Semi-Annual Family Planning Statistical Report (January to June 2011)

8/13/2019 Semi-Annual Family Planning Statistical Report (January to June 2011)

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NATIONAL FAMILY PLANNING

BOARD

SEMI-ANNUAL FAMILY PLANNING

STATISTICAL REPORT

JANUARY JUNE 2011


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TABLE OF CONTENTS

Page No.

Acronyms

Executive Summary 1

Key Achievement and Observed Trends 2

Family Planning Activities 3-16

Next Steps 17-20

List of Family Planning Tables

A. Male Visits at Family Planning Centres by Region for the Periods 4January - June 2011 & July - December 2010

B. Female Adolescent Visits to Health Clinics for the 5Periods January - June 2011 & July - December 2010

C. Distribution of Commodities by Type to Regional Offices January 5- June 2011 & July - December 2010 (LMIS Data)

D. Estimated Users of Family Planning Methods and Procedure for the 6Periods January - June 2011 & July - December 2010

E. Number of IUCD, Implant & ECP Units Distributed to Clients 7January - June 2011 & July - December 2010 (MCSR Data)

F. Discontinuation Rates for Supply Methods at Regular 8Intervals, 2008 2011

G. Number and Percentage of Mothers Receiving Postnatal Care and 9Accepting Family Planning (FP) at Postnatal Clinics, January - June2011 & July - December 2010

H. Number & Percentage of Adolescent Mothers Receiving Postnatal 10

Care & Accepting FP at PNCs, January - June 2011 & July December 2010

I. Number of Dual Method Users by Region and Age Group for 12January - June 2011 & July - December 2010


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J. New Family Planning Acceptors by Method of Contraception 13at Regular Intervals July 2008 - June 2011

K. New Acceptors of Contraceptive by Method by Parish, 14January - June 2011

L. New Acceptors of Implant and IUCD by Age Group for 14January - June 2011 & July - December 2010

M. Sterilisation Procedures & Acceptors per Region for January 15- June 2011 & July - December 2010

List of Family Planning Figures

1. Total Visits at Family Planning Facilities 3

2. Male Visits at Family Planning Facilities 3

3. Discontinuation Rate of Supply Methods 2008 2011 8

4. Percentage of Postnatal Clients not Accepting Family Planning by 11Health Regions for January June 2011 & July December 2010

5. Percentage Distribution of Dual Method use by Region 12

Appendices

I. New Acceptors for January to June 2010 and July to December 2009 22

II. Commodities Distributed to Clients of the Family Planning Programme 23for January to June 2010

III. Attendance at Family Planning Clinics for January to June 2010 by Gender 24and Region Compared With July to December 2009

IV. Male Visits by Parish and Region for January to June 2010 and July to 25December 2009

V. Condom Distribution to STI Clients by Region and Parish 26for January to June 2010 and July to December 2009


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ACRONYMS

AIDS - Acquired Immune Deficiency Syndrome

CYP - Couple Year of Protection

ECP - Emergency Contraceptive Protection

DMU - Dual Method Use

FP - Family Planning

HIV - Human Immuno-deficiency Virus

HMSR - Hospitals Monthly Summary Report

IUCD - Intra Uterine Contraceptive Device

KSA - Kingston & St. Andrew

LMIS - Logistics Management Information System

MCSR - Monthly Clinic Summary Report

MOH - Ministry of Health

NFPB - National Family Planning Board

PNC - Postnatal Clinic

RH - Reproductive Health

STI - Sexually Transmitted Infection


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NFPB Semi-Annual Family Planning Statistical Report, January June 2011 1

Executive Summary

Examination of January to June 2011 and July to December 2010, Monthly Clinic

Summary Report (MCSR), Hospital Monthly Summary Report (HMSR) and Logistics

Management Information System (LMIS) data have contributed to the development ofthis report by the Department of Policy Formulation, Monitoring and Evaluation. This

examination revealed some key findings which included a decline in the estimated

number of Family Planning Acceptors by 6.8 percent, a decline in total visits to health

centres by 5.8 percent and a significant increase in condom distribution, coupled with a

decreased discontinuation rate of the condom (decrease of 25 percent).

The report constitutes both negative and positive developments as it relates to the Family

Planning Programme. In moving forward, however, the Board sees it as promising that

condom use, and as a result, Dual Method Use, has increased as this will lead to a further

decline in new cases of unplanned pregnancies and Sexually Transmitted Infections.

Although on a whole, total visits to health centres declined, it is promising to note that

male visits at Family Planning Clinics have increased. This may be attributed to the many

activities of the Board which also encompass outreach activities which have promoted the

importance of the male role in Family Planning.

