PERFORMANCE MONITORING & ACCOUNTABILITY 2020
PMA2020 uses innovative mobile technology to support low-cost, rapid-turnaround surveys to monitor key indicators for family planning. The
project is implemented by local universities and research organizations in
10 countries, deploying a cadre of female resident enumerators trained
in mobile-assisted data collection. PMA2020/Kinshasa is led by the University of Kinshasa’s School of Public Health, in collaboration with Tulane
University School of Public Health and Tropical Medicine. The first three
rounds of PMA2020/DRC data collection occurred exclusively in Kinshasa.
In Round 4, the PMA2020/DRC team expanded to cover Kongo Central,
the province adjacent to Kinshasa. The study is funded by the Bill & Melinda Gates Institute for Population and Reproductive Health at the Johns
Hopkins Bloomberg School of Public Health with support from the Bill and
Melinda Gates Foundation.
KEY FAMILY PLANNING INDICATORS
For more information on PMA2020 please visit http://www.pma2020.org
Select Family Planning Indicators Across Recent Surveys
(Married and All Women, Age 15-49)
Modern Contraceptive Prevalence Rate, 2010-2016 (Married Women, age 15-49)
PMA2015-R3
PMA2015 - R4
PMA2016 - R5
All
All
All
Married
Married
25
Married
34.3
42.3
42.3
50.2
42.3
49.9
Modern Methods mCPR
17.0
20.4
20.9
23.8
20.9
23.4
Long Acting CPR
3.1
5.3
4.8
7.9
5.1
8.4
Total Unmet Need*
20.1
31.3
16.0
25.6
14.6
22.6
For Limiting
5.3
10.4
3.4
6.7
3.0
5.9
For Spacing
14.8
20.9
12.6
18.9
11.5
16.7
Total Demand
54.4
73.7
58.3
75.8
56.8
72.5
Demand Satisfied by
Modern Method
31.2
27.6
35.9
31.4
36.7
32.3
PMA2015-R3
PMA2015-R4
PMA2016-R5
57.7
58.9
52.8
Wanted Later
45.2
47.4
44.6
Wanted No More
12.5
11.5
8.2
* Indicator measurement based on different questions posed in the DHS and PMA2020
8080
6060
29.7
20.8
19.8
23.4
18.3
23.8
29.4
25.7
Unmet Need
30.7
Traditional Method
24.4
10
00
11.2
5
0
MICS
2010
PMA2013
R1
DHS
2014
PMA2014
R2
PMA2015
R3
PMA2015
R4
29+29+1611432
49+17+138931
PMA2016
R5
Current Modern Method Mix Among Married Contraceptive Users, PMA2016-R5
Other modern 3.1%
Emergency contraception 3.2%
Sayana Press 1.9%
Female sterilization 3.2%
Male condom 28.8%
Depo Provera 11.4%
Pills 15.6%
Depo Provera 8.7%
23.2
30
2020
10
mCPR: 23.4%
Unmet Need: 22.6%
Current Modern Method Mix Among Unmarried
Sexually Active Contraceptive Users, PMA2016-R5
50
4040
15
Implants 28.6%
Current Use and Unmet Need Among Married Women of
Reproductive Age, by Wealth Quintile, PMA2016-R5
70
23.4
20.4
20.4
IUD 4.2%
Fertility Indicators (All Women, Age 15-49)
Recent Births Unintended (%)*
19.0
18.5
Percentage
All Methods CPR
23.8
20
Contraceptive Prevalence Rate
(CPR)
Percentage
FAMILY PLANNING BRIEF
PMA2016/KINSHASA-R5
Q1
Q1
31.6%
30.9
Q2
Q2
40.9%
21.0
22.8
Q3
Q3
31.7%
Q4
Q4
30.0%
Modern Method
17.6
Q5
Q5
26.4%
15
Q1: Poorest
Q5: Richest
% Demand Satisfied
by Modern Method
Other modern 3.1%
Sayana Press 1.2%
Implants 8.3%
Male condom 48.8%
Pills 13.1%
Emergency contraception
16.9%
mCPR: 41.8%
Unmet Need: 22.6%
INDICATORS FOR ACCESS, EQUITY, QUALITY AND CHOICE
For Current Female Users (%) (n=1,060), Indicators by Wealth Quintile
0
1020
30
40
50
60
70
80
Percent of Facilities Offering/Not Offering & Currently In/Out of Stock, by Method
90
Public Facilities
100
Method Chosen By Self Or
Jointly (95.2%)
13
13
4 100
4
9
13
80
100
100
17
Percentage of Service Delivery Points
FAMILY PLANNING BRIEF
PMA2016/KINSHASA-ROUND 5
80
80
Obtained Method Of
Choice (91.9%)
27
Told Of Other Methods
(32.3%)
Paid For FP Services
(29.8%)
Would Return To Provider
