The impact of family planning service provision on contraceptive-use dynamics in Morocco.
This article uses linked data from the 1995 Morocco DHS calendar and the 1992 Morocco DHS service-availability module to study the effect of service environment on contraceptive discontinuation, switching, and adoption of a modern method following a birth. The 1995 Morocco DHS also collected information on the source of supply for each episode of use of a modern method recorded in the calendar, allowing study of the association between the source of supply and discontinuation and switching rates. Multilevel event-history models are used to evaluate the impact of individual-level sociodemographic characteristics and community-level indicators of family planning service provision. The findings show that the presence of a nearby public health center is associated with higher modern-method adoption after a birth and lower method-failure rates; the presence of a pharmacy is associated with lower discontinuation due to side effects or health concerns. The degree of method-choice potential has a positive impact on both the rate of switching from the pill to another modern method and on modern-method adoption after a birth.
Steele
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F
Department of Statistics, London School of Economics and Political Science, UK.
Curtis
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SL
Choe
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D000293:Adolescent; D000328:Adult; D002648:Child; D003157:Community Pharmacy Services; D003268:Contraception Behavior / Q000523:psychology / Q000706:statistics & numerical data*; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D015233:Models, Statistical; D009018:Morocco; D015397:Program Evaluation; D015980:Public Health Practice; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires