Role of the private sector in providing modern contraceptive methods in middle & low-income countries
ESC Congress Library. Benova L. May 28, 2014; 50521; A-106 Disclosure(s): This work was funded by Merck for Mothers. The funders had no role in study design, data collection or analysis.
Ms. Lenka Benova
Ms. Lenka Benova
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Abstract
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Introduction:
Family planning in low-income countries has been neglected for almost two decades. Recently, renewed interest was sparked by the 2012 London Summit. There is a gap in understanding of private sector family planning provision, in terms of its extent and its characteristics. The objective of this paper is three fold. Firstly, we created a typology of private sector providers of modern contraceptive methods. Secondly, we described the sectors where women are obtaining modern contraceptives (public, private, other)and their market share. Thirdly, we assessed the socio-economic gradients in the private sector market.

Methods:
We used nationally-representative population-based data collected since 2000 in 57 countries through Demographic and Health Surveys. We aggregated these data by world region and disaggregated them by wealth quintile and type of provider.

Results:
Data were obtained for 57 countries, with information on 865,547 women aged 15-49 years old, representing a population of 2.9 billion people. There were 30 countries in the Sub-Saharan Africa Region, 9 countries in the North Africa/ Middle East Region, 10 countries in the South/Southeast Asia Region, and 8 countries in the Latin America/ Caribbean Region. These represent 83%, 29%, 87%, and 20% percent of the populations of these regions. Across the regions, wealthier women in need of contraception were more likely to use it; the gradients in use of private care are similar.

Conclusions:
We found 139 different unique types of family planning method providers listed on the DHS surveys. We classified the heterogenous private sector providers into 9 separate categories (commercial specialised drug seller, commercial medical, commercial retailer, faith-based, NGO, and other). We found the pattern of private sector use differed by women's wealth quintile.
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