FPwatch Study Reference Document Federal Democratic Republic of Ethiopia Outlet Survey 2015-16 www.FPwatch.info Copyright © Population Services International (PSI). All rights reserved. Released April 2016 Suggested citation FPwatch Group. (2016). FPwatch Study Reference Document: The Federal Democratic Republic of Ethiopia 2015. Washington DC: PSI. Contact Tarryn Haslam Dr. Woldemariam Girma Deputy Director, Malaria & Child Principal Investigator – Population Services International (PSI) Survival Department Ethiopia PSI | 1120 19th St NW Suit 600 Addis Ababa, Bole Sub-City, Kebele 03/05 Washington DC 20036 Bole Medahneyalem Church Area [email protected] Addis Ababa, Ethiopia [email protected] Acknowledgements FPwatch is funded by the Bill and Melinda Gates Foundation. This study was implemented by Population Services International. PSI-Ethiopia Field Supervisors Field Team Members Dr. Woldemariam Girma Akele Kubi Abdulahi Ahmed Leul Haile Donato Gulino Berhanu Yitayew Admasu Daka Mekoya Tarekegn Elias Legesse Dereje Bayissa Ali Jemal Mesfin Agachew Girma Tadesse Dereje Dechasa Anwar Jibril Mesfin Girma Habtamu Tamene Desalegn Geleta Asfaw Oljira Migret Ayalew Desalegn Tadesse Asmamaw Haile Mulunesh Amenta Alliance for Better Health Getachew Tilahun Aster Tegene Nathnael Senbetu Fekadu Dubi Hanna Mersha Bedilu Alemayehu Nefise Nuriye Dr. Marcos Feleke Henok Demissie Beruh Alemayehu Omar Ahmed Eyob Kifle Kasegn Tibebu Biruk Amare Rehel Tedele Dr. Mengistu Tafesse Megnistu Yilma Biruk Taye Rakeb Abebaw Tsedeke Wolde Chaltu Baja Sabit Abagojam Sebri Nuru Ali ABH Field Coordinators Demitu Legesse Field Quality Controllers Emawayish Tadesse Shiferaw Bekele Dagim Aschenaki Simret Mulu Tamrat Tefera Abdissa Ararsa Emebet Mulugeta Abdulhafiz Hassen Eskeskedar Melkamu Simret Solomon Habtamu Tesfaye Sisay Asseffa Fiseha Wudineh Asamen Mulatu Eyob Tesfaye Efa Ambaw Fasika Gurmessa Solomon Alemu Frezer Zewdu Tadesse Mekonnen Fikrte Ayele Gebeyehu Durcho Gebreyes Lemma Tefera Girma Ethiopia Ministry of Meles G/Medhin Mesay Aregawi Geremew Terefe Tegegn Alemayehu Health Neima Zeynu Haftom Wolday Tesfaye Kebede Berhane Assefa Netsanet Fekede Haymanot Lemma Tinsae Wolde Nuria Yakob Helen W/Semayat Tsegansh Nigatu FPwatch Team Sadik Tamene Hiwot Shimeles Yonas Tedla Andrew Andrada Tigist Desalegn Hoffola Gudetta Yonas Zewdie Dr. Nirali Chakrabory Iticha Abdissa Wondi Magegn Danielle Garfinkel Kibrework Sisay Zelalam Abdissa Dr. Jen Pope Konjit Yigzaw Zeleke Bonger Mac Schoen Lencho Fita Dr. Bryan Shaw Kate Thanel www.FPwatch.info Page 1 Table of Contents LIST OF TABLES ................................................................................................................................................... 3 LIST OF FIGURES ................................................................................................................................................. 5 DEFINITIONS ....................................................................................................................................................... 7 INTRODUCTION ................................................................................................................................................ 10 SUMMARY OF METHODS AND DATA COLLECTION ......................................................................................... 11 SUMMARY OF KEY FINDINGS ........................................................................................................................... 13 RESULTS SECTION A: CORE INDICATORS FOR ALL FOUR REGIONS COMBINED .............................................. 27 RESULTS SECTION B: CORE INDICATORS BY REGION ....................................................................................... 44 ANNEX 1: FPWATCH BACKGROUND ................................................................................................................ 77 ANNEX 2: ETHIOPIA BACKGROUND ................................................................................................................. 79 ANNEX 3: OUTLET SURVEY METHODS ............................................................................................................. 82 ANNEX 4: SAMPLED WOREDAS/KEBELES ........................................................................................................ 86 ANNEX 5: MAP OF SAMPLED CLUSTERS ........................................................................................................ 105 ANNEX 6: DETAILED SAMPLE DESCRIPTION .................................................................................................. 106 ANNEX 7: QUESTIONNAIRE ............................................................................................................................ 108 ANNEX 8: DETAILED BRAND LISTING WITH QUALITY-ASSURANCE INDICATIONS ......................................... 