pma2015/ghana-r4 soi - ipums · pma2015/ghana-r4 soi snapshot of indicators summary of the sample...

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PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data collection both at the population-level and among service delivery points (SDPs). Enumeration areas (EAs) selected in Round 1 are generally used for data collection in Rounds 2-4. Households within the EA are randomly sampled during each round, however the EA is consistent across rounds. For clarity, the original Round 1 sample design summary is provided below. PMA2020 uses a two--stage cluster design with residential area (urban and rural) and regions as sampling domains. Within the strata, clusters were selected with probability proportional to size. The final sample of 100 EAs and 4,200 households is designed to generate national estimates of all women modern contraceptive prevalence rate (mCPR) with less than 2% margin of error and urban/rural estimates at less than 3% margin of error. The table below provides a summary of key family planning indicators and their breakdown by background characteristics. To view the breakdown by background characteristics of the respondents, please click on the respective indicator link. Distribution of respondents by background characteristics is available here. Distribution of SDPs by background characteristics is available here. Additional details on sample design, data collection and processing, response rates, and standard errors are available below the indicator tables.

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Page 1: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data collection both at the population-level and among service delivery points (SDPs). Enumeration areas (EAs) selected in Round 1 are generally used for data collection in Rounds 2-4. Households within the EA are randomly sampled during each round, however the EA is consistent across rounds. For clarity, the original Round 1 sample design summary is provided below. PMA2020 uses a two-­stage cluster design with residential area (urban and rural) and regions as sampling domains. Within the strata, clusters were selected with probability proportional to size. The final sample of 100 EAs and 4,200 households is designed to generate national estimates of all women modern contraceptive prevalence rate (mCPR) with less than 2% margin of error and urban/rural estimates at less than 3% margin of error. The table below provides a summary of key family planning indicators and their breakdown by background characteristics. To view the breakdown by background characteristics of the respondents, please click on the respective indicator link. Distribution of respondents by background characteristics is available here. Distribution of SDPs by background characteristics is available here. Additional details on sample design, data collection and processing, response rates, and standard errors are available below the indicator tables.

Page 2: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

PMA2020 Standard Family Planning Indicators

Round 4

All Women

Married Women

Utilization Indicators:

Contraceptive Use

Contraceptive Prevalence Rate (CPR) 28.1 34.6

Modern Contraceptive Prevalence (mCPR) 23.4 29.0

Traditional Contraceptive Prevalence 4.7 5.7

Contraceptive Method Mix

Contraceptive method mix (stacked bar charts for all/married women)

Demand Indicators:

Unmet need for family planning 21.6 29.5

Demand for family planning 49.7 64.2

Percent of women with demand satisfied by modern contraception 47.1 45.1

Percent of recent births, by intention

Wanted then 57.3 60.3

Wanted later 30.8 29.2

Wanted no more 11.9 10.5

Indicators for Access, Equity, Quality & Choice:

Percent of users who chose their current method by themselves or jointly with a partner/provider

92.2 93.1

Percent of users who paid for family planning services 63.0 63.9

Method Information Index

Percent of current users who were informed about other methods 60.9 66.0

Percent of current users who were informed about side effects 58.0 65.6

Page 3: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

Percent of current users who were told what to do if they experienced side effects 84.4 84.3

Percent of current users who would return and/or refer others to their provider

83.8 83.6

Percent of women receiving family planning information in the past 12 months

13.4 17.6

Fertility Indicators:

Charging fees for family planning

Contraceptive choice: Availability of at least 3 or at least 5 modern contraceptive methods

Contraceptive choice: Availability of modern contraception, by method

Contraceptive stock-outs, by method

Number of new and continuing family planning visits, by method

Page 4: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

Snapshot of Indicators | PMA2015/Ghana-R4

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Background characteristics of respondents Percent distribution of background characteristics of women age 15 to 49

Background characteristics Percentage of sample

Weighted number

Unweighted number

Age group 15–19 20.1 1,041 1,032 20–24 19.0 984 942 25–29 17.4 899 893 30–34 15.2 789 783 35–39 12.2 631 672 40–44 8.1 419 456 45–49 8.0 415 407

Marital status Married 42.1 2,179 2,311 Living together 14.3 741 730 Divorced 6.7 348 319 Widowed 2.1 111 110 Never married 34.4 1,781 1,698

Parity None 36.1 1,868 1,901 1-2 31.2 1,618 1,538 3-4 19.9 1,033 1,037 5 or more 11.2 582 691

Education Never attended 18.4 952 1,201

Primary 17.9 927 938 Middle/JJS 37.1 1,923 1,803 Secondary/SSS 17.6 913 864 Higher 8.9 462 376

Wealth quintile Lowest 22.2 1,148 1,551 Lower 20.0 1,037 1,009 Middle 19.8 1,025 861 Higher 18.5 960 815 Highest 19.5 1,009 949

Region Ashanti 20.5 1,063 1,025 Brong-Ahafo 7.8 401 447 Central 14.2 736 459 Eastern 7.3 378 456 Greater Accra 17.3 894 743 Northern 8.9 459 796 Upper East 6.9 356 255 Upper West 4.0 207 148 Volta 4.9 253 403 Western 8.3 431 453

Total 100.0 5,180 5,185

Page 5: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

Snapshot of Indicators | PMA2015/Ghana-R4  

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Current use of contraception by background characteristics Percentage of women age 15 to 49 currently using a contraceptive method, by type and background characteristics

Any method Modern method1 Traditional method

Background characteristic All women Married women2 All women Married

women2 All women Married women2

Number 5,180 2,920 5,180 2,920 5,180 2,920 Total 28.1 34.6 23.4 29.0 4.7 5.7 Age group

15–19 11.6 27.5 8.9 23.1 2.7 4.5 20–24 35.3 40.6 29.8 34.4 5.5 6.2 25–29 35.7 37.4 30.0 31.2 5.7 6.2 30–34 34.7 37.2 29.9 31.4 4.8 5.8 35–39 33.6 36.8 29.3 32.7 4.3 4.1 40–44 27.4 27.8 20.0 19.0 7.4 8.7 45–49 15.3 19.1 12.6 15.7 2.7 3.4

Marital status Married2 34.6 na 29.0 na 5.7 na Unmarried, sexually active 40.0 na 33.1 na 6.9 na

Parity 0–1 23.9 32.7 19.6 27.1 4.3 5.5 2–3 34.2 35.9 28.0 29.1 6.1 6.8 4 or more 32.6 34.4 29.0 30.5 3.6 3.9

Residence Urban 27.7 35.8 22.6 28.9 5.2 6.9 Rural 28.6 33.2 24.7 29.0 3.9 4.2

Education Never attended 23.1 24.8 20.7 22.1 2.4 2.7 Primary 29.4 36.4 26.9 33.7 2.4 2.8 Middle/JSS 27.7 37.2 22.0 30.1 5.7 7.1 Secondary 27.5 39.4 21.8 30.0 5.7 9.4 Higher 38.3 44.5 30.7 32.7 7.6 11.8

Wealth quintile Lowest 23.5 26.0 20.9 23.2 2.7 2.8 Lower 30.7 41.3 25.9 36.0 4.8 5.3 Middle 30.2 37.1 25.6 32.7 4.5 4.5 Higher 27.9 33.5 22.9 26.3 5.0 7.2 Highest 28.6 38.1 22.0 27.7 6.6 10.3

Region Ashanti 30.3 38.2 23.7 29.9 6.5 8.3 Brong-Ahafo 43.9 51.5 32.5 39.9 11.4 11.5 Central 29.2 37.5 26.2 34.3 3.0 3.2 Eastern 28.1 41.2 24.4 35.3 3.7 5.9 Greater Accra 28.9 36.7 22.9 27.8 6.0 8.9 Northern 14.2 16.0 12.5 14.2 1.8 1.8 Upper East 32.1 38.5 32.1 38.5 0.0 0.0 Upper West 34.7 44.4 34.7 44.4 0.0 0.0 Volta 22.3 23.3 16.7 18.4 5.6 4.9 Western 15.9 20.5 12.5 15.5 3.4 5.0

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, standard days method, and lactational amenorrhea method 2Married includes married women and those who are living with a man na = not applicable

Page 6: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

Snapshot of Indicators | PMA2014/Ghana-R4  

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Contraceptive method mix by background characteristics Percent distribution of current contraceptive users age 15 to 49, by method type, marital status, and background characteristics  

 1Married includes married women and those who are living with a man

All users

Number = 1,454 Background characteristics

Sterili-zation Implants IUD Inject-

ables Pill Emergency contraception Condom Other

modern Other

traditional Total

Total 2.1 14.9 1.8 30.3 13.6 8.0 8.7 4.8 16.0 100.0 Age group

15–19 0.0 9.2 0.0 11.5 15.5 17.1 20.2 3.7 22.8 100.0 20–24 0.0 12.0 1.6 28.3 11.4 12.2 13.7 5.7 15.1 100.0 25–29 0.2 12.8 0.3 30.8 16.3 9.0 9.6 5.3 15.8 100.0 30–34 4.0 18.6 2.0 30.9 12.2 7.5 5.5 7.1 12.3 100.0 35–39 3.2 24.9 2.7 38.2 12.6 1.8 2.7 1.9 12.1 100.0 40–44 4.6 11.9 3.7 32.3 14.2 0.0 2.3 4.2 26.8 100.0 45–49 9.6 8.5 7.0 41.7 15.8 0.0 0.0 0.0 17.4 100.0

Marital status Married1 2.3 15.8 2.0 37.2 13.2 4.6 5.2 4.1 15.5 100.0 Unmarried, sexually active

2.5 10.6 1.7 17.4 12.9 16.8 15.2 5.6 17.3 100.0

Parity 0–1 0.5 9.1 1.7 18.2 15.3 15.1 17.7 4.9 17.5 100.0 2–3 2.2 20.5 1.2 40.4 9.4 3.3 2.0 3.9 17.1 100.0 4 or more 4.9 19.3 2.9 41.5 15.6 0.6 0.3 4.3 10.6 100.0

Residence Urban 2.1 10.6 2.3 28.7 13.0 10.9 10.0 4.4 18.0 100.0 Rural 2.0 21.2 1.0 32.6 14.4 3.7 6.8 5.3 13.0 100.0

Education Never attended 3.5 21.7 0.7 47.0 12.7 1.0 1.3 3.0 9.1 100.0 Primary 1.1 22.3 2.8 47.4 13.7 1.8 2.3 1.0 7.6 100.0 Middle/JJS 1.6 14.8 2.6 28.2 14.8 5.1 6.2 6.9 19.9 100.0 Secondary 1.3 4.6 0.2 14.9 14.3 19.6 18.4 6.1 20.7 100.0 Higher 4.0 9.5 1.6 11.5 9.8 18.7 21.5 4.5 18.9 100.0

Wealth quintile Lowest 2.1 18.6 1.2 40.9 14.5 0.5 6.5 5.4 10.3 100.0 Lower 2.0 18.1 0.5 36.3 12.5 2.9 7.6 4.9 15.1 100.0 Middle 0.8 16.7 2.8 35.6 14.0 6.0 5.5 3.9 14.7 100.0 Higher 2.9 11.9 2.4 26.1 12.5 12.9 9.2 4.1 18.1 100.0 Highest 2.5 8.6 2.2 11.8 14.4 18.2 15.0 5.5 21.6 100.0

Region Ashanti 4.5 17.6 0.6 23.3 14.1 6.4 6.5 5.6 21.3 100.0 Brong-Ahafo 0.0 11.0 0.8 30.2 13.2 10.8 2.1 6.5 25.4 100.0 Central 1.8 21.8 3.7 28.3 10.5 8.3 9.4 6.2 9.9 100.0 Eastern 1.2 17.9 5.3 33.1 16.5 3.1 5.1 7.5 10.1 100.0 Greater Accra 1.9 12.9 1.5 11.9 16.1 19.8 12.3 3.5 20.1 100.0 Northern 0.7 4.1 2.6 51.4 22.4 0.0 4.6 2.4 11.7 100.0 Upper East 0.9 11.1 0.0 54.1 8.2 0.0 22.4 3.3 0.0 100.0 Upper West 3.1 6.0 0.0 73.1 15.6 0.0 2.2 0.0 0.0 100.0 Volta 2.3 12.7 5.2 20.0 11.0 6.1 16.7 3.6 22.5 100.0 Western 0.0 21.2 1.5 38.0 7.9 1.1 6.6 2.6 21.2 100.0

Page 7: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

Snapshot of Indicators | PMA2014/Ghana-R4  

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

1Married includes married women and those who are living with a man na = not applicable

Married users1

Number = 1,011 Background characteristics

Sterili-zation Implants IUD

Inject-ables Pill

Emergency contraception Condom

Other modern

Other traditional Total

Total 2.3 15.8 2.0 37.2 13.2 4.6 5.2 4.1 15.5 100.0 Age group

15–19 0.0 14.6 0.0 19.0 9.2 8.5 19.8 14.4 14.5 100.0 20–24 0.0 11.2 0.7 42.9 11.2 7.6 9.7 2.0 14.7 100.0 25–29 0.3 13.2 0.4 38.2 16.1 6.8 3.8 5.1 16.1 100.0 30–34 2.5 17.7 2.3 34.8 12.8 4.3 4.9 6.9 13.7 100.0 35–39 3.6 24.0 2.5 39.7 12.9 1.7 3.0 2.1 10.4 100.0 40–44 4.5 14.1 4.4 26.3 14.4 0.0 3.1 2.2 30.9 100.0 45–49 11.5 10.2 8.4 40.7 11.2 0.0 0.0 0.0 17.9 100.0

Marital status Married1 na na na na na na na na na na Unmarried, sexually active

na na na na na na na na na na

Parity 0–1 0.0 9.8 2.2 28.2 16.3 9.7 14.0 4.0 15.8 100.0 2–3 1.8 19.1 1.4 41.7 8.9 3.5 2.1 3.4 18.1 100.0 4 or more 5.5 18.5 2.7 41.8 15.7 0.7 0.3 3.9 10.9 100.0

Residence Urban 2.3 11.0 3.3 35.4 13.0 6.2 6.1 4.5 18.2 100.0 Rural 2.4 22.2 0.4 39.4 13.5 2.4 4.0 3.6 12.0 100.0

Education Never attended 4.1 19.6 0.0 50.8 12.1 0.4 0.2 3.5 9.3 100.0 Primary 1.4 21.8 3.1 48.8 14.0 1.0 2.4 0.4 7.2 100.0 Middle/JJS 1.9 14.8 3.3 33.7 13.1 2.9 5.2 7.0 18.3 100.0 Secondary 1.5 4.2 0.4 21.2 17.0 15.3 11.6 4.9 23.8 100.0 Higher 3.4 12.9 0.5 19.6 9.9 13.8 13.1 1.8 25.0 100.0

Wealth quintile Lowest 2.1 17.2 1.2 47.9 14.5 0.0 3.3 3.8 10.0 100.0 Lower 2.7 20.1 0.0 43.7 11.6 1.7 2.5 5.7 12.1 100.0 Middle 1.2 17.2 3.5 43.5 13.2 4.8 2.1 2.9 11.6 100.0 Higher 2.5 12.2 2.4 34.2 12.7 5.0 4.8 4.6 21.6 100.0 Highest 3.2 10.5 3.5 12.4 14.4 12.5 15.0 3.6 25.0 100.0

Region Ashanti 3.8 18.6 0.5 24.2 14.5 4.9 5.3 6.8 21.4 100.0 Brong-Ahafo 0.0 14.5 1.0 36.1 13.3 9.2 1.5 2.7 21.7 100.0 Central 2.8 24.5 4.9 32.8 10.5 2.3 7.3 7.1 7.9 100.0 Eastern 1.8 14.1 7.6 38.5 15.2 2.5 3.7 5.5 11.1 100.0 Greater Accra 2.6 15.1 1.1 17.6 14.7 11.7 11.8 2.2 23.2 100.0 Northern 0.8 4.3 1.1 53.0 22.1 0.0 5.3 2.8 10.5 100.0 Upper East 1.4 12.5 0.0 75.3 10.8 0.0 0.0 0.0 0.0 100.0 Upper West 3.8 5.3 0.0 80.6 8.9 0.0 1.3 0.0 0.0 100.0 Volta 3.6 15.1 8.2 29.1 12.0 0.0 9.4 5.7 16.9 100.0 Western 0.0 17.0 0.0 45.9 6.7 1.6 3.2 1.2 24.3 100.0

Page 8: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

Current Method Mix Among All and Married Contraceptive Users (Age 15-49)

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Snapshot of Indicators | PMA2015/Ghana-R4

0

20

40

60

80

100

120

MarriedAll

Other traditional

Other modern

Emergency contraception Male condoms

Pills

Injectables

Implants

IUD

Female sterilization

All Married

Perc

enta

ge

100

75

50

25

0

Number of users:1,454

Number of users:1,011

30.3

13.6

16.0

4.8

14.9

8.7

2.1

8.0

37.2

13.2

15.5

4.1

15.8

5.24.6

1.8 2.3 2.0

Page 9: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

Snapshot of Indicators | PMA2015/Ghana-R4  

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Unmet need for family planning Percentage of women age 15 to 49 with unmet need for family planning, by marital status and background characteristics

1Married includes married women and those who are living with a man na = not applicable

Background characteristics All women Married women1

Number 5,180 2,920 For spacing For limiting Total For spacing For limiting Total

Total 15.1 6.5 21.6 19.4 10.2 29.5 Age group

15–19 15.2 2.2 17.4 44.5 8.6 53.0 20–24 22.4 2.7 25.1 30.5 4.9 35.4 25–29 19.1 2.8 21.9 24.6 3.9 28.5 30–34 17.0 6.9 23.9 19.7 7.7 27.4 35–39 9.7 12.1 21.8 11.5 14.4 25.9 40–44 7.3 18.0 25.3 9.6 22.6 32.1 45–49 2.0 12.9 14.9 3.1 17.9 20.9

Marital status Married1 19.4 10.2 29.5 na na na Unmarried, sexually active 32.1 4.3 36.4 na na na

Parity 0–1 15.0 1.7 16.7 22.2 2.9 25.1 2–3 18.7 8.7 27.4 21.7 10.0 31.7 4 or more 11.8 16.9 28.7 13.6 18.5 32.1

Residence Urban 11.9 6.3 18.2 15.6 11.2 26.8 Rural 20.1 6.6 26.7 23.9 8.9 32.9

Education Never attended 16.7 9.4 26.1 19.7 11.3 31.0 Primary 15.0 9.7 24.8 18.0 13.9 31.9 Middle/JJS 15.9 5.8 21.7 20.8 8.8 29.6 Secondary 14.5 2.9 17.4 23.0 7.2 30.2 Higher 10.2 3.6 13.7 10.7 6.6 17.2

Wealth quintile Lowest 20.0 8.3 28.2 26.7 10.8 37.5 Lower 15.8 7.1 22.9 20.2 11.8 32.0 Middle 14.3 7.9 22.2 17.6 11.6 29.3 Higher 14.3 5.0 19.4 13.9 8.6 22.5 Highest 10.6 3.6 14.2 14.7 7.2 21.9

