Global Role of the Private Sector in the Provision of ... · Abt Associates leads the project in...
Transcript of Global Role of the Private Sector in the Provision of ... · Abt Associates leads the project in...
SHOPS is funded by the U.S. Agency for International Development. Abt Associates leads the project in collaboration with: Banyan Global Jhpiego Marie Stopes International Monitor Group O’Hanlon Health Consulting
Global Role of the Private Sector in the Provision of Modern Contraception
Jorge I. Ugaz SHOPS Research, Monitoring, and Evaluation Associate June 16, 2015
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What has been the global role of the private sector in the provision of modern contraceptives?
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The private sector is a major source of modern contraception
45%
44%
28%
55%
56%
72%
0% 20% 40% 60% 80% 100%
Asia
LAC
SSA
Modern contraception users who obtained method from private or public sectors (2005 – 2012)
PrivatePublic
Source: Demographic Health Surveys (DHS)
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Is this global role of the private sector the same across type of methods?
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In Asia, private sector has played a larger role in provision of short-acting methods than in the provision of LARC and PM
Private 31%
Public 69% Private
59%
Public 41%
Short-acting methods LARC and PM
Source: Demographic Health Surveys (DHS)
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Short-acting methods LARC and PM
Private 33%
Public 67% Private
54%
Public 46%
We observe the same pattern in the LAC region
Source: Demographic Health Surveys (DHS)
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Short-acting methods LARC and PM
In sub-Saharan Africa, the private sector plays an important role as well, especially for short-acting methods
Private 29%
Public 71%
Private 21%
Public 79%
Source: Demographic Health Surveys (DHS)
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In the three regions, the private sector has a strong presence in the provision of short-acting methods
Source: Demographic Health Surveys (DHS)
32% 30% 24%
13% 15%
3%
23% 26% 60%
31% 30%
13%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
ASIA LAC SSA
LARC & PM Public
SAM Public
LARC & PM Private
SAM PrivatePrivate sector
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The public sector is the main provider of injectables
40% 33%
18%
60% 67%
82%
0%
20%
40%
60%
80%
100%
Asia LAC SSA
Source of injectables, by region (2005 – 2012)
Public
Private
Source: Demographic Health Surveys (DHS)
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Who is accessing the private sector for modern contraceptives?
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Short-acting methods: a substantial proportion among poor women
0% 20% 40% 60% 80% 100%
PeruMadagascar
TanzaniaMalawi
PakistanHonduras
BoliviaNepalKenya
BangladeshColombia
PhilippinesIndia
Indonesia
* Lowest two wealth quintiles
% of poor women using short-acting methods who went through the private
sector
Source: Demographic Health Surveys (DHS)
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LARC and PM: A lower proportion
* Lowest two wealth quintiles
0% 20% 40% 60% 80% 100%
PeruMadagascar
IndiaBangladesh
NepalPhilippines
PakistanColombia
KenyaBolivia
HondurasIndonesia
MalawiTanzania
% of poor women using LARC or PM
who went through the
private sector
Source: Demographic Health Surveys (DHS)
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Across all regions, young women (15-19 years old) rely more on the private sector for contraceptives
Age group 15-19 years 20-24 years 25+ years Sub-Saharan Africa Private 41% 38% 32% Public 59% 62% 68% Asia Private 56% 53% 43% Public 44% 47% 57% Latin America Private 53% 53% 45% Public 47% 47% 55%
Source of modern contraception by age group
Among users who obtained method from public or private sectors only
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Working with the private sector to get to FP20/20
• The private sector plays an important role in the provision of modern contraception, especially short-acting methods.
• A substantial proportion of poor women obtain their short-acting methods from the private sector.
• Youth, particularly 15 to 19-year-olds, rely heavily on the private sector for modern contraceptives.
• With its field programs, the SHOPS project focused on increasing full method choice through greater provision of injectables, LARC, and PM.
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