; Hurley, Catherine; Jiri, Tabeth; Lailari, Aliza; Littrell, Megan; Ngigi, Julius; O'Connell, Kathryn; Orford, Ricki; Prabhu, P.; Poyer, Stephen; Rahariniaina, Justin; Shoen, Mac; Tamene, Habtamu; Thet, May Me; Ujuju, Chinazo; Kebede, Tadele; Lemango, Ephrem Tekle; Assefa, Berhane; Girma, Woldemariam; Balami, Wapada I.; Afolabi, Kayode; Ortonga, Gabriel; Kyungu, Thérèse; Kasongo, Gaby; Dupont, Veronique; Hum, Janine; Lin, Amy; Radloff, Scott; Yadav, Prashant; Amanda Kalamar, Kalamar; Thurston, Sarah; Gray, Coley.
In: PLoS One, Vol. 13, No. 2, e0192522, 01.02.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Getting to FP2020
T2 - Harnessing the private sector to increase modern contraceptive access and choice in Ethiopia, Nigeria, and DRC
AU - Riley, Christina
AU - Garfinkel, Danielle
AU - Thanel, Katherine
AU - Esch, Keith
AU - Workalemahu, Endale
AU - Anyanti, Jennifer
AU - Mpanya, Godéfroid
AU - Binanga, Arsène
AU - Pope, Jen
AU - Longfield, Kim
AU - Bertrand, Jane
AU - Shaw, Bryan
AU - Andrada, Andrew
AU - Auko, Eric
AU - Bates, Katie
AU - Chakrabory, Nirali
AU - Chavasse, Desmond
AU - Haslam, Tarryn
AU - Hurley, Catherine
AU - Jiri, Tabeth
AU - Lailari, Aliza
AU - Littrell, Megan
AU - Ngigi, Julius
AU - O'Connell, Kathryn
AU - Orford, Ricki
AU - Prabhu, P.
AU - Poyer, Stephen
AU - Rahariniaina, Justin
AU - Shoen, Mac
AU - Tamene, Habtamu
AU - Thet, May Me
AU - Ujuju, Chinazo
AU - Kebede, Tadele
AU - Lemango, Ephrem Tekle
AU - Assefa, Berhane
AU - Girma, Woldemariam
AU - Balami, Wapada I.
AU - Afolabi, Kayode
AU - Ortonga, Gabriel
AU - Kyungu, Thérèse
AU - Kasongo, Gaby
AU - Dupont, Veronique
AU - Hum, Janine
AU - Lin, Amy
AU - Radloff, Scott
AU - Yadav, Prashant
AU - Amanda Kalamar, Kalamar
AU - Thurston, Sarah
AU - Gray, Coley
PY - 2018/2/1
Y1 - 2018/2/1
N2 - Background: An estimated 214 million women have unmet need for family planning in developing regions. Improved utilization of the private sector is key to achieving universal access to a range of safe and effective modern contraceptive methods stipulated by FP2020 and SDG commitments. Until now, a lack of market data has limited understanding of the private sector's role in increasing contraceptive coverage and choice. Methods: In 2015, the FPwatch Project conducted representative outlet surveys in Ethiopia, Nigeria, and DRC using a full census approach in selected administrative areas. Every public and private sector outlet with the potential to sell or distribute modern contraceptives was approached. In outlets with modern contraceptives, product audits and provider interviews assessed contraceptive market composition, availability, and price. Findings: Excluding general retailers, 96% of potential outlets in Ethiopia, 55% in Nigeria, and 41% in DRC had modern contraceptive methods available. In Ethiopia, 41% of modern contraceptive stocking outlets were in the private sector compared with approximately 80% in Nigeria and DRC where drug shops were dominant. Ninety-five percent of private sector outlets in Ethiopia had modern contraceptive methods available; 37% had three or more methods. In Nigeria and DRC, only 54% and 42% of private sector outlets stocked modern contraceptives with 5% and 4% stocking three or more methods, respectively. High prices in Nigeria and DRC create barriers to consumer access and choice. Discussion: There is a missed opportunity to provide modern contraception through the private sector, particularly drug shops. Subsidies and interventions, like social marketing and social franchising, could leverage the private sector's role in increasing access to a range of contraceptives. Achieving global FP2020 commitments depends on the expansion of national contraceptive policies that promote greater partnership and cooperation with the private sector and improvement of decisions around funding streams of countries with large populations and high unmet need like Ethiopia, Nigeria, and DRC.
AB - Background: An estimated 214 million women have unmet need for family planning in developing regions. Improved utilization of the private sector is key to achieving universal access to a range of safe and effective modern contraceptive methods stipulated by FP2020 and SDG commitments. Until now, a lack of market data has limited understanding of the private sector's role in increasing contraceptive coverage and choice. Methods: In 2015, the FPwatch Project conducted representative outlet surveys in Ethiopia, Nigeria, and DRC using a full census approach in selected administrative areas. Every public and private sector outlet with the potential to sell or distribute modern contraceptives was approached. In outlets with modern contraceptives, product audits and provider interviews assessed contraceptive market composition, availability, and price. Findings: Excluding general retailers, 96% of potential outlets in Ethiopia, 55% in Nigeria, and 41% in DRC had modern contraceptive methods available. In Ethiopia, 41% of modern contraceptive stocking outlets were in the private sector compared with approximately 80% in Nigeria and DRC where drug shops were dominant. Ninety-five percent of private sector outlets in Ethiopia had modern contraceptive methods available; 37% had three or more methods. In Nigeria and DRC, only 54% and 42% of private sector outlets stocked modern contraceptives with 5% and 4% stocking three or more methods, respectively. High prices in Nigeria and DRC create barriers to consumer access and choice. Discussion: There is a missed opportunity to provide modern contraception through the private sector, particularly drug shops. Subsidies and interventions, like social marketing and social franchising, could leverage the private sector's role in increasing access to a range of contraceptives. Achieving global FP2020 commitments depends on the expansion of national contraceptive policies that promote greater partnership and cooperation with the private sector and improvement of decisions around funding streams of countries with large populations and high unmet need like Ethiopia, Nigeria, and DRC.
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UR - http://www.scopus.com/inward/citedby.url?scp=85042161663&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0192522
DO - 10.1371/journal.pone.0192522
M3 - Article
C2 - 29444140
AN - SCOPUS:85042161663
VL - 13
JO - PLoS One
JF - PLoS One
SN - 1932-6203
IS - 2
M1 - e0192522
ER -