Region Ashanti 14.1 6.3 20.4 19.0 9.8 28.8 Brong-Ahafo 13.9 6.0 20.0 17.2 7.0 24.3 Central 12.0 7.2 19.2 15.0 13.2 28.2 Eastern 13.9 7.3 21.1 19.2 12.7 31.9 Greater Accra 11.8 4.4 16.2 13.6 10.0 23.6 Northern 32.2 3.8 36.0 36.9 4.6 41.5 Upper East 9.5 7.9 17.4 12.5 11.5 24.0 Upper West 16.0 6.0 21.9 12.9 7.6 20.5 Volta 19.4 6.9 26.2 24.1 10.8 34.8 Western 16.0 11.1 27.0 18.7 16.5 35.2

Page 10: PMA2015/GHANA-R4 SOI - IPUMS · PMA2015/GHANA-R4 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2015/Ghana-R4: PMA2020 is designed to create sentinel sites for data

Snapshot of Indicators | PMA2014/Ghana-R4

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Need and demand for family planning Percentage of women age 15 to 49 with met need, unmet need, and total demand for family planning, and percentage of demand for family planning satisfied with modern methods, by marital status and background characteristics  

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, standard days method, and lactational amenorrhea method 2Married includes married women and those who are living with a man na = not applicable

Background characteristics All women Number 5,180

Married women2

2,920 Met need Met need

Any method

Modern method1

Unmet need

Total demand

Demand satisfied

by modern method

Any method

Modern method1

Unmet need

Total demand

Demand satisfied

by modern method

Total 23.4 28.1 21.6 49.7 47.1 29.0 34.6 29.5 64.2 45.1 Age group

15–19 8.9 11.6 17.4 29.0 30.7 23.1 27.5 53.0 80.6 28.6 20–24 29.8 35.3 25.1 60.4 49.3 34.4 40.6 35.4 76.0 45.3 25–29 30.0 35.7 21.9 57.6 52.1 31.2 37.4 28.5 65.9 47.4 30–34 29.9 34.7 23.9 58.6 50.9 31.4 37.2 27.4 64.6 48.6 35–39 29.3 33.6 21.8 55.4 52.9 32.7 36.8 25.9 62.7 52.1 40–44 20.0 27.4 25.3 52.7 37.9 19.0 27.8 32.1 59.9 31.8 45–49 12.6 15.3 14.9 30.2 41.7 15.7 19.1 20.9 40.0 39.2

Marital status Married2 29.0 34.6 29.5 64.2 45.1 na na na na na

Unmarried, sexually active

33.1 40.0 36.4 76.4 43.3 na na na na na

Parity 0–1 19.6 23.9 16.7 40.6 48.2 27.1 32.7 25.1 57.8 47.0 2–3 28.0 34.2 27.4 61.6 45.6 29.1 35.9 31.7 67.6 43.0 4 or more 29.0 32.6 28.7 61.3 47.4 30.5 34.4 32.1 66.5 45.8

Residence Urban 22.6 27.7 18.2 46.0 49.1 28.9 35.8 26.8 62.6 46.2 Rural 24.7 28.6 26.7 55.3 44.6 29.0 33.2 32.9 66.1 43.9

Education Never attended 20.7 23.1 26.1 49.2 42.1 22.1 24.8 31.0 55.8 39.7 Primary 26.9 29.4 24.8 54.1 49.7 33.7 36.4 31.9 68.3 49.3 Middle/JJS 22.0 27.7 21.7 49.4 44.6 30.1 37.2 29.6 66.8 45.0

Secondary 21.8 27.5 17.4 45.0 48.6 30.0 39.4 30.2 69.6 43.1 Higher 30.7 38.3 13.7 52.0 59.0 32.7 44.5 17.2 61.7 53.0

Wealth quintile Lowest 20.9 23.5 28.2 51.8 40.3 23.2 26.0 37.5 63.5 36.5 Lower 25.9 30.7 22.9 53.6 48.3 36.0 41.3 32.0 73.2 49.1 Middle 25.6 30.2 22.2 52.4 49.0 32.7 37.1 29.3 66.4 49.2 Higher 22.9 27.9 19.4 47.3 48.4 26.3 33.5 22.5 56.0 46.9 Highest 22.0 28.6 14.2 42.8 51.4 27.7 38.1 21.9 60.0 46.3

Region Ashanti 23.7 30.3 20.4 50.7 46.9 29.9 38.2 28.8 67.0 44.6 Brong-Ahafo 32.5 43.9 20.0 63.8 50.9 39.9 51.5 24.3 75.7 52.7 Central 26.2 29.2 19.2 48.4 54.1 34.3 37.5 28.2 65.7 52.2 Eastern 24.4 28.1 21.1 49.3 49.6 35.3 41.2 31.9 73.1 48.3 Greater Accra 22.9 28.9 16.2 45.1 50.8 27.8 36.7 23.6 60.3 46.0 Northern 12.5 14.2 36.0 50.3 24.8 14.2 16.0 41.5 57.5 24.7 Upper East 32.1 32.1 17.4 49.5 64.9 38.5 38.5 24.0 62.5 61.6 Upper West 34.7 34.7 21.9 56.6 61.3 44.4 44.4 20.5 64.9 68.4 Volta 16.7 22.3 26.2 48.5 34.4 18.4 23.3 34.8 58.2 31.7 Western 12.5 15.9 27.0 43.0 29.2 15.5 20.5 35.2 55.7 27.9

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Snapshot of Indicators | PMA2015/Ghana-R4

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Pregnancy intentions Unintended births among women age 15 to 49 with one or more births in the previous 5 years or who are currently pregnant: Percent distribution reporting last or current pregnancy was wanted then, wanted later or not wanted at all, by marital status and background characteristics

1Married includes married women and those who are living with a man na = not applicable

Background characteristics

All women with 1 or more births Married women with 1 or more births

Number 2,195 1,889 Wanted

then Wanted

later Wanted no more Total Wanted

then Wanted

later Wanted no

more Total

Total 57.3 30.8 11.9 100.0 60.3 29.2 10.5 100.0 Age group

15–19 17.3 52.2 30.5 100.0 22.7 52.1 25.2 100.0 20–24 44.1 40.6 15.4 100.0 47.7 39.7 12.6 100.0 25–29 60.6 33.8 5.6 100.0 64.5 31.2 4.3 100.0 30–34 67.1 24.9 8.0 100.0 69.4 23.0 7.5 100.0 35–39 65.1 24.1 10.8 100.0 65.6 24.3 10.0 100.0 40–44 67.2 17.1 15.7 100.0 66.2 17.3 16.4 100.0 45–49 52.8 15.8 31.5 100.0 47.0 17.9 35.1 100.0

Marital status Married1 60.3 29.2 10.5 100.0 na na na na Unmarried, sexually active

34.8 47.1 18.1 100.0 na na na na

Parity 0–1 52.8 35.0 12.3 100.0 59.0 32.0 9.0 100.0 2–3 60.9 30.1 9.0 100.0 62.1 29.9 8.0 100.0 4 or more 57.8 26.7 15.5 100.0 59.0 25.5 15.5 100.0

