The Geography of Family Planning Quality—Measuring and Accounting for Change

Sasmira Matta
Y. Natalia Afonso, Johns Hopkins University
Suzanne Bell, Johns Hopkins Bloomberg School of Public Health
Shulin Jiang, Johns Hopkins University
David Bishai, Johns Hopkins Bloomberg School of Public Health

The purpose of this study is to identify ecological level determinants of the quality of family planning as measured by the Method Information Index (MII) in Ethiopia, Ghana, and Kenya. We computed the MII from household survey data for each round of the Performance, Monitoring, and Accountability (PMA) surveys and aggregated to the enumeration area (EA). Then, we regressed the MII on indicators of SES and the health system of that enumeration area in order to determine what positively or negatively affects the quality of family planning. The results illustrate that previous year’s MII is positively correlated with current MII and user fees are negatively correlated. We intend to share the adjusted MII we computed at the EA level with family planning administrators and community leaders so they can detect high priority areas.

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 Presented in Session 1. Fertility, Family Planning, Sexual Behavior, & Reproductive Health 1