Global MEAL wiki
Global MEAL framework
Thematic MEAL frameworks
MEAL tools & Guidance
Global data: our reach and impact
|INDICATOR 6: Demand satisfied for modern contraceptives among women aged 15-49|
| Why this indicator? What will it measure and provide information for?
This indicator measures a woman’s ability to access contraceptives in order to determine the timing and spacing of her pregnancies. This framing of the indicator attempts to emphasize women’s right and competence to freely choose, rather than maximum coverage. It is an indicator of both community support for and health system provision of contraceptives. It does not allow for analysis of which factors influence women’s ability to access contraception, however, or the extent to women make decisions about their reproductive health on their own.
| What Sustainable Development Goal is the indicator connected to?
This indicator is linked to SDG 3 “Ensure healthy lives and promote well-being for all at all ages” and SDG 5 “Achieve gender equity and empower all women and girls.” It is one of the indicators for tracking these SDGs. Specifically this indicator is linked to the SDG3 target “Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all” and the SDG5 target “Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Program of Action of the International Conference on Population and Development and the Beijing Platform for Action and the outcome documents of their review conferences”
| Definitions and key terms
Demand satisfied is defined as modern contraceptive prevalence / modern contraceptive prevalence + unmet need. Modern contraceptive prevalence is the percentage of women who are currently using modern contraception among women in union ages 15-49. Unmet need is the percentage of women non-pregnant, fecund women, who desire either to have no additional children or postpone the next pregnancy and are not using modern contraception.
| Data and information required to calculate the indicator
* Numerator: number of women aged 15-49 who are sexually active, not pregnant, and fecund, who are using modern contraception
* Denominator: number of women aged 15-49 who are sexually active, not pregnant and fecund, who are using modern contraception PLUS women aged 15 – 49 who are not pregnant, fecund, and who desire either to have no additional children or postpone the next pregnancy
| Suggested method for data collection
* This information is collected via surveys, typically DHS surveys which include standard questions for obtaining data for this indicator.
* See DHS question numbers and wording to calculate this indicator.
| Possible data sources
* Household surveys (DHS) conducted typically every 3 or 5 years. In some cases, data are available for disaggregation at sub-national level. Ministries of Health may have estimates available for regions or provinces.
* Data from national-level sources are compiled in the UNICEF global database. Latest available estimates for contraceptive prevalence rate and unmet need are available at www.undata.org, and % demand satisfied can be calculated from those two figures.
* If feasible and appropriate, CARE may also conduct household surveys, especially if sampling to represent marginalized impact populations or specific geographic areas
| Resources needed for data collection
If the information will be gathered from secondary data sources, no investment is required for gathering this indicator at the national level. However, your evaluation may want to assess this directly in specific geographic areas or sub-populations or include questions on CARE’s contribution to the change, which will require resources for conducting interviews or focus groups.
| Reporting results for this indicator: number of people for which the change happened
* How many women are accessing contraceptives in the country/sub-nationally last year?
* Has there been an improvement of the % demand satisfied since the past measurement, has it stayed the same or worsened?
* Given CARE’s role and presence, to what extent has CARE contributed to this change and at which level (national, in a particular region or part of the country, marginally)? Please explain.
| Questions for guiding the analysis and interpretation of data (explaining the how and why the change happened, and how CARE contributed to the change)
Higher rates of modern contraception contribute to greater intervals between births and delayed age at first birth and fewer unwanted pregnancies, directly contributing to lower maternal mortality
* How has CARE contributed to the change? What were CARE’s main strategies for contributing to this change (e.g. capacity building of health staff, community awareness raising, advocacy and policy change, supporting the scale up of proven solutions, a combination of strategies, other ways)?
* Is the change in uptake of contraception influenced by increased participation and representation of women in decisions related to family planning?
* Is the change in satisfied demand for contraception influenced by new or amended policies, legislation, programs, accountability spaces and/or budgets responsive to providing contraception commodities and services?