& Refer a Friend Or Family Member (44.9%)
16
Received Method From
Public SDP (22.4%)
78
83
78
65
32
51
28
37
87
14
11
13
74
6
26
20
20
38
10
59
92 60
40
40
35
26
48
60
60
43
30 36
Counseled On Side
Effects (37.0%)
4
13
4
Private Facilities
40
6
20
35
76
61
43
50
1
12
12
00
0
IUDS
SayanassPress
Depo Provera
Pills
IUDS
Implants
SayanassPress
Depo Provera
Pills
sMale condoms
sMale condoms
s
l
s Implants
s
s
a
l
s
s
i
r
D
t
D
t
era
e
Pill
P
IU
IU
Pre
Pre
dom
lan
dom
lan
rov
rov
con
con
Imp ayana epo P
Imp ayana epo P
e
e
l
l
S
D
S
D
Ma
Ma
Method in stock
Method out of stock
Method not offered
26
Births in the Past 5 Years, or Current Pregnancies
Recent Births Unintended
(52.8%)
Indicator (average %)
40
0
Q1: Poorest quintile
Q5: Wealthiest quintile
1020
30
40
Percent of Public Facilities Offering At Least 3 or At Least 5 Modern Contraceptive
Methods, by Facility Type
53
50
60
70
80
90
100
Q1 Q2 Q3 Q4 Q5
For Current Female Non-Users
Facility Type
3 or more methods
5 or more methods
Health center (n=11)
90.9
81.8
Hospital (n=14)
78.6
78.6
Total
84.0
80.0
Reasons Mentioned For Non-Use Among All Women Wanting To Delay The Next Birth 2
Or More Years (%)
Not Married
46.1
Perceived Not-At-Risk/Lack of Need
58.8
Method or Health-Related Concerns
16.8
Opposition to Use
8.6
Lack of Access/Knowledge
14.3
Other
3.2
Service Delivery Points (n= 173; 25 public, 148 private)
Public
Private
Total
Offering Family Planning (%)
92.0
56.1
61.3
With Mobile Teams Visiting Facility In Last 6 Months (%)
16.0
12.8
13.3
Supporting CHWs From This Service Delivery Point (%)
48.0
20.3
24.3
Average Number Of Days Per Week Family Planning Is Offered
4.7
5.5
5.3
Offering Female Sterilization (%)
4.3
21.7
17.9
Offering Family Planning Counseling/Services To Adolescents (%)
56.5
38.6
42.5
Charging Fees For Family Planning Services (%)
78.3
74.7
75.5
Maternal Health Services (among all offering maternal health services)
100.0
60.0
69.9
HIV Services
100.0
93.6
95.7
88.9
78.7
81.5
Among All Service Delivery Points:
Reproductive Health and Contraceptive Indicators
Round 3
Round 4
Round 5
Median Age at First Marriage (25-49 years)
21.8
22.1
22.5
Median Age at First Sex (15-49 years)
17.3
17.2
17.3
Median Age at First Contraceptive Use (15-49 years)
20.4
20.4
20.5
Median Age at First Birth (25-49 years)
22.1
22.0
22.0
Mean No. of Living Children at First Contraceptive Use
(Ages 15-49)
1.3
1.5
1.6
Women Having First Birth by Age 18 (Ages 18-24, %)
9.2
6.1
5.7
Received FP Information from Provider in Last 12 Months
(15-49 years, %)
18.7
16.5
17.9
Exposed to FP Media in Last Few Months (15-49 years, %)
58.1
69.1
67.9
Among Service Delivery Points Offering Family Planning Services:
Percent Integrating Family Planning Into Their:
(among all offering HIV services)
Post-Abortion Services (among all offering post-abortion services)
SAMPLE DESIGN
PMA2016/Kinshasa-R5 used a two stage cluster design to draw a representative urban sample of 58 enumeration areas (EA) in Kinshasa, using selection probabilities proportional to EA size. Sampling and listing of households occurred in July 2016 prior to the start of data collection.
For each EA, 33 households were randomly selected, and all women of reproductive age (ages 15-49) within each selected household were contacted and consented to be interviewed. A total of 1,841 households (97.2% response rate), and 2,582 females (95.3% response rate), were interviewed, along with 173 SDPs (93.5% response rate). Data collection for Round 5 was conducted between September and October 2016.
SCHOOL OF PUBLIC HEALTH
AND TROPICAL MEDICINE
-- January 23, 2017 --