Through strengthening the promotion of age- appropriate family planning services and

methods through the integration of Family Planning and HIV programme, it is envisioned

that in the future, an increase in family planning acceptors will be seen island-wide for

both genders.


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Key Achievement and Observed Trends

1. There was an increase of 19.8 percent in the demand for Intra Uterine

Contraceptive Device (IUCD). Also, Jadelle reported an increase in the demand

by new acceptors.

2. The estimated number of FP acceptors declined from 71,697 for July - December

2010 to 66,807 for January - June 2011. This represented a decrease of 6.8percent.

3. FP acceptors using Sterilisation1

decreased from 4,120 (December 2010) to 3,550

(June 2011). The health regions that contributed to the decline were South-East,North-East and Western. There were no reported Sterilisation operations in the

parishes of Hanover and Westmoreland.

4. The movement in the percentage of all mothers at Post Natal Clinics whoaccepted FP for the period January - June 2011 compared to July - December

2010 was negligible. Seventy-eight percent of adolescent mothers accepted FP,which was three percentage points less than the previous six months.

5. Total visits to health centres decreased by approximately 5.8 percent. Adolescent

female visits to health clinics decreased from 15,285 t o 14,128.

6. Condom distribution to FP clients increased by 85.7 percent. On the other hand,

the distribution of the Pill declined by 25.7 percent.

7. The Discontinuation Rate for Condom and Pill decreased to 25 percent and 42

percent respectively, at the end of June 2011. Meanwhile, the DiscontinuationRate for Injection increased from 16 percent at the end of December 2010 to 26

percent at the end of June 2011.

8. A total of 31,434 persons were practising Dual Method Use during January toJune 2011 which represented a 26 percent increase compared to the 24,905

persons practising Dual Method Use in the period July to December 2010.

Adolescents practising Dual Method Use increased by approximately 21 percent.

1 Estimated procedures are calculated using the CYP.


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Figure 1: Total Visits at Family Planning Facilities

11,560

132,921

8,144

145,242

0

20000

40000

60000

80000

100000

120000

140000

160000

Male Female

#ofVisits

Jan - Jun 2011 Jul - Dec 2010

The total number of visits to family planning facilities decreased from 153,386 in the July

- December 2010 period to 144,481 clients for the January - June 2011 period, which

represents a 5.8 percent decline in total visits. Figure 1 above shows that females

accounted for the majority of the visits at family planning facilities in both the June -

December 2010 and January - June 2011 periods. Male visits to health clinics in the

January - June 2011 period increased by 3,416 clients when compared to the previous six

months. However, female visits decreased by 12,321 to 132,921 by the end of the January

- June 2011 period. This represents an 8.5 percent decrease.

Figure 2: Male Visits at Family Planning Facilities

10041

12185

1367612652 12475

8144

11560

0

2000

4000

60008000

10000

12000

14000

16000

Jan -Jun

2008

Jul - Dec

2008

Jan - Jun

2009

Jul - Dec

2009

Jan -Jun

2010

Jul - Dec

2010

Jan - Jun

2011

#ofV

isits


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Figure 2 shows that male visits at Family Planning facilities have fluctuated between

January - June 2008 and January - June 2011. The total male visits to health facilities

increased from 8,144 in the July - December 2010 period to 11,560 in the January - June

2011 period which represents an increase of 41.9 percent. All the regions reported

increases in male visits at Family Planning Clinics. The largest increase was seen in the

South-East region (99.6 percent) while the smallest increase was seen in the North-East(7.7 percent) (Table A).

Table A: Male Visits at Family Planning Centres by Regionfor the Period

January - June 2011 & July - December 2010

RegionMale

January - June2011

July - December2010 Change (%)

South-East 2,676 1,341 99.6

North-East 1,241 1,152 7.7

Western 4,253 2,902 46.6

Southern 3,390 2,749 23.3

Jamaica 11,560 8,144 41.9Source: MoH MCSR Data, 2010 & 2011


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Total female adolescent visits to health facilities during the period January - June 2011

decreased by 7.6 percent to 14,128 when compared to the 15,285 that visited in the

previous six months. The largest percentage decreases were observed in the parishes of

Clarendon, Westmoreland and Portland which declined by 30.7 percent, 21.6 percent and

18.2 percent respectively. On the other hand, there were increases in St Thomas of 23.5

percent and in St James of 14.0 percent (Table B).

Table C: Distribution of Commodities by Type to Regional OfficesJanuary to June 2011 & July December 2011 (LMIS data)

Commodity

Number Distributed

January - June2011 July - December2010 % Change

Pill 69,978 94,160 -25.7

Condom 2,232,450 1,201,876 85.7

IUCD 360 2,037 -82.3

Injectables 96,732 113,343 -14.7

Total 2,399,520 1,411,507 70.0

Source: NFPB LMIS Data, 2010 & 2011

Table B: Female Adolescent Visits to Health Clinics for the PeriodsJanuary - June 2011 & July - December 2010

January - June2011

July - December2010

Change(%)

KSA 3,279 3,729 -12.1

St. Thomas 558 452 23.5St. Catherine 2,611 2,581 1.2

Portland 365 446 -18.2

St. Mary 815 839 -2.9

St. Ann 918 1,003 -8.5

Trelawny 567 563 0.7

St. James 1,234 1,082 14.0

Hanover 469 488 -3.9

Westmoreland 936 1,194 -21.6

St. Elizabeth 711 821 -13.4

Manchester 702 697 0.7

Clarendon 963 1,390 -30.7

Total 14,128 15,285 -7.6

Source: MoH MCSR Data, 2010 & 2011


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NFPB LMIS data shows that there was an increase in the distribution of overall

contraceptives from 1,411,507 in the July - December 2010 period to 2,399,520 in the

January June 2011 period, which represents an 70.0 percent increase. Condoms

increased by 1,030,574 (85.7 percent), while the distribution of IUCD, Pill and

Injectables declined by 1,677 (82.3 percent), 24,182 (25.7 percent) and 16,611 (14.7

percent) respectively. Condoms were the most distributed commodity in both periods,

while IUCD was the least (Table C).

An examination of Table D reveals that the estimated users of Family Planning services

for the period January - June 2011 declined by 4.1 percent from 71,697 in July -

December 2010 to 68,780 in the January - June 2011 period. Three methods (Condom,

IUCD and Implant) saw increases in their estimated users in the January - June 2011

period when compared to the July - December 2010 period. Condom saw the largest

2Estimated users are calculated using the CYP.The CYP is calculated by multiplying or dividing the quantity of each method distributed to clients by a conversion factor, to yield an

estimate of the duration of contraceptive protection provided per unit of that method. The calculation takes into account that somemethods, like condoms and oral contraceptives, for example, may be used incorrectly and then discarded, or that IUDs and implants

may be removed before their life span is realised.

Conversion Factor:IUD x 2.3

Pill 7.5

Condom - 60Injection - 2

Implant x 1.9

Sterilisation x5

Table D: Estimated Users2 of Family Planning Methods and Procedure for the PeriodsJanuary - June 2011 & July - December 2010

Method January - June 2011 July - December 2010 Change (%)

Pill 6,427 7,468 -13.9Injection 44,905 51,540 -12.9

Condom 9,867 5,190 90.1

IUD 3,820 3,262 17.1

Implant 211 117 80.3

Sterilisation 3,550 4,120 -13.8

Total 68,780 71,697 -4.1



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percent increase of 90.1 percent, while Implant saw an 80.3 percent increase followed by

IUCD which saw a 17.1 percent increase. Pill, Injection and Sterilisation use decreased

by 13.9 percent, 12.9 percent and 13.8 percent respectively. Injection was the most used

Family Planning method while Implant was the least used.

Table E shows the total distribution of IUCD, Implant and ECP to clients combined

decreased from 1,996 in the July to December 2010 period to 1,831 for the January to

June 2011 period. This reduction was mainly due to a 10.9 percent decline in IUCD

distribution for the period. Only Implant registered an increase between the two periods

(65.7 percent) while IUCD and ECP both decreased by 10.9 percent and 9.2 percent

respectively.

Table E: Number of IUCD, Implant & ECP Units Distributed to ClientsJanuary - June 2011 & July - December 2010 (MCSR data)

MethodJanuary - June

2011July - December

2010 Change (%)

IUCD 1,661 1,864 -10.9

Implant 111 67 65.7

ECP 59 65 -9.2

Total 1,831 1,996 -8.3

Source: MoH MCSR Data, 2008 2011


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Figure 3: Discontinuation RateOf Supply Methods

2008 - 2011

13

46

33

62

7

28 30

40

24

4742

19

111613

26

11

16

0

10

20

30

40

5060

70

Jul - Dec 2008 Jan - Jun 2009 Jul - Dec 2009 Jan - Jun 2010 Jul - Dec 2010 Jan - Jun 2011

Period

Percent

Condom Pill Injection

The Discontinuation Rate for all three methods of contraceptive fluctuated between the

July - December 2008 and January - June 2011 periods. Both Condom and Pill

Discontinuation Rates3

decreased between the July - December and January - June 2011

periods, while the contraceptive Injections Discontinuation Rate increased when the two

periods are compared. The Discontinuation Rate for Condom saw the highest change

when compared to the other two contraceptives declining considerably by 55 per cent

from 62 per cent in July - December 2010 to 7 percent in the January - June 2011 period.