Residence Urban 57.1 30.9 12.1 100.0 60.7 28.6 10.7 100.0 Rural 57.6 30.7 11.7 100.0 59.9 29.9 10.2 100.0

Education Never attended 67.3 25.1 7.5 100.0 68.6 24.2 7.2 100.0 Primary 55.5 28.3 16.2 100.0 58.5 26.7 14.9 100.0 Middle/JJS 48.4 37.5 14.1 100.0 50.6 37.1 12.3 100.0 Secondary/SSS 54.6 35.5 9.9 100.0 60.9 31.9 7.2 100.0 Higher 81.3 13.7 4.9 100.0 85.1 10.4 4.5 100.0

Wealth quintile Lowest 58.2 31.3 10.5 100.0 60.9 30.1 9.1 100.0 Lower 54.1 32.2 13.7 100.0 56.0 31.3 12.8 100.0 Middle 47.2 36.4 16.4 100.0 48.9 35.8 15.3 100.0 Higher 61.3 29.0 9.8 100.0 67.8 24.6 7.6 100.0 Highest 70.5 21.6 7.9 100.0 73.6 20.2 6.1 100.0

Region Ashanti 55.3 30.8 13.9 100.0 57.7 29.6 12.7 100.0 Brong-Ahafo 58.8 27.4 13.8 100.0 63.9 26.7 9.4 100.0 Central 37.7 43.1 19.2 100.0 38.0 41.8 20.2 100.0 Eastern 55.6 25.7 18.7 100.0 57.5 25.7 16.8 100.0 Greater Accra 62.2 27.4 10.4 100.0 68.7 24.1 7.2 100.0 Northern 65.6 32.1 2.3 100.0 65.4 32.2 2.4 100.0 Upper East 62.2 27.6 10.1 100.0 68.6 18.9 12.5 100.0 Upper West 94.2 5.8 0.0 100.0 95.7 4.3 16.4 100.0 Volta 41.4 48.2 10.4 100.0 42.0 48.6 9.4 100.0 Western 60.5 26.6 13.0 100.0 63.7 26.5 9.8 100.0

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Snapshot of Indicators | PMA2015/Ghana-R4

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Contraceptive choice

Percent distribution of women age 15 to 49 who are currently using modern contraception1 reporting on who decided on the contraceptive method, by background characteristics

Background characteristics Self Jointly with partner or provider

Provider alone/ partner alone/other Total

Number 750 589 114 1,452 Total 51.6 40.6 7.8 100.0 Age group

15–19 48.6 40.6 10.8 100.0 20–24 52.6 39.6 7.8 100.0 25–29 52.6 39.3 8.1 100.0 30–34 56.4 35.2 8.4 100.0 35–39 46.5 48.2 5.3 100.0 40–44 43.3 49.5 7.2 100.0 45–49 59.1 33.2 7.7 100.0

Marital status Married2 48.2 44.9 6.9 100.0 Unmarried, sexually active

55.0 36.0 9.0 100.0

Parity 0–1 52.0 37.5 10.5 100.0 2–3 52.3 42.4 5.4 100.0 4 or more 50.3 43.6 6.1 100.0

Residence Urban 57.0 35.4 7.6 100.0 Rural 43.7 48.2 8.1 100.0 Education Never attended 55.8 36.0 8.2 100.0

Primary 46.4 47.7 5.9 100.0 Middle/JJS 55.7 36.1 8.2 100.0 Secondary 50.0 41.3 8.8 100.0 Higher 44.3 47.8 7.9 100.0

Wealth quintile Lowest 53.1 33.1 13.8 100.0 Lower 49.1 47.8 3.1 100.0 Middle 56.8 39.8 3.4 100.0 Higher 52.2 38.5 9.3 100.0 Highest 47.0 42.2 10.8 100.0

Region Ashanti 46.3 48.9 4.8 100.0 Brong-Ahafo 45.6 51.6 2.8 100.0 Central 54.0 39.2 6.8 100.0 Eastern 54.5 30.8 14.7 100.0 Greater Accra 46.8 45.3 7.9 100.0 Northern 73.7 18.3 7.9 100.0 Upper East 58.6 33.5 8.0 100.0 Upper West 62.6 22.9 14.5 100.0 Volta 39.6 36.9 23.5 100.0 Western 63.7 29.2 7.1 100.0

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, standard days method, and lactational amenorrhea method 2Married includes married women and those who are living with a man

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Snapshot of Indicators | PMA2015/Ghana-R4

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Payment for family planning

Percentage of women age 15 to 49 currently using a modern contraceptive method1 who paid fees for services, by marital status and background characteristics

Background characteristics All modern contraceptive users1

Married2 modern contraceptive users1

Number 1,454 1,011 Total 63.0 63.9 Age group

15–19 61.2 75.6 20–24 64.6 67.7 25–29 66.1 64.7 30–34 62.5 62.2 35–39 60.5 63.1 40–44 57.7 55.6 45–49 61.9 63.3

Marital status Married2 63.9 na Unmarried, sexually active 61.8 na

Parity 0–1 61.8 62.7 2–3 62.6 62.7 4 or more 66.4 67.2

Residence Urban 59.9 60.5 Rural 67.5 68.3

Education Never attended 71.8 72.4

Primary 72.4 73.0 Middle/JJS 57.9 59.5

Secondary 55.0 54.9 Higher 63.9 55.5

Wealth quintile Lowest 63.1 62.6 Lower 71.4 73.8 Middle 62.5 68.2 Higher 60.1 56.5 Highest 56.8 53.8

Region Ashanti 57.5 57.9 Brong-Ahafo 73.7 76.8 Central 64.1 63.3 Eastern 52.9 52.5 Greater Accra 52.5 53.1 Northern 66.0 66.5 Upper East 75.8 75.2 Upper West 84.4 81.0 Volta 61.2 64.8 Western 67.6 65.8

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, standard days method, and lactational amenorrhea method 2Married includes married women and those who are living with a man na = not applicable  

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Method information index

Percentage of current modern1 contraceptive users who reported whether provider informed them about other methods, side effects and, if informed of side effects, what to do, by marital status and background characteristics2

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, standard days method, and lactational amenorrhea method 2"Informed about other methods" asked of all current contraceptive users, "informed about side effects" asked of current modern contraceptive users, and "told what to do if experienced side effects" asked of current modern contraceptive users who indicated they were told about side effects. 3Married includes married women and those who are living with a man na = not applicable

