PMA2017/KADUNA-R4 PERFORMANCE MONITORING & ACCOUNTABILITY 2020 PMA2020 uses innovative mobile technology to support low-cost, rapid-turnaround surveys to monitor key indicators for family planning. The project is implemented by local university and research organizations in 11 countries, deploying a cadre of female resident enumerators trained in mobile-assisted data collection. PMA2020/ Nigeria was carried out in Lagos and Kaduna states in 2014 and 2015, and in sev- en states in 2016 and 2017 for rounds 3 and 4 (Anambra, Kaduna, Kano, Lagos, Nasarawa, Rivers and Taraba). PMA2020/Nigeria is led by the Centre for Research, Evaluation Resources and Development (CRERD) and Bayero University Kano (BUK). The survey is endorsed and supported by the Federal Ministry of Health, the Na- tional Population Commission, the National Bureau of Statistics, and the Lagos and Kaduna State Ministries of Health. Overall direction and support is provided by the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public Health through a grant by the Bill & Melinda Gates Foundation. For more information please visit http://www.pma2020.org Modern Contraceptive Prevalence Rate (Married Women, Age 15-49)
KEY FAMILY PLANNING INDICATORS 30 Select Family Planning Indicators Across Recent Surveys 23.3 20.4 (All and Married Women, Age 15-49) 20 18.1 18.0 PMA2015/ PMA2016/ PMA2017/ 15.3 10 9.0 Kaduna-R2 Kaduna-R3 Kaduna-R4 Percentage 5.9 All Married All Married All Married 0 Contraceptive Prevalence PMA2017/ PMA2017/ PMA2017/ PMA2017/ PMA2017/ PMA2017/ PMA2017/ Rate (CPR) Lagos Nasarawa Kaduna Rivers Anambra Taraba Kano Unmet Need and Contraceptive Use, by Age (All Women) All Methods CPR 14.5 16.5 15.1 17.5 17.4 20.3 80 80 Modern Methods Use 13.2 15.0 13.9 16.1 15.6 18.1 70 60 Unmet Need Long Acting/Permanent 4.1 5.0 4.9 5.8 5.6 6.8 6023+20+18+18+15+9+6 CPR 50 Traditional Methods Total Unmet Need 24.9 30.2 26.2 31.9 22.4 27.7 40 40 Short-acting
Percentage Methods For Limiting 5.5 6.8 5.8 7.0 7.1 8.6 30 Long-acting 20 20 For Spacing 19.5 23.4 20.4 24.9 15.3 19.0 Methods 10 Total Demand 39.4 46.6 41.3 49.3 39.8 47.9 0 0 15 20 25 30 35 40 45 Demand Satisfied by 33.5 32.1 33.7 32.6 39.2 37.7 Age Modern Method (%) Current Modern Method Mix Among Married Contraceptive Users Fertility Indicators (All Women) 2.2 0.5 100100 4.0 PMA2015 PMA2016 PMA2017 2.5 Other modern* 14.0 13.8 Round 2 Round 3 Round 4 Male condoms 80 Recent Births Unintended (%) 37.7 29.6 28.0 75 Pills Wanted Later 29.3 22.4 20.3 60 45.4 39.5 Injectables Wanted No More 8.3 7.2 7.7 50 Implant 40 80 Percentage IUD Current Use and Unmet Need Among Married Women of Reproductive Age, 25 Female sterilization 70 by Wealth Quintile 20 31.6 34.6
60 *Other modern methods include: 1.7 2.1 60 0 Female condoms, beads, LAM, 0 2.6 1.0 Round 3 Round 4 emergency contraception 50 23.7 PMA2016 PMA2017 50 Round 3 Round 4 27.3 Unmet Need 40 40 3.2 Traditional Method Percent of All Women Age 18-24
30 38.0 27.5 1.5 Modern Method 70 65.4 30 61.1
Percentage 21.7 60 2020 36.7 3.1 29.8 50 10 2.8 10 0.6 13.5 40 9.9 8.2 Q1: Poorest quintile 30.7 00 Q5: Wealthiest quintile 30
Q1Q1 Q2 Q3 Q4 Q5 Q5 Percentage % Demand Satisfied 20 28.8% 17.6% 30.6% 50.8% 57.7% by Modern Method 15 10 3.3 0 Married by Age 18 Had First Sex Used Contraception Had First Birth 61 + 65 by Age 18 + 3 by Age 18 +31 by Age 18 PMA2017/KADUNA, NIGERIA-ROUND 4 INDICATORS FOR ACCESS, EQUITY, QUALITY AND CHOICE For Current Modern Users in Kaduna (%), Indicators by Wealth Quintile (n=455) Percent of Facilities Offering Family Planning with Methods in Stock on Day of Interview (n=140, 77 public; 63 private)