This shows that fewer FP clients have discontinued use of this method. The rate for the

Pill decreased marginally from 47 percent to 42 percent for the period under review

(Figure 3). However, more clients have discontinued use of the Injection since the Rate

has increased from 16 percent to 26 percent (Table F).

3Calculation for Discontinuation Rate = Step 1: Estimated Users (Jan to June 2011) [Estimated Users (July to Dec 2010) + New

Acceptors (Jan to June 2011)] x 100. Step 2: Subtract total from 100.

Table F: Discontinuation Rates for Supply Methods at Regular Intervals, 2008 - 2011

January - June2011

July - December2010

January - June2010

July - December2009

January - June2009

July - December2008

Condom 7 62 33 46 13 13

Pill 42 47 24 40 30 28

Injection 26 16 11 19 16 11



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There was a slight increase in the proportion of mothers at PNCs who accepted Family

Planning services. Of the 15,310 mothers receiving Postnatal Services in the January -

June 2011, 11,228 accepted Family Planning services. In the July - December period

12,038 accepted Family Planning of the 16,457 that received Postnatal Services. Thus the

totals moved from 73.1 percent to 73.3 percent for the January - June 2011 period when

compared to the previous six months. On a regional level, the South-East and Western

regions reported increases of 4.2 percent and 3 percent respectively for the proportion of

mothers who accepted FP services at Postnatal Clinics. Conversely the other two regions

namely Southern and North-East, declined by 7.7 percent and 2 percent respectively

(Table G).

Table G: Number & Percentage of Mothers Receiving Postnatal Care and Accepting Family Planning (FP) at Postnatal Clinics,January - June 2011 & July - December 2010

Number Receiving PostnatalServices

Number Accepting Family PlanningMethods Percentage Accepting

January - June

2011

July - December

2010

January - June

2011

July - December

2010

January - June

2011

July - December

2010South-East 5,752 6,338 4,364 4,547 75.9 71.7

KSA 2,633 3,119 2,042 2,336 77.6 74.9

St. Thomas 517 495 375 367 72.5 74.1

St. Catherine 2,602 2,724 1,947 1,844 74.8 67.7

North-East 2,267 2,518 1,671 1,906 73.7 75.7

Portland 452 482 294 367 65.0 76.1

St. Mary 729 804 546 614 74.9 76.4

St. Ann 1,086 1,232 831 925 76.5 75.1

Western 3,686 3,808 3,052 3,040 82.8 79.8

Trelawny 539 609 461 506 85.5 83.1

St. James 1,503 1,500 1,261 1,192 83.9 79.5

Hanover 552 533 465 462 84.2 86.7

Westmoreland 1,092 1,166 865 880 79.2 75.5

Southern 3,605 3,793 2,141 2,545 59.4 67.1

St. Elizabeth 1,030 977 711 705 69.0 72.2

Manchester 1,074 1,108 634 705 59.0 63.6

Clarendon 1,501 1,708 796 1,135 53.0 66.5

Total 15,310 16,457 11,228 12,038 73.3 73.1



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Table H reveals that the number of adolescent mothers receiving Postnatal services

decreased by 137 from 3,259 in July - December 2010 to 3,122 in January - June 2011.

Meanwhile, during the January - June 2011 period 2,433 adolescent mothers accepted a

FP method at Postnatal Clinic (PNC), a decrease of 207 when compared to the 2,640 in

the July - December 2010 period. For the January - June 2011 period, the most adolescent

mothers receiving Postnatal Care at PNC was observed in the South-East region at 1,151

while the least was 450 in the North-East. The South-East and North-East regions saw the

most and least adolescent mothers accepting FP at PNC respectively (Table H).

Table H: Number & Percentage of Adolescent Mothers Receiving Postnatal Care & Accepting FP atPNCs January - June 2011 & July - December 2010

Number ReceivingPostnatal Services

Number Accepting FamilyPlanning Methods % Accepting

LocationJan - Jun

2011Jul - Dec

2010Jan - Jun

2011Jul - Dec

2010Jan - Jun

2011Jul - Dec

2010

Jamaica 3,122 3,259 2,433 2,640 78 81

South-East 1,151 1,272 946 1,022 82 80

KSA 570 667 453 534 79 80

St. Thomas 110 104 89 85 81 82

St. Catherine 471 501 404 403 86 80

North-East 450 472 367 394 82 83

Portland 83 104 66 92 80 88

St. Mary 157 161 131 132 83 82

St. Ann 210 207 170 170 81 82

Western 774 807 668 702 86 87

Trelawny 114 130 102 111 89 85

St. James 312 293 277 255 89 87

Hanover 117 101 102 93 87 92

Westmoreland 231 283 187 243 81 86

Southern 747 708 452 522 61 74

St. Elizabeth 198 173 138 134 70 77

Manchester 208 192 141 141 68 73

Clarendon 341 343 173 247 51 72



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2428 26

24

1720

41

33

0

5

10

15

20

25

30

35

40

45

Percent

South-East North-East Western Southern

Regions

Figure 4: Percentage of Postnatal Clients not Accepting Family Planning by

Health Regions for January - June 2011 & July -December 2010


As seen in Figure 4, two regions saw an increase in the percentage of mothers not

accepting family planning. For the January - June 2011 period, there was a marked

increase of 8 percent of the total number of Postnatal clients not accepting Family

Planning in the Southern region when compared to the July - December 2010 period. The

Postnatal clients not accepting FP in the North-East region increased by 2 percent at the

end of January - June 2011 period. However, both the South-East and Western regions

reported declines moving from 28 percent to 24 percent and from 20 percent to 17

percent respectively.


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Table I: Number of Dual Method Users by Region and Age Group forJanuary - June 2011 & July - December 2010

Region

TotalAge Groups

10 - 19 20 - 29 30+

Jan - Jun

2011

Jul - Dec

2010

%

Change

Jan - Jun

2011

Jul - Dec

2010

Jan - Jun

2011

Jul - Dec

2010

Jan - Jun

2011

Jul - Dec

2010South-East 19,001 12,588 51 2,560 1,735 8,836 5,886 7,605 4,96North-East 4,361 4,460 -2 614 669 2,229 2,192 1,518 1,59

Western 4,228 3,091 37 747 642 2,146 1,575 1,335 87

Southern 3,844 4,767 -19 466 596 1,682 2,127 1,696 2,04

Total 31,434 24,906 26 4,387 3,642 14,893 11,780 12,154 9,48


Table I shows that the total number of persons practising Dual Method Use increased

from 24,906 in the July - December 2010 period to 31,434 in January - June 2011 period.

This represents an increase of 26.2 percent. All age groups saw an increase in Dual

Method Use in the January - June 2011 period when compared to the July December

2010 period. The least number of persons practising Dual Method Use were in the

adolescent age group, while the 20 - 29 age group had the highest number of persons

practising Dual Method Use.

60

51

14 18

13 12 1219

0

10

20

30

40

50

60

70

Percent

South-East North-East Western Southern

Regions

Figure 5: Percentage Distribution of Dual Method Use by Region



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The percentage distribution of the Dual Method Use is outlined in Figure 5. As seen in

Figure 5, two regions saw an increase in the percentage of persons practising Dual

Method Use. For the January - June 2011 period, there was an increase of 9 percent when

compared to the previous six months in the South-East region followed by an increase of

1 percent in the Western region. However, both the North-East and South regions

reported declines by 4 percent and 7 percent respectively.

Table J shows a declining trend for most methods of contraception in the January - June

2011 period when compared to the corresponding periods in 2010 and 2009. A total of

18,966 New Family Planning Acceptors used all Methods of Contraception in the

January - June 2011 period which represented a 0.3 percent decrease when compared to

the 19,027 used in the July - December 2010 period. All contraceptive methods recorded

a decline in new acceptors excluding the Condom, IUCD and Jadelle methods of

contraception. For the January - June 2011 period, the number of new acceptors using

Condom increased by 45.1 percent to 5,375 when compared to the period July -

December 2010. Both the Pill and Injection declined by 12.4 percent and 12.5 percent

respectively for the review period (Table J).

Table J: New Family Planning Acceptors by Method of Contraception at Regular Intervals - July 2008 to June 2011

Methods January - June

2011

July - December

2010

January - June

2010

July - December

2009

January - June

2009

July - December

2008All Methods 18,966 19,027 20,166 18,581 21,614 19,985

Pill 3,531 4,032 4,511 4,198 5,546 4,572

Injection 9,406 10,755 10,874 10,098 10,469 10,457

IUCD 551 460 570 344 518 372

Norplant/Jadelle 95 59 5 2 10 81

ECP 8 16 6 146 390 290

Condom 5,375 3,705 4,200 3,793 4,681 4,258



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From Table K, the total number of new acceptors of contraceptive by method was

18,966. The largest numbers of new acceptors for all contraceptives were in the parishes

of Kingston and St Andrew (4,083) followed by St Catherine (3,090) and Clarendon

(1,678). The smallest numbers of new acceptors were observed in the parishes of

Portland (401), St Thomas (585) and Trelawny (659). The injection was the most used

method of contraception in KSA and for all parishes except St James and St Elizabeth,

while the least used method of contraception was the ECP.