Background characteristics Informed about other methods

Informed about side effects

Told what to do if experienced side effects

All users Married users3 All users Married users3 All users Married users3

Number 1,454 1,011 1,223 854 709 561 Total 60.9 66.0 58.0 65.6 84.4 84.3 Age group

15–19 50.0 54.4 36.9 48.9 84.4 (90.9) 20–24 50.3 62.0 49.4 63.1 82.5 81.5 25–29 60.9 66.0 54.0 62.6 78.8 75.2 30–34 64.4 63.2 62.5 62.7 89.6 90.8 35–39 74.0 74.3 70.9 70.9 89.0 90.4 40–44 71.0 69.1 74.0 75.9 77.3 74.0 45–49 62.0 64.0 72.8 77.1 88.9 91.4

Marital status Married3 66.0 na 65.6 na 84.3 na

Unmarried, sexually active

49.8 na 42.3 na 90.1 na

Parity 0–1 50.2 59.0 44.1 57.1 79.4 76.8 2–3 71.0 70.1 66.9 67.5 84.9 85.3 4 or more 70.2 70.2 71.6 71.3 89.1 88.7

Residence Urban 55.7 63.1 54.1 64.3 80.4 80.7 Rural 68.5 69.7 63.4 67.3 89.1 88.5

Education Never attended 65.6 66.1 69.3 72.5 82.0 82.3

Primary 73.2 76.2 67.9 72.2 87.5 87.4 Middle/JJS 61.9 65.2 55.2 60.2 83.9 84.3

Secondary 46.4 52.0 45.5 55.5 78.2 74.1 Higher 53.3 62.5 50.1 67.0 91.5 89.5

Wealth quintile Lowest 60.3 62.9 58.7 64.5 86.9 87.4 Lower 68.4 71.9 63.2 68.1 81.4 83.9 Middle 61.6 68.8 62.4 70.2 86.9 85.6 Higher 59.8 68.2 54.4 69.4 79.9 77.0 Highest 53.3 56.1 49.3 53.4 87.2 86.8

Region Ashanti 67.5 66.6 58.7 59.4 75.5 76.9 Brong-Ahafo 53.1 60.0 52.7 63.1 94.7 96.5 Central 59.3 70.7 55.8 67.9 70.6 71.3 Eastern 83.0 83.0 74.9 83.5 96.5 97.2 Greater Accra 51.2 56.9 48.7 58.1 94.6 91.1 Northern 70.3 69.5 75.6 73.6 84.0 84.3 Upper East 68.3 83.7 65.8 80.0 91.2 90.3 Upper West 39.7 39.6 41.8 48.2 (74.3) (78.4) Volta 52.5 64.9 42.7 52.2 94.0 96.6 Western 64.0 65.1 79.1 84.9 83.0 77.2

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Perceived quality of care for family planning Percentage of current modern1 contraceptive users who would return, would refer a friend/relative, or would return and refer friend/relative to provider, by background characteristics

Background characteristics Percent who would return to provider

Percent who would refer relative/friend

Percent who would return and refer friend/relative

Number 1,206 1,206 1,206 Total 89.6 88.3 83.8 Age group 15–19 91.0 90.2 86.3 20–24 91.6 88.0 84.0 25–29 89.4 91.9 87.9 30–34 87.6 80.3 76.3 35–39 91.4 93.2 87.3 40–44 86.1 88.4 82.5 45–49 85.5 87.8 81.6

Marital status Married2 90.4 88.1 83.6 Unmarried, sexually active 92.9 91.5 88.7

Parity 0–1 88.5 86.5 82.3 2–3 91.4 89.9 84.8 4 or more 90.8 91.0 86.7

Residence Urban 87.9 87.3 82.5 Rural 92.1 89.8 85.7

Education Never attended 91.1 93.3 88.2 Primary 91.2 85.5 82.2 Middle/JJS 87.2 86.6 81.1 Secondary 89.6 86.6 83.0 Higher 92.2 94.0 90.0

Wealth quintile Lowest 89.4 90.1 84.1 Lower 93.1 87.8 85.3 Middle 90.5 88.0 83.7 Higher 88.3 86.3 83.3 Highest 85.9 89.4 82.6

Region Ashanti 84.2 86.8 79.3 Brong-Ahafo 88.3 83.3 79.9 Central 94.2 92.5 91.2 Eastern 88.4 68.1 63.6 Greater Accra 91.4 90.9 88.1 Northern 85.2 91.9 83.2 Upper East 97.5 97.1 95.5 Upper West 94.0 93.7 87.7 Volta 81.4 92.7 79.3 Western 86.4 85.6 82.0

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, standard days method, and lactational amenorrhea method 2Married includes married women and those who are living with a man

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Snapshot of Indicators | PMA2015/Ghana-R4  

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Knowledge of family planning Percentage of women age 15 to 49 who reported receiving family planning information from a health worker in the past 12 months, by marital status and background characteristics

Background characteristics

Visited by health worker who discussed family planning

Visited facility and provider discussed family planning

Either visited by health worker or visited facility and discussed

family planning All women Married women1 All women Married women1 All women Married women1

Number 5,180 2,920 5,180 2,920 5,180 2,920 Total 13.4 17.6 20.2 29.1 26.5 36.3 Age group

15–19 8.6 16.3 7.3 32.0 13.1 36.5 20–24 12.9 19.3 19.5 33.2 25.0 39.6 25–29 14.0 16.2 25.9 31.3 33.1 39.1 30–34 16.5 18.6 28.2 30.8 35.9 39.0 35–39 20.6 22.5 28.3 32.0 36.9 41.2 40–44 13.1 14.7 18.9 19.8 23.9 25.5 45–49 9.1 9.9 15.5 17.4 19.2 21.3

Marital status Married1 17.6 na 29.1 na 36.3 na Unmarried, sexually active

12.0 na 12.0 na 19.1 na

Parity 0–1 10.6 16.6 13.1 24.1 18.9 31.5 2–3 16.2 16.8 29.4 32.5 35.9 38.7 4 or more 18.4 19.7 29.2 30.7 37.1 39.1

Residence Urban 8.3 11.2 17.2 25.8 22.7 32.4 Rural 21.1 25.4 24.7 33.2 32.4 41.1

Education Never attended 17.8 19.8 29.8 33.9 35.6 39.8 Primary 13.9 19.7 21.1 30.1 27.4 38.3 Middle/JJS 12.1 14.8 18.0 25.9 24.4 33.1 Secondary 9.7 12.3 13.1 26.2 19.7 32.3 Higher 16.2 24.2 21.6 29.0 28.8 39.7

