PMA2020 Releases New Family Planning Data from Niger


Esther Pak

Bill & Melinda Gates Institute for Population and Reproductive Health | Communications Specialist, PMA2020
Change in modern method use (2010-2014)

Change in modern method use (2010-2014)

New family planning data from Niamey, Niger, by the Performance Monitoring and Accountability 2020 (PMA2020) project were presented during a dissemination event in Niamey on December 4, 2015, by the Institut National de la Statistique de Niger (INS-Niger) in partnership with Niger’s Ministry of Public Health.

The results from the first round of the PMA2020 project in Niamey (“PMA2015/Niamey-R1”) reveal that the modern contraceptive prevalence rate (mCPR) among women in union has stayed relatively stable since the 2012 Demographic and Health Survey results for Niamey, from 31.8% in 2012 to now 28.6% in 2015. In addition, since the DHS2012/Niamey survey, PMA2015/Niamey points to an approximate increase in the total demand for family planning by 1% per year: Demand is currently at 55.4% of married women, up from 52.4% in 2012.

The PMA2015 data also detected a substantial increase in the use of long-acting contraceptive methods (for example, intrauterine devices [IUDs] and implants) among married women aged 15 to 49 between 2012 to 2015: Use of these highly effective methods almost tripled from 2.3% to 6.1%.

Among women in union, the most frequently used modern method of contraception in Niamey is pills (60.1%), followed by injectables (17.2%) and implants (15.5%).

Current Modern Method Mix Among Contraceptive Users in Union

Current Modern Method Mix Among Contraceptive Users in Union

These three methods were also the three most well stocked at public facilities offering contraception: All of the facilities surveyed had both pills and injectables in stock, and 95% of them had implants in stock. Other methods offered at public facilities were intrauterine devices and male condoms, stocked by 81% and 91% of public facilities, respectively.

While the 21 health facilities included in the PMA2015 survey were well stocked, unmet need for family planning was 24.4%, with a larger proportion of women in the lowest wealth quintile (nearly 30%) experiencing unmet need compared to women in the richest quintile (about 22%). Among women who have given birth in the past five years, 27.1% reported their most recent birth or current pregnancy was unintended.

PMA2015/Niamey results also revealed a need for improved quality of family planning services. Only about 57.1% of women were counseled on side effects or received information about other methods of contraception (70.5%), and less than three-fourths of current female users (71.8%) would return to their providers and refer a friend or family member.

The most frequent reason mentioned for not using contraception despite wanting to delay the next birth was not being married (40.8%), followed by perceptions of not being at risk or lacking the need to use contraception (35.8%).

 Percent of Facilities Offering and Currently In/Out of Stock, by Method

Percent of Facilities Offering and Currently In/Out of Stock, by Method

PMA2020 data from Niger and all of our PMA2020 countries are useful for tracking progress toward policy and program goals at the local and national levels. The innovative platform also allows for high-quality, rapid turnaround data, which are being used to inform various policies. For examples of PMA2020 data use, view our recent progress report.

Results are now available in a two-page brief (available in English and French), highlighting key family planning indicators for Niamey, Niger.

The PMA2020/Niger survey is led by the Institut National de la Statistique de Niger (INS-Niger), with financial and technical support from the Bill & Melinda Gates Institute for Population & Reproductive Health at Johns Hopkins Bloomberg School of Public Health. Mr. Oumarou Habi, Director of Surveys and Censuses at INS-Niger, serves as Principal Investigator of the PMA2020 project in Niger, with Mr. Sani Oumarou as Co-Principal Investigator. The PMA2020/Baltimore team at Johns Hopkins University is led by Dr. Scott Radloff, PMA2020 Director.

The PMA2020 survey is being conducted in 11 countries in Africa and Asia and supports the Family Planning 2020 (FP2020) commitment to meeting the family planning needs of 120 million new users by 2020. PMA2020 is funded by the Bill & Melinda Gates Foundation.