文章基本信息

标题：Estimating family planning coverage from contraceptive prevalence using national household surveys
本地全文：下载
作者：Aluisio J. D. Barros ; Ties Boerma ; Ahmad R. Hosseinpoor 等
期刊名称：Global Health Action
印刷版ISSN：1654-9716
电子版ISSN：1654-9880
出版年度：2015
卷号：8
期号：0
DOI：10.3402/gha.v8.29735
语种：English
出版社：Taylor & Francis
摘要：Background: Contraception is one of the most important health interventions currently available and yet, many women and couples still do not have reliable access to modern contraceptives. The best indicator for monitoring family planning is the proportion of women using contraception among those who need it. This indicator is frequently called demand for family planning satisfied and we argue that it should be called family planning coverage (FPC). This indicator is complex to calculate and requires a considerable number of questions to be included in a household survey.Objectives: We propose a model that can predict FPC from a much simpler indicator – contraceptive use prevalence – for situations where it cannot be derived directly.Design: Using 197 Multiple Indicator Cluster Surveys and Demographic and Health Surveys from 82 countries, we explored least-squares regression models that could be used to predict FPC. Non-linearity was expected in this situation and we used a fractional polynomial approach to find the best fitting model. We also explored the effect of calendar time and of wealth on the models explored.Results: Given the high correlation between the variables involved in FPC, we managed to derive a relatively simple model that depends only on contraceptive use prevalence but explains 95% of the variability of the outcome, with high precision for the estimated regression line. We also show that the relationship between the two variables has not changed with time. A concordance analysis showed agreement between observed and fitted results within a range of ±9 percentage points.Conclusions: We show that it is possible to obtain fairly good estimates of FPC using only contraceptive prevalence as a predictor, a strategy that is useful in situations where it is not possible to estimate FPC directly.Keywords: family planning; contraception; coverage; prevalence; health indicators(Published: 9 November 2015)Responsible Editor: Peter Byass, Umeå University, Sweden.To access the supplementary material for this article, please see Supplementary files under ‘Article Tools’Citation: Glob Health Action 2015, 8: 29735 - http://dx.doi.org/10.3402/gha.v8.29735This paper is part of the Special Issue: Countdown to 2015 for maternal, newborn and child survival. More papers from this issue can be found at http://www.globalhealthaction.net
关键词：Global Health; Reproductive Health; Epidemiology; Gender;family planning; contraception; coverage; prevalence; health indicators;RA421-790.95