Wealth quintile Lowest 18.3 22.6 26.0 34.7 33.0 42.2 Lower 16.5 21.7 20.6 29.8 27.5 37.5 Middle 9.8 14.3 19.4 28.4 25.0 35.8 Higher 9.2 11.0 17.6 26.3 23.7 33.1 Highest 12.2 15.6 16.4 23.4 22.5 29.8

Region Ashanti 11.9 14.3 23.3 31.2 31.6 40.5 Brong-Ahafo 21.2 28.3 34.5 47.9 38.9 53.2 Central 6.6 9.7 15.2 24.0 19.1 29.7 Eastern 9.6 15.9 12.4 18.0 16.8 25.7 Greater Accra 10.2 14.6 15.9 28.9 19.9 32.2 Northern 15.8 17.6 22.6 28.0 29.4 34.5 Upper East 16.3 16.3 24.8 32.8 35.6 41.0 Upper West 34.7 43.4 25.8 34.8 37.9 47.9 Volta 9.5 13.3 17.3 24.4 20.4 27.9 Western 18.5 22.6 16.2 18.4 25.0 29.4

1Married includes married women and those who are living with a man na = not applicable

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Characteristics of service delivery points Number and percentage of service delivery points (SDPs) by background characteristics

Background characteristics Number Percentage

Total 233 100.0 SDP type

Hospital/Polyclinic 82 35.2 Health center/clinic 67 28.8 CHPS 17 7.3 Pharmacy/Chemist/Retail Outlet/Other 67 28.8

Number of beds1 1 0-50 111 47.6 51-100 29 12.4 101 or more 25 10.7

Sector Public 144 61.8 Private 89 38.2

Region Ashanti 40 17.2

Brong-Ahafo 22 9.4 Central 23 9.9 Eastern 25 10.7 Greater Accra 47 20.2 Northern 21 9.0 Upper East 11 4.7 Upper West 9 3.9 Volta 13 5.6 Western 22 9.4

Offers family planning No 13 5.6 Yes 220 94.4

1Number of beds only asked of advanced facilities, including hospital, health center, health clinic, Community-Based Health Planning and Services (CHPS), and other  

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Charging fees for family planning Percentage of service delivery points (SDPs) that charge fees for family planning services, by sector and background characteristics, among SDPs offering family planning

Background characteristic Sector Public Private Number of SDPs 143 77 Total 90.2 62.3 SDP type Hospital/Polyclinic 97.1 (87.5) Health center/clinic 85.7 (85.7) CHPS (76.5) na Pharmacy/Chemist/Retail Outlet/Other (100.0) 56.5 Number of beds1 0-50 87.8 (87.5) 51-100 (91.7) (75.0) 101 or more (100.0) (100.0)

1Number of beds only asked of advanced facilities, including hospital, health center, health clinic, Community-Based Health Planning and Services (CHPS), and other na = not applicable (XX) = Estimate generated from less than 25 unweighted observations (XX) = Estimate generated from less than 5 unweighted observations

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Contraceptive Choice: Availability of at least 3 or at least 5 modern contraceptive methods Percentage of public and private service delivery points (SDPs) offering at least 3 or at least 5 modern contraceptive methods1, by sector and background characteristics, among all SDPs

Background characteristic 3 or more methods 5 or more methods

Public Private Public Private Number of SDPs 144 89 144 89 Total 89.6 46.1 61.1 11.2 SDP type Hospital/Polyclinic 95.7 (38.5) 85.5 (30.8) Health center/clinic 91.1 (36.4) 42.9 (9.1) CHPS (58.8) na (23.5) na Pharmacy/Chemist/Retail Outlet/Other (100.0) 49.2 (50.0) 7.7 Number of beds1 0-50 86.7 (38.5) 49.0 (15.4) 51-100 (95.8) (40.0) (87.5) (40.0) 101 or more (94.4) (42.9) (83.3) (28.6)

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, and standard days method 2Number of beds only asked of advanced facilities, including hospital, health center, health clinic, Community-Based Health Planning and Services (CHPS), and other na = not applicable (XX) = Estimate generated from less than 25 unweighted observations (XX) = Estimate generated from less than 5 unweighted observations

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Contraceptive choice: Availability of modern contraception, by method

Percentage of service delivery points (SDPs) offering different types of contraceptive methods1, by sector and background characteristics, among all SDPs

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, and standard days method 2Number of beds only asked of advanced facilities, including hospital, health center, health clinic, Community-Based Health Planning and Services (CHPS), and other na = not applicable (XX) = Estimate generated from less than 25 unweighted observations (XX) = Estimate generated from less than 5 unweighted observations

Public SDPs Contraceptive method Background characteristic Number of SDPs = 141 Pill Injectables IUD Implants

Male condom

Female sterilization

Emergency contraception

Total 91.0 98.6 56.9 88.9 95.8 27.1 31.9 SDP type Hospital/Polyclinic 95.7 98.6 87.0 97.1 97.1 55.1 37.7 Health center/clinic 89.3 100.0 35.7 96.4 94.6 1.8 33.9 CHPS (82.4) (94.1) (5.9) (29.4) (94.1) (0.0) (5.9) Pharmacy/Chemist/Retail Outlet/Other (50.0) (100.0) (50.0) (100.0) (100.0) (0.0) (0.0) Number of beds2 0-50 89.8 99.0 42.9 84.7 95.9 8.2 32.7 51-100 (95.8) (100.0) (87.5) (100.0) (95.8) (62.5) (37.5) 101 or more (94.4) (94.4) (83.3) (94.4) (94.4) (66.7) (16.7)

Private SDPs Contraceptive method Background characteristic Number of SDPs = 89 Pill Injectables IUD Implants

Male condom

Female sterilization

Emergency contraception

Total 69.7 21.3 5.6 12.4 70.8 5.6 49.4 SDP type Hospital/Polyclinic (53.8) (53.8) (15.4) (46.2) (46.2) (30.8) (23.1) Health center/clinic (27.3) (54.5) (18.2) (36.4) (45.5) (9.1) (0.0) CHPS na na na na na na na Pharmacy/Chemist/Retail Outlet/Other 80.0 9.2 1.5 1.5 80.0 0.0 63.1 Number of beds2 0-50 (30.8) (53.8) (23.1) (38.5) (46.2) (7.7) (7.7) 51-100 (60.0) (60.0) (0.0) (60.0) (60.0) (40.0) (20.0) 101 or more (57.1) (57.1) (28.6) (42.9) (42.9) (28.6) (28.6)

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Contraceptive stock-outs, by method Percentage of service delivery points (SDPs) stocked out of specific modern contraceptives1 at time of survey or stocked out in the last 3 months, by sector and background characteristics, among SDPs that offer each method