Overall the number of Jadelle users has steadily increased since it was introduced in2010. For the period January - June 2011, a total of 551 new acceptors used IUCD. This

represents an increase of 19.8 percent when compared with the 460 which used IUCD in

the July - December period. Most acceptors of IUCD (287) for the January - June 2011

period were within the 20 - 29 age group followed by the 30 and over age group which

saw 205 users, while only 59 users were from the 10 - 19 age group (Table L).

Table K: New Acceptors of Contraceptive by Method by Parish, January - June 2011

Parish Pill Injection IUCD Norplant ECP Condom Total

KSA 425 2,484 145 65 0 964 4,083

St Thomas 149 290 30 0 0 116 585

St Catherine 681 1,823 71 0 0 515 3,090

Portland 69 206 7 0 0 119 401

St Mary 197 457 18 0 3 315 990

St Ann 198 644 9 30 1 436 1,318

Trelawny 157 334 63 0 4 101 659

St James 490 467 85 0 0 620 1,662

Hanover 210 275 25 0 0 176 686

Westmoreland 250 709 61 0 0 381 1,401

St Elizabeth 337 393 0 0 0 490 1,220

Manchester 230 551 20 0 0 392 1,193

Clarendon 138 773 17 0 0 750 1,678

Total 3,531 9,406 551 95 8 5,375 18,966

Source: MoH MCSR Data, 2011

Table L: New Acceptors of Implant & IUCD by Age Group for January - June 2011 & July - December 2010

January - June 2011 July - December 2010

10 - 19 20 - 29 30+ Total 10 - 19 20 - 29 30+ Total

Implant (Jadelle) 9 46 40 95 5 37 17 59

IUCD 59 287 205 551 47 249 164 460



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A total of 95 new acceptors utilised the contraceptive Jadelle which represents a 61.0

percent increase in the January - June 2011 period when compared to July - December

2010. For the January - June 2011 period, the 20 - 29 age cohort increased from 37 to 46

Jadelle users when compared to July - December 2010, meanwhile for the 30 and over

age cohort the increase in Jadelle users was from 17 to 40. Nine individuals in the 10-19

age group were new acceptors of the Implant in the period January - June 2011 when

compared to 5 new acceptors in the July - December 2010 period. (Table L).

A total of 3,550 sterilisation acceptors4

were recorded for January - June 2011

representing a decline of 13.8 percent when compared to the observed 4,120 in July -

December 2010. This is due to declines in all regions except the Southern region, which

4 The number of Sterilisation Acceptors was calculated by multiplying the number of Sterilisation Procedures by 5.

Table M: Sterilisation Procedures & Acceptors per Region forJanuary - June 2011 & July - December 2010

Procedures Acceptors

January - June2011

July - December2010

January - June2011

July - December2010

South-East 346 420 1,730 2,100

KSA 162 170 810 850

St. Thomas 19 52 95 260

St. Catherine 165 198 825 990

North-East 114 145 570 725

Portland 13 23 65 115

St. Mary 47 58 235 290

St. Ann 54 64 270 320

Western 86 124 430 620Trelawny 15 0 75 0

St. James 71 124 355 620

Hanover 0 0 0 0

Westmoreland 0 0 0 0

Southern 164 135 820 675

St. Elizabeth 11 20 55 100

Manchester 102 87 510 435

Clarendon 51 28 255 140

Total 710 824 3,550 4,120

Source: MoH HMSR Data, 2010 & 2011


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reported an increase in acceptors from 675 to 820 for the period under review. The

parishes which contributed to the increase in the Southern region were Manchester and

Clarendon. On the other hand, the parishes that reported the largest decreases in acceptors

were St Elizabeth, Portland and St Thomas. Of note, Trelawny recorded 75 acceptors,

after none was reported in the previous six months (Table M).


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Next Steps

Total Number of Mothers Including Adolescent Mothers Accepting Family

Planning

Three quarters (73.3%) of mothers receiving postnatal services in Postnatal Clinics also

accepted Family Planning methods in the January June 2011 period; while 26.7 percent

did not accept. Of the total accepting mothers, 20.4 percent were adolescent mothers, and

77.9 percent accepted FP as well which is less than the 81 percent that accepted in the

July- December period. Every effort should be made to encourage all mothers, especially

adolescent mothers receiving postnatal services to accept FP as well, so as to achieve the

national objective of maintaining a stable and healthy population. It would have beenfavourable to have a higher percentage of adolescent mothers accepting FP methods at

PNCs. Measures need to be put in place to ensure higher acceptance of Family Planning

methods by adolescent mothers.

One possible measure is to offer FP methods to adolescent mothers when they attend

clinics to immunise their child/ children. Likewise, since many adolescents source

contraceptives in the private sector such as pharmacies, an adolescent friendly

environment needs to be provided to encourage adolescents, especially adolescent

mothers to request contraceptive without fear of being ridiculed. Ensuring that

information on Reproductive Health is made available to adolescents in the most basic

form in schools, churches, the media and health centres, among others, can assist in

increasing contraceptive use among adolescents as well.

