Number and type of contraceptive methods available at HIV service delivery points
The number and type of different contraceptive methods that are available at HIV service delivery points (SDPs), based on documentation specifying the contraceptive methods offered through PEPFAR, USAID, and/or other governmental, nongovernmental, or international agencies, as applicable.
Contraceptive methods might include combined oral pills, progestin-only pills, injectables, implants, intrauterine devices (IUDs), male condoms, female condoms, emergency contraceptives, voluntary male sterilization, voluntary female sterilization, and the standard days method (i.e., CycleBeads).
“Available” refers to the presence of unexpired contraceptive methods at a point in time (e.g., the day of the visit). However, because this indicator applies to family planning (FP) products documented to be offered at the particular SDP, availability at a point in time may reflect only the length of time since the past shipment arrived rather than FP method level adequacy or effectiveness of inventory management procedures. Measurement over time (e.g., six months or a year) is thus ideal, but may be possible only where information systems are automated.
A list of contraceptive methods available in HIV SDPs
This indicator should be calculated and reported separately for each FP method of interest so that each method receives a unique measure.
Data should be disaggregated by the following:
- HIV service platforms, such as counseling and testing, care and treatment, prevention of mother-to-child transmission of HIV (PMTCT), key populations, and DREAMS
- Non-HIV focused service delivery platforms, such as FP-integrated school, community, or facility health programs
- Type of SDP (e.g., mobile service unit, hospital, or health center)
- Rural/urban location
Service statistics or logistics management information system
This indicator is a critical component of contraceptive security, providing information on those observable and nonexpired contraceptive methods at a given service delivery point, for which a trained provider is available to administer: for example, insertion of an IUD or performance of a tubal ligation.
For more information on this indicator, see “Monitoring the Integration of Family Planning and HIV Services: A Manual to Support the Use of Indicators to Measure Progress toward PEPFAR’s 90-90-90 Targets and Protect Women’s Reproductive Rights” (MEASURE Evaluation, 2016).
Although this indicator is an important index of method mix and a building block for contraceptive security, it does not reveal any information regarding other barriers women and men may face in accessing and using contraceptives, such as access to facilities, cost, etc. It also does not describe utilization of contraceptive methods among clients.
family planning, HIV/AIDS