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Evaluation of natural family planning programmes in Liberia and Zambia

Published online by Cambridge University Press:  31 July 2008

Ronald H. Gray ,
Robert T. Kambic ,
Claude A. Lanctot ,
Mary C. Martin ,
Roselind Wesley  and
Richard Cremins
Ronald H. Gray
Affiliation:
Johns Hopkins University, School of Hygiene and Public Health, Baltimore, Maryland, USA.
Robert T. Kambic
Affiliation:
Johns Hopkins University, School of Hygiene and Public Health, Baltimore, Maryland, USA.
Claude A. Lanctot
Affiliation:
International Federation for Family Life Promotion, Washington, DC, USA.
Mary C. Martin
Affiliation:
International Federation for Family Life Promotion, Washington, DC, USA.
Roselind Wesley
Affiliation:
Family Life Office, Archdiocese of Monrovia, Liberia
Richard Cremins
Affiliation:
Family Life Movement of Zambia, Lusaka, Zambia
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Summary

Studies to evaluate use-effectiveness and cost-effectiveness of natural family planning (NFP) were conducted in Liberia and Zambia. The Liberian programme provided uni-purpose NFP services to 1055 clients mainly in rural areas; the Zambian programme provided NFP services integrated with MCH to 2709 clients predominantly in urban areas. The one-year life table continuation and unplanned pregnancy rates were 78·9 and 4·3 per 100 women-years in Liberia, compared to 71·2 and 8·9 in Zambia. However, high rates of loss to follow-up mandate caution in interpretation of these results, especially in Zambia. More women progressed to autonomous NFP use in Liberia (58%) than in Zambia (35·3%). However, programme costs per couple-year protection were lower in Zambia (US$25·7) than in Liberia (US$47·1). Costs per couple-year protection were higher during learning than autonomy, and declined over time. These studies suggest that NFP programmes can achieve acceptable use-and cost-effectiveness in Africa.

Type
Research Article
Information
Journal of Biosocial Science , Volume 25 , Issue 2 , April 1993 , pp. 249 - 258
Copyright
Copyright © Cambridge University Press 1993

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