Secondary analysis on LARC use

This secondary analysis had two components: a) Improving facility readiness for providing health and family planning services: a component analysis approach using BHFS 2014 data and b) Analyzing survival of IUD and implant using Matlab demographic surveillance records. This was conducted with technical assistance from MEASURE Evaluation.

In order to assess the readiness of facilities to provide LARC/PM services using BHFS 2014 data, an operational definition for “facility readiness” for the provision of LARC/PM was developed by reviewing of standard guidelines e.g. Directorate General of Family Planning’s (DGFP) family planning manual, World Health Organization’s Service availability and readiness assessment (SARA tool); conferring with technical experts at Clinical Contraception Service Delivery Program (CCSDP) at DGFP and EngenderHealth, and preliminary results sharing with CCSDP, DGFP.
Key findings show that availability and readiness to provide LARC/PM services is very poor in health facilities in Bangladesh and ensuring availability of necessary equipment and supplies in health facilities can substantially improve readiness for the provision of LARC/PM services. These findings were shared with key stakeholders in October 2018.

To gain an understanding of factors for discontinuation of IUD and implants in Bangladesh, analysis of longitudinal data from the Matlab Health and Demographic Surveillance System (HDSS) was conducted including a comparison of the results with those from the nationally representative Bangladesh Demographic and Health Surveys (BDHS).

Effective Access to Long-Acting Reversible Contraceptives and Permanent Methods in Bangladesh: An Analysis of Health Facility Survey Data
Discontinuation of Contraceptive Intrauterine Devices and Implants in Bangladesh
Policy Brief on The availability of readiness for providing LARC & PM in Bangladesh
Policy Brief on Potential interventions to improve the use of LARC & PM methods in Bangladesh