FP2020 CORE INDICATOR ESTIMATES UGANDA

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1 FP2020 CORE INDICATOR ESTIMATES UGANDA Published November 2014 Decision-makers require accurate and timely information in order to shape interventions, take stock of progress, and, when necessary, improve their strategies. This is why FP2020 is committed to expanding participation in the practices of measurement, evaluation, and adjustment. FP2020 s Core Indicators are the suite of quantitative metrics we use to measure progress towards our goal: enabling 120 million additional women and girls in 69 focus countries to use modern methods of contraception by the year The FP2020 Performance Monitoring & Evidence (PME) Working Group provides ongoing guidance on the Core Indicator selections, definitions, methodologies, data sources, and interpretation. The estimates are produced by Track20, a project implemented by Avenir Health, in collaboration with a network of country-based monitoring & evaluation (M&E) officers. Updated Core Indicator estimates for 69 countries are published annually in the FP2020 Progress Report, and are available year round on the websites of FP2020 ( and Track20 ( Support for FP2020 Commitment-Making Countries In addition to calculating the annual Core Indicator estimates, Track20 provides intensive support in FP2020 commitment-making countries to promote country-level data collection, analysis, and use. Their efforts include building a cohort of trained family planning M&E officers who work in a country s Ministry of Health, Office of Population, or other relevant office. The M&E officer collates, analyzes, and disseminates family planning data to estimate annual progress and inform strategic decision-making. To help ensure that annual monitoring is a country-driven priority, an increasing number of commitment-making governments are working with Track20 and their expert partners to organize annual Data Consensus Workshops (DCWs). DCWs are a platform to discuss the Core Indicator definitions and methodologies, and produce updated estimates; to review and analyze locally produced data and identify data gaps; to run statistical models and analyze the outcomes; to estimate progress towards country family planning strategic plans; and, ultimately, to support the use of data in countrylevel decision-making to improve program implementation and quality of services. In 2014, DCWs were held in Côte d Ivoire, the Democratic Republic of Congo, Ethiopia, India, Indonesia, Malawi, Nigeria, Pakistan, the Philippines, and Rwanda.

2 UGANDA INDICATORS REPORTED ANNUALLY FOR ALL 69 FP2020 FOCUS COUNTRIES Indicator 1a. Contraceptive Prevalence Rate, Modern Methods (mcpr) Annual rate of change in mcpr Indicator 1a: mcpr disaggregation mcpr by Residence Urban Rural 39.2% 23.4% Indicator 1b. Percentage distribution of users by modern method of contraception* Pill 10.1% Injectables 51.7% Condom 15.5% LAM 0.5% IUD 1.9% Implants 9.2% Female Sterilization 10.6% Male Sterilization 0.5% Standard Days Method 0.0% Other Modern Methods includes emergency contraception, foam/jelly, and diaphragms Indicator 2. Number of additional users of modern methods of contraception Baseline** 159, % Indicator 3. Percentage of women with an unmet need for modern methods of contraception 37.8% 37.0%

3 Indicator 4. Percentage of women whose demand is satisfied with a modern method of contraception Indicator 5. Annual expenditure on family planning from government domestic budget (not reported for 2012; reported for only four countries for 2013). 41.7% 43.4% $3,300,000 $3,300,000 Indicator 6. Couple-Years of Protection (CYP) 1,939,036 2,284,326 Indicator 7. Number of unintended pregnancies 928, ,000 Indicator 8. Number of unintended pregnancies averted due to modern contraceptive use 466, ,000 Indicator 9. Number of maternal deaths averted due to modern contraceptive use 1,685 1,840 Indicator 10. Number of unsafe abortions averted due to modern contraceptive use 139, ,000 INDICATORS REPORTED ANNUALLY FOR A SUBSET OF FP2020 FOCUS COUNTRIES Indicator 11. Percentage of women who were provided with information on family planning during their last visit with a health service provider Indicator 12. Method Information Index Indicator 13. Percentage of women who make family planning decisions alone or jointly with their husbands/partners Indicator 14. Adolescent birth rate Indicator 15. Percentage informed of permanence of sterilization FP2020 CORE INDICATOR DEFINITIONS 1a. Contraceptive Prevalence Rate, Modern Methods (mcpr) Definition: The percentage of women of reproductive age who are using (or whose partner is using) a modern contraceptive method at a particular point in time. status, urban/rural, ethnicity, etc. 1b. Percentage distribution of users by modern method of contraception Definition: The percentage of total family planning users using each modern method of family planning. Note: Report by type of modern method of contraception. Indicator 1b was added to the Core Indicator suite in 2014; FP2020 reported estimates for this indicator for the first time in its November 2014 Progress Report. 2. Number of additional users of modern methods of contraception

4 Definition: The number of additional women (or their partners) of reproductive age currently using a modern contraceptive method compared to Percentage of women with an unmet need for modern methods of contraception Definition: The percentage of fecund women of reproductive age who want no more children or to postpone having the next child, but are not using a contraceptive method, plus women who are currently using a traditional method of family planning. Women using a traditional method are assumed to have an unmet need for modern contraception. Note: Disaggregate, when possible (in years with a DHS or data from PMA2020), by wealth quintile (comparing the lowest to the highest quintile), age, marital status, parity, urban/rural, ethnicity, etc. 4. Percentage of women whose demand is satisfied with a modern method of contraception Definition: The percentage of women (or their partners) who desire either to have no additional children or to postpone the next child and who are currently using a modern contraceptive method. Women using a traditional method are assumed to have an unmet need for modern contraception. Note: Disaggregate, when possible (in years with a DHS or data from PMA2020), by wealth quintile (comparing the lowest to the highest quintile), age, marital status, parity, urban/rural, ethnicity, etc. 5. Annual expenditure on family planning from government domestic budget Definition: Total annual public sector recurrent expenditures on family planning. This includes expenditures by all levels of government. Note: FP2020 did not report estimates for Indicator 5 for 2012; for 2013, we reported estimates for four countries (Benin, Burkina Faso, Liberia, and Tanzania). 6. Couple-Years of Protection (CYP) Definition: The estimated protection provided by family planning services during a one year period, based upon the volume of all contraceptives sold or distributed free of charge to clients during that period. The CYP is calculated by multiplying the quantity of each method distributed to clients by a conversion factor, which yields an estimate of the duration of contraceptive protection provided per unit of that method. 7. Number of unintended pregnancies Definition: The number of pregnancies that occurred at a time when women (and their partners) either did not want additional children or wanted to delay the next birth. Usually measured with regard to last or recent pregnancies, including current pregnancies. 8. Number of unintended pregnancies averted due to modern contraceptive use Definition: The number of unintended pregnancies that did not occur during a specified reference period as a result of the protection provided by contraceptive use during the reference period. 9. Number of maternal deaths averted due to modern contraceptive use Definition: The number of maternal deaths that did not occur during a specified reference period as a result of the protection provided by modern contraceptive use during the reference period. 10. Number of unsafe abortions averted due to modern contraceptive use Definition: The number of unsafe abortions that did not occur during a specified reference period as a result of the protection provided by modern contraceptive use during the reference period. 11. Percentage of women who were provided with information on family planning during their last visit with a health service provider

5 Definition: The percent of women who were provided information on family planning in some form at the time of their last contact with a health service provider. The contact could occur in either a clinic or community setting. Information could have been provided via a number of mechanisms, including counseling, information, education and communication materials or talks/conversations about family planning. 12. Method Information Index Definition: An index measuring the extent to which women were made aware of alternative methods of contraception and were provided adequate information about them. The index is composed of three questions: Were you informed about other methods? Were you informed about side effects? Were you told what to do if you experienced side effects?) 13. Percentage of women who make family planning decisions alone or jointly with their husbands/partners Definition: The percentage of women who make decisions on matters, such as whether and when to initiate and terminate contraceptive use and choice of contraceptive method, either by themselves or based upon consensus joint decision-making with their husband/partner. 14. Adolescent birth rate Definition: The number of births to adolescent females, aged occurring during a given reference period per 1,000 adolescent females. 15. Percentage informed of permanence of sterilization Definition: Among women who said they were using male or female sterilization, the percent who were informed by the provider that the method was permanent. Additional Notes * FP2020 first reported estimates for Indicator 1b, mcpr disaggregated by contraceptive method, and Indicator 5, annual expenditure on FP from domestic budget, in the Progress Report published in November In that report, estimates for Indicator 5 were only available for four countries: Benin, Burkina Faso, Liberia, and Tanzania. In the November 2015 Progress Report we expect to report Indicator 5 estimates for approximately 30 countries. ** To calculate Indicator 2, the number of additional users of modern methods of contraception since the time of the London Summit on Family Planning, we designated 2012 the baseline year and set the number of additional users at zero. For each subsequent year, we will compare the total number of users for the reporting period to the total number of users in the baseline year of The difference between the two totals is the number of additional users.