0 10 20 30 40 50 60 70 80 90 100 Public Facilities Private Facilities 100 Method Chosen By Self 88 94 100100 1.3 5.2 Or Jointly (91.9%) 9.1 15.9 10.4 7.8 23.8 26.0 33.3 Obtained Method Of 8080 39.0 80 7.9 Choice (96.0%) 4.8 13.0 60 12.7 Told Of Other Methods 6060 3.9 93.7 90.9 88.3 87.0 96.8 (75.2%) 71.4
Percentage 76.2 4040 40 Counseled On Side 61.0 54.0 Effects (67.1%) 57.1 2020 20 Paid For FP Services (74.0%) 0 3.2 6.3 0 0 Would Return to Provider IUDS Implants Injectables Pills Male Condoms IUDS Implants Injectables Pills Male Condoms 77 93 Pills Pills & Refer a Friend or Implants Implants Family Member (86.1%) IUDs Male Condoms IUDs Male Condoms Injectables Injectables Received Method From Method in stock Method out of stock Method not offered FAMILY PLANNING BRIEF FAMILY Public SDP (67.0%) Births in the Past 5 Years, or Current Pregnancies in Kaduna (n=1,669) Percent of Public Facilities in Kaduna Offering At Least 3 or At Least 5 Modern Last Birth Unintended Contraceptive Methods, by Facility Type (28.0%) 20 31 Facility Type 3 or more methods 5 or more methods Indicator (average %) 0 10 20 30 40 50 60 70 80 90 100 Hospital (n=23) 100.0 95.7 Q1: Poorest quintile Q1 Q2 Q3 Q4 Q5 Q5: Wealthiest quintile Health Center (n=53) 84.9 58.5 For Current Female Non-Users in Kaduna (n=1,226) Total 86.3 66.3 Reasons Mentioned For Non-Use Among All Women Wanting To Delay The Next Birth 2 Or More Years (%) Not Married 26.8 Perceived Not-At-Risk/Lack of Need 42.5 Service Delivery Points in Kaduna (n=165; 80 public, 85 private) Method or Health-related Concerns 22.9 Public Private Total Opposition to Use 18.4 Among All Service Delivery Points: Lack of Access/Knowledge 8.2 Offering Family Planning (%) 96.3 74.1 84.8 Other 10.8 With Mobile Teams Visiting Facility In Last 6 Months (%) 62.5 4.7 32.7 Reproductive Health and Contraceptive Indicators Supporting CHWs From This Service Delivery Point (%) 65.0 1.2 32.1 Total Rural Urban Among Service Delivery Points Offering Family Planning Services: Median Age at First Marriage (25-49 years) 17.2 16.6 18.9 Average Number Of Days Per Week Family Planning Is Offered 5.0 5.9 5.4 Median Age at First Sex (15-49 years) 15.6 15.4 17.0 Offering Female Sterilization (%) 16.9 0.0 9.3 Median Age at First Contraceptive Use (15-49 years) 26.7 25.9 28.0 Offering Family Planning Counseling/Services To Adolescents (%) 62.3 31.7 48.6 Median Age at First Birth (25-49 years) 20.0 19.0 20.7 Charging Fees For Family Planning Services (%) 10.4 25.4 17.1 Mean No. Of Living Children at First Contraceptive Use* 3.1 3.0 3.4 (15-49 years) Percent Integrating Family Planning Into Their:
Women Having First Birth by Age 18 (18-24 years, %) 30.7 34.8 19.2 Maternal Health Services (among all offering maternal health services) 100.0 75.0 97.6
Received FP Info From Provider in Last 12 Months (15-49 HIV Services (among all offering HIV services) 100.0 90.0 98.8 40.4 39.3 43.1 years, %) Post-Abortion Services (among all offering post-abortion services) 97.4 100.0 97.5 Exposed to FP Media in Last Few Months (age 15-49 68.7 60.1 91.5 years, %) * includes women age 15-49 who have never given birth SAMPLE DESIGN The PMA2017/Kaduna-R4 survey used a two-stage cluster design with urban-rural as strata. A sample of 66 enumeration areas (EAs) was drawn from the National Population Commission's master sampling frame. In each EA households and private health facilities were listed and mapped, with 35 households randomly se- lected. Households were surveyed and occupants enumerated. All eligible females age 15 to 49 were contacted and consented for interviews. The final sample included 2,278 households, 2,855 de facto females and 165 health facilities (99.4%, 99.3% and 98.8% response rates, respectively). Data collection was con- ducted between April to May 2017.
-- Updated Aug. 11, 2017 --
BAYERO UNIVERSITY KANO