Another issue that requires urgent attention is the abstinence alone message. The

Ministry of Healths and the Ministry of Educations policies focus on a promotion of

abstinence among adolescents. However, the promotion of abstinence alone will not

reap the desired results. The promotion of contraceptive use among adolescents continues

to be indispensable. A decision needs to be made as to whether the abstinence alone

message will be re-examined so as to take into consideration the fact that a large number

of adolescents in the school system are sexually active and are having unprotected sex.


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Estimated Users of Family Planning Methods and Procedures

It was observed that the estimated users of Family Planning methods and proceduresdeclined by 4.1 percent. The pill, injection, and sterilisation contributed to the overall

decline in estimated users of FP in the period under review. Interest in sterilisation among

women has been declining since the 1997 RHS. The 2008 RHS found that even among

women aged 15- 49 who wanted no more children, interest in sterilisation was low. Main

reasons given for not wanting to use sterilisation were because of their age, preference to

use other method of contraception, fear of the surgery, fear of side effects after surgery,

and because of uncertainty about future fertility preferences. As it relates to the pill,

because most users source this method in the private sector, it would be helpful to

understand whether there was a decline at the private sector level as well. Data from the

2008 RHS shows that at the national level pill use has been declining steadily since the

1997 RHS.

The injection and the condom remained the preferred methods of contraceptive since both

have been the most well-known of all methods since 1989. It is likewise not surprising

that implants were the least used method in both periods especially because implants are

costly and are only offered at a few selected Family Planning sites in Jamaica. However,

the National Family Planning Board could consider increasing the promotion of implants

by providing more information to women in the areas that the services are available.

Unlike other methods that require daily use and are more short-term, implants are

effective up to five years and could satisfy the long-term Family Planning needs of

reproductive age women especially for those in the medical eligibility criteria that

restricts the use of a product with oestrogen.

Dual Method Use

Twenty-six point two (26.2) percent more clients were using more than one method of

contraceptive (dual method users) at a time. Dual method use increased in all age cohorts

with the majority of users being in the 20-29 age cohorts, while the 10-19 age cohorts had


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the least amount of dual method users. The fact that dual method use increased by 20.5

percent in the 10-19 age cohort is encouraging given the fact that risky behaviour in this

age cohort has always been a major health problem for health providers and policy

makers alike. Every effort should be made to encourage the 10-19 age cohorts to continue

practicing dual method use.

Even though many persons might view it as expensive and inconvenient to add condoms

to a method of contraception that is highly effective in preventing pregnancies, the fact is

these methods provide no protection against the spread of Sexually Transmitted

Infections. Dual method use remains the only approach to contraceptive use that is

effective in preventing the spread of STIs, preventing unplanned pregnancies, as well as

in providing a defence against the threat of infertility. The NFPB and its functionariesshould continue to emphasise to the sexually active population the importance of dual

method use for dual protection against STIs and unplanned pregnancies.

Male Visits at Family Planning Clinics

Females, as is expected accounted for the majority of the visits to Family Planning

Clinics in both periods. However, whereas the total number of females visiting Family

Planning Clinics decreased by 8.5 percent, visits by males to FPCs increased by 42

percent when the two periods are compared. The statistics are encouraging given the fact

that traditionally, Reproductive Health has always been deemed to be a womans

responsibility. Because sexually active men and women have to contend with more than

just unplanned pregnancies, but now have to contend with STIs including the deadly

HIV/AIDS disease, it is imperative that both women and men alike be just as involved in

Family Planning decision making, and that men continue to see the importance of their

involvement in the process as well.

The health providers at clinics will need to focus their attention on providing an

environment that is conducive to mens participation (male friendly) in the process. Plans

need to be put in place that will provide men with more information on the variety of


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contraceptive choices available for both they and women, the negative consequences of

failure to use contraceptive, among others. It is germane that Reproductive Health

programmes be developed and implemented in an unbiased way so that men can be

incorporated in the Family Planning decision making process. These actions will allow

men to understand their importance in the Family Planning process; could help reduce the

number of unplanned pregnancies, and the spread of STIs; as well as allow men to realise

that they are just as entitled to Reproductive Health services as their female counterparts.

Condom Distribution

A number of positive indicators were seen from the data gathered: condom distribution

by the NFPB to FPCs increased by 92 percent, and the number of estimated users ofcondoms almost doubled when the two periods are compared. Of the three most used

methods of contraceptives (injection, condom, and pill), the Discontinuation Rate for

Condom saw the most change when compared to other methods, which is evidence that

more users are continuing to use condoms consistently. Likewise, the total number of

condoms distributed to STI clients has increased by 17.1 percent in the latter six months

when compared to the former six months.