132 ANNEX 9. SAMPLING WEIGHTS...................................................................................................................... 134 ANNEX 10: FPWATCH INDICATOR LIST .......................................................................................................... 136 ANNEX 11. COUPLE-YEARS OF PROTECTION (CYP) ........................................................................................ 149 ANNEX 12: CONTRACEPTIVE METHOD VOLUMES ......................................................................................... 151 www.FPwatch.info Page 2 List of Tables Core Indicators Table S1: Key results, by outlet type—All 4 Regions, 2015...................................................................................... 13 Table A1a: Modern contraceptive method market composition—All 4 Regions .................................................... 27 Table A1b: Modern contraceptive method market composition—excluding outlets with condoms only*—All 4 Regions ..................................................................................................................................................... 28 Table A2: Availability of modern contraceptive method categories, among outlets screened, by outlet type – Ethiopia, 2015........................................................................................................................................... 29 Table A3: Availability of selected contraceptive commodities, among outlets screened, by outlet type – Ethiopia, 2015 .......................................................................................................................................................... 30 Table A4: Availability of modern contraceptive method diversity, among outlets screened, by outlet type – Ethiopia, 2015........................................................................................................................................... 32 Table A5: Current stock out of selected modern contraceptive commodities on day of survey, among outlets reportedly stocking method in previous 3 months, by outlet type – Ethiopia, 2015 .............................. 33 Table A6a: Price of selected modern contraceptive methods in USD, by private outlet type—All 4 Regions ........ 34 Table A6b: Price of selected modern contraceptive methods in USD per CYP, by private outlet type—All 4 Regions ..................................................................................................................................................... 35 Table A7: Median markup percentage for selected modern contraceptive methods, by private outlet type—All 4 Regions ..................................................................................................................................................... 36 Table A8: Contraceptive method market share—All 4 Regions .............................................................................. 37 Table A9: Contraceptive method market share within outlet type—All 4 Regions................................................. 39 Table A10: Availability of selected contraceptive services, among outlets screened, by outlet type – Ethiopia, 2015 .......................................................................................................................................................... 41 Table A11: Service readiness to provide provider-dependent contraceptive services, among outlets reportedly offering the procedure, by outlet type – Ethiopia, 2016 ......................................................................... 42 Table B1a: Modern contraceptive method market composition, by region ........................................................... 44 Table B1b: Modern contraceptive method market composition—excluding outlets with condoms only,* by region ....................................................................................................................................................... 45 Table B2: Availability of modern contraceptive method categories, among outlets screened, by outlet type – Ethiopia, 2015........................................................................................................................................... 46 Table B3: Availability of selected contraceptive commodities, among outlets screened, by outlet type – Ethiopia, 2015 .......................................................................................................................................................... 48 Table B4: Availability of modern contraceptive method diversity, among outlets screened, by outlet type – Ethiopia, 2015..........................................................................................................................................