Islamabad October 08 2021: Overall Contraceptive Performance in terms of Couple Years of Protection (CYP) for the year 2019-20 as compared to 2018-19, has been computed as -8.3%, based on Family Planning Service Statistics data collected from Population Welfare Departments, Departments of Health (including performance of both Health Facilities & Lady Health Workers (LHWs) and from three eminent NGO(s) namely Rahnuma Family Planning Association of Pakistan (Rahnuma FPAP), Marie Stopes Society (MSS) and Greenstar Social Marketing (GSM), working throughout the country. Source-wise break-up is given in subsequent sub-headings:
A L S O || R E A D
Population Welfare Departments (PWDs)
Overall Contraceptive Performance of PWDs for the year 2019-20 in terms of Couple Years of Protection (CYP) has decreased by -24.5% in comparison with the last year 2018-19.
Province and region wise profile of CYP indicates an increase in Sindh (10.3%), whereas decrease has been noticed in Punjab (-19.2%), Khyber Pakhtunkhwa (-74.1%), Balochistan (-19.0%), Islamabad (-28.0%), AJK (-39.4%), Gilgit Baltistan (-13.3%) and Merged Area KP (FATA) (-59.9%).
Method-wise comparison of 2019-20 with 2018-19 of PWDs, in terms of CYP, decrease has been observed in all methods i.e. Condoms (-25.4%), Oral Pills (-9.5%), Injectables (-26.5%), IUCDs (-27.4%), Sterilization/Contraceptive Surgery (-17.0%) and Implants (-16.4%).
Outlet-wise contribution in terms of CYP during the year 2019-20 compared with year 2018-19, has shown an increase of 19.0% in RHS-B Centers, 7.8% in Male Mobilizers (MM), 207.6% in (F.P.I.H.) Program. The performance has decreased by -26.5% in Family Welfare Centers (FWCs), -19.7% in Reproductive Health Services-A (RHS-A) Centers. -22.5% in Mobile Service Units (MSUs) 10.7% in PLDs, -26.1% in Registered Medical Practitioners (RMPs), -57.7% in Hakeems & Homeopaths (H&H) -37% in RTIs, -79.2% in Counters and -34.7% in Others (Franchise Clinics etc.)
Departments of Health (DoH)
Overall Contraceptive Performance of Departments of Health (Health Facilities) for the year 2019-20 in terms of Couple Years of Protection (CYP) has decreased by -6.8% in comparison with the last year 2018-19.
Provincial/regional profile of Departments of Health (HFs) in terms of CYP has shown an increase in Sindh (20.2%), Balochistan (3.1%) and AJK (830.8%) whereas decrease has been witnessed in Punjab (-11.0%), Khyber Pakhtunkhawa (-40.9%), Islamabad (-19.0%), Merged Area-KP (FATA) (-34.6%)and Gilgit Baltistan (-48.4%). c. Method-wise comparison of DoH (HFs) for 2019-20 with 2018-19, in terms of CYP, has depicted increase in Injectables (13.0%) and Implants (86.4%) whereas decrease has been witnessed in Condoms (-4.3%), Oral Pills (-26.9%), IUCDs (-7.0%), Sterilization/Contraceptive Surgery (-26.0%)
Lady Health Workers (LHWs)
Overall Contraceptive Performance of Departments of Health (LHWs) for the year 2019-20 in terms of Couple Years of Protection (CYP) has decreased by 0-26.7% in comparison with the last year 2018-19.
Provincial/regional profile of DoH (LHWs) in terms of CYP indicates an increase in Khyber Pakhtunkhwa (0.4%) whereas decrease has been witnessed in Punjab (-52.6%), Sindh (-8.6%), Balochistan (-50.3%), Islamabad (-37.3%), AJK (-80.4%) and Gilgit Baltistan (-100.0%). The DoH (LHWs) Merged Area-KP (FATA) has informed no activity has been undertaken due to non-availably of contraceptive commodities.
Method-wise comparison of 2019-20 with 2018-19 of DoH (LHWs), in terms of CYP, has shown an increase in Injectables (1.3%) whereas decrease has been observed in Condoms (-69.8%) and Oral Pills (-37.9%).
NGO Sector
Overall Contraceptive Performance of NGOs Sector for the year 2019-20 in terms of Couple Years of Protection (CYP) has increased by 20.6% in comparison with the last year 2018-19.
Increase has been observed in the performance of Rahnuma Family Planning Association of Pakistan (R-FPAP) (70.6%) and Greenstar Social Marketing (GSM) 11.0%), whereas decrease has been noticed in Marie Stopes Society (MSS) (-33.7%).
Modern Contraceptive Prevalence Rate (mCPR) by Estimated Modern Method User (EMU) rates
Annual estimates of modern Contraceptive Prevalence Rate (mCPR), by using an approximation of Estimated Modern Method Use (EMU) rates, computed through services statistics, during the year 2019-20 is 41.0%, whereas 42.8% during 2018-19. Overall mCPR of all stakeholders during
2019-20 when compared with 2018-19, has shown a decrease of 4.1%. However, departmental impact in modern Contraceptive Prevalence Rate (mCPR), during the year 2019-20 has been estimated as 16.1% for Population Welfare Departments (PWDs); 9.8% for Departments of Health (HFs & LHWs) and for NGO sector represented by three eminent NGOs (Rahnama FPAP, MSS, GSM), share is 15.2%.
Impact of Covid-19 in Family Planning Programme
The progress of Contraceptive Performance showed a decreased by 8.3%. Majority of source agencies justified the decrease is mainly due to Covid-19. The Covid-19 has adversely affected the provision of Family Planning Programme Sevices in quarter-4 of 2019-20.
