Percent of continuing care and treatment clients reporting unintended pregnancy
Repeat clients refer to clients who return for care and treatment services to the same site. In the context of this indicator, a client is a women of reproductive age (15-49). An unintended pregnancy refers to
pregnancy that is identified by a female attending care and treatment as unwanted or mistimed at the time of conception.
This indicator is calculated as:
(Repeat counseling and testing female clients aged
15-49 reporting unintended pregnancy within the last year / All repeat female
clients aged 15-49 receiving counseling and testing services during the past year) x 100
Total number of female clients aged 15-49 receiving counseling and testing services; number of repeat counseling and testing female clients aged 15-49 reporting unintended pregnancy. Data could be disaggregated by age, marital status, and type of service delivery point (e.g. mobile service unit, hospital, health center, etc.).
Special annual surveys. Female clients will be asked if they are pregnant or
were pregnant within the last year and whether they would have wished to delay or not have the pregnancy.
This indicator will track the effect of increased access to family planning (FP) services on unintended pregnancy among counseling and testing clients. As FP/HIV integration expands and services are delivered, it is expected that unmet need for FP among counseling and testing clients will decline, consequently leading to a decline in unintended pregnancy within this group.
As FP services become more integrated into HIV care and treatment sites, one would expect to see a decrease in unintended pregnancies. However, data can be skewed if there are extended and/or repeated FP stock outs. Furthermore external factors promoting and making FP use more accessible may account for fewer unintended pregnancies rather than changes in service provision at individual service delivery points. Thus, it is important to evaluate the results of this indicator long-term when a more accurate trend analysis can be conducted.
family planning, HIV/AIDS, integration