The fact that every STI clients are issued condoms when they visit public sector clinics is

a practice that should continue so as to prevent the spread of STIs to other uninfected

clients, while meeting the FP needs of this group. Three regions observed increase in

condom distribution to STI clients except for the Southern region. Steps have to be taken

to ensure a consistent and adequate distribution of condoms in all regions in an effort to

reduce the spread of STIs.

Overall though, the fact that sexually active persons are continuing to use condom, and

more condoms are being made available to STI clients is welcoming news given the fact

that the condom remains the only method of contraception that is effective in preventing

pregnancies as well as the spread of STIs. The NFPB therefore needs to continue to

endorse programmes that focus on the promotion of condom use among the reproductive

age group in all regions.


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APPENDICES


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Appendix I: New Acceptors for January - June 2011 &July - December 2010

ParishJanuary - June

2011July - December

2010

KSA 4,083 4,037

St. Thomas 585 535

St. Catherine 3,090 2,929

Portland 401 528

St. Mary 990 1,066

St. Ann 1,318 1,394

Trelawny 659 725

St. James 1,662 1,638

Hanover 686 588

Westmoreland 1,401 1,396

St. Elizabeth 1,220 1,110

Manchester 1,193 1,181

Clarendon 1,678 1,900

Total 18,966 19,027



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Appendix II: Commodities Distributed to Clients of the Family Planning Programme for January - June 2011

Parish/Region Pill Injection Condom IUD Implant ECP

South-East 18,820 45,848 227,546 543 71 0

KSA 6,446 24,630 128,073 433 71 0

St. Thomas 2,579 3,363 35,324 36 0 0

St. Catherine 9,795 17,855 64,149 74 0 0

North-East 6,563 14,635 88,073 138 39 54

Portland 809 2,986 11,302 27 0 0

St. Mary 1,819 5,097 33,476 24 0 4

St. Ann 3,935 6,552 43,295 87 39 54

Western 11,952 15,707 147,704 795 1 5

Trelawny 2,402 3,978 32,211 556 0 5

St. James 4,037 3,930 47,550 92 0 0

Hanover 3,187 2,711 38,514 31 1 0Westmoreland 2,326 5,088 29,429 116 0 0

Southern 10,869 13,619 128,700 185 0 0

St. Elizabeth 6,865 4,409 43,252 74 0 0

Manchester 2,482 4,245 38,690 92 0 0

Clarendon 1,522 4,965 46,758 19 0 0

Jamaica 48,204 89,809 592,023 1,661 111 59

Source: MoH MCSR Data, 2011


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Appendix III: Attendance at Family Planning Clinics for January - June 2011 by Gender and RegionCompared with July - December 2010

Region

Total Male Female

Jan - Jun2011

Jul - Dec2010

Jan - Jun2011

Jul - Dec2010

Jan - Jun2011

Jul - Dec2010

South-East 63,010 63,912 2,676 1,341 60,334 62,571

North-East 21,712 22,721 1,241 1,152 20,471 21,569

Western 30,822 30,501 4,253 2902 26,569 27,599

Southern 28,937 36,252 3,390 2,749 25,547 33,503

Total 144,481 153,386 11,560 8,144 132,921 145,242



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Appendix IV: Male Visits by Parish and Region forJanuary - June 2011 & July - December 2010

Parish/RegionJanuary - June

2011July - December

2010

South-East 2,676 1,341

KSA 1,440 761St. Thomas 213 101

St. Catherine 1,023 479

North-East 1,241 1,152

Portland 100 185

St. Mary 825 700

St. Ann 316 267

Western 4,253 2,902

Trelawny 1,170 832

St. James 1,480 923

Hanover 816 867

Westmoreland 787 280

Southern 3,390 2,749


Manchester 596 436


Jamaica 11,560 8,144



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Appendix V: Condom Distribution to STI Clients by Region andParish for

January - June 2011 & July - December 2010

Parish/RegionJanuary - June

2011July - December

2010

South-East 56,933 25,791

KSA 36,935 18,402St. Thomas 1,190 296

St. Catherine 18,808 7,093

North-East 39,728 31,546

Portland 4,993 6,178

St. Mary 3,883 3,565

St. Ann 30,852 21,803

Western 41,909 39,774

Trelawny 9,961 11,095

St. James 19,192 12,368

Hanover 10,166 13,989

Westmoreland 2,590 2,322

Southern 25,608 43,145


Manchester 3,927 8,655


Jamaica 164,178 140,256


Semi-Annual Family Planning Statistical Report (January to June 2011)

Documents

Transcript of Semi-Annual Family Planning Statistical Report (January to June 2011)