1Modern methods include female and male sterilization, implants, IUD, injectables, pill, emergency contraception, male and female condoms, and standard days method 2Number of beds only asked of advanced facilities, including hospital, health center, health clinic, Community-Based Health Planning and Services (CHPS), and other na = not applicable (XX) = Estimate generated from less than 25 unweighted observations (XX) = Estimate generated from less than 5 unweighted observations

Public SDPs Contraceptive method

Background characteristic Pill Injectables IUD Implants Male

condom Emergency

contraception Number of SDPs 131 142 82 128 138 46 Total 36.6 13.4 17.1 18.8 29.0 93.5 SDP type Hospital/Polyclinic 42.4 8.8 10.0 13.4 29.9 96.2 Health center/clinic 30.0 19.6 35.0 25.9 32.1 [89.5] CHPS (35.7) (12.5) (100.0) (0.0) (18.8) (100.0) Pharmacy/Chemist/Retail Outlet/Other (0.0) (0.0) (0.0) (50.0) (0.0) na Number of beds2 0-50 36.4 15.5 19.0 20.5 30.9 93.8 51-100 (34.8) (8.3) (14.3) (16.7) (30.4) (88.9) 101 or more (29.4) (5.9) (13.3) (17.6) (17.6) (100.0)

Private SDPs Contraceptive method

Background characteristic Pill Injectables IUD Implants Male

condom Emergency

contraception Number of SDPs 62 19 5 11 63 44 Total 32.3 31.6 20.0 36.4 27.0 29.5 SDP type Hospital/Polyclinic (42.9) (28.6) (0.0) (50.0) (50.0) (66.7) Health center/clinic (33.3) (33.3) (50.0) (25.0) (20.0) na CHPS na na na na na na Pharmacy/Chemist/Retail Outlet/Other 30.8 (33.3) (0.0) (0.0) 25.0 26.8 Number of beds2 0-50 (50.0) (42.9) (33.3) (20.0) (33.3) (0.0) 51-100 (66.7) (33.3) na (66.7) (66.7) (100.0) 101 or more (25.0) (25.0) (0.0) (33.3) (33.3) (50.0)

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Snapshot of Indicators | PMA2015/Ghana-R4  

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

Number of family planning visits, by method Total number of visits and new clients for contraceptive services, by method type and background characteristics, among advanced1 service delivery points (SDPs)1 that offer each method

Contraceptive Methods

Sterilization Injectable IUD Implants Male condom Pills

Emergency Contraception

Total

women Total men Total New Total New Total New Total New Total New Total New

Number of SDPs 44 32 161 87 139 201 193 90 Total 161 101 22,127 3,961 435 250 2,737 1,210 3,573 730 1,929 452 99 99 Background characteristic SDP type Hospital/Polyclinic 146 101 16,018 2,886 359 216 2,024 900 2,142 430 1,391 311 99 99 Health center/clinic 15 0 5,406 916 74 32 696 297 1,410 288 486 125 0 0 CHPS 0 0 570 84 0 0 6 4 21 12 23 6 0 0 Pharmacy/Chemist/Retail Outlet/Other 0 0 133 75 2 2 11 9 0 0 29 10 0 0 Number of beds 0-50 29 0 11,992 2,191 196 94 1,384 641 2,379 413 1,048 260 0 0 51-100 40 2 7,183 1,058 80 38 915 359 812 200 622 113 99 99 101 or more 92 99 2,175 547 156 118 384 184 373 115 234 76 0 0 Sector Public 145 99 21,120 3,777 404 235 2,660 1,174 3,138 625 1,827 434 0 0 Private 16 2 1,007 184 31 15 77 36 435 105 102 18 99 99

1Advanced  facilities include hospital, health center, health clinic, Community-Based Health Planning and Services (CHPS), and other SDPs include hospital, health center, health clinic and other na = not applicable

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Snapshot of Indicators | PMA2015/Ghana-R4

© 2016 Performance Monitoring and Accountability 2020 (PMA2020)

List of indicators for sampling errors, PMA2015/Ghana Round 4

Variable Estimation Base population

Currently using a modern method Proportion All women age 15–49 Married women age 15–49

Currently using a traditional method Proportion All women age 15–49 Married women age 15–49

Currently using any contraceptive method Proportion All women age 15–49 Married women age 15–49

Currently using injectables Proportion All women age 15–49 Married women age 15–49

Currently using male condoms Proportion All women age 15–49 Married women age 15–49

Currently using implants Proportion All women age 15–49 Married women age 15–49

Chose method by self or jointly in past 12 months Proportion All women age 15–49 Married women age 15–49

Paid fees for family planning services in past 12 months Proportion All women age 15–49 Married women age 15–49

Informed by provider about other methods Proportion All women age 15–49 Married women age 15–49

Informed by provider about side effects Proportion All women age 15–49 Married women age 15–49

Satisfied with provider: Would return and refer friend/relative to provider

Proportion All women age 15–49 Married women age 15–49

Visited by health worker who talked about family planning information in past 12 months

Proportion All women age 15–49 Married women age 15–49

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The PMA2015/Ghana-R4 Survey in Detail Sample Design

Round 1 Sample Design

The PMA2020 survey collects data annually at the national (urban and rural) and regional levels to allow for the estimation of key indicators to monitor progress in family planning. The resident enumerator (RE) model enables replication of the surveys twice a year for the first two years, and annually each year after that, to track progress. In Ghana, survey resources allowed targeting a sample size of 100 enumeration areas (EAs) and a final sample size of 4,200 households. A total of 100 EAs were sampled throughout all regions in Ghana and selected from the Ghana Statistical Service’s master sampling frame. The primary sampling units for the survey were the EAs, created during the 2010 census. The EAs were selected systematically with probability proportional to size within urban and rural strata. The Ghana Statistical Service provided the selection probabilities for the PMA2020 sampled clusters which were used to construct sample weights. In each selected EA, field supervisors randomly selected up to three private SDPs to be interviewed by a RE using the SDP questionnaire. The field supervisors themselves administered the service delivery point (SDP) questionnaires at an additional three public SDPs that serve each EA; the lowest, second-lowest, and third-lowest level public health facilities designated to serve each EA. Round 4 Sample Update

Data collection for Round 4 continued in the same EAs as Round 3. As Round 4 was approximately six months after the previous mapping and listing activity, mapping and listing was not repeated. Rather, the Round 3 household list was used for selection into the sample. Field supervisors randomly selected 42 households from the household listing. A household roster was completed and all eligible women age 15-49 in selected households were approached and asked to provide informed consent (and assent if aged 15-17 years) to participate in the study. The majority of SDPs are repeated in each round, forming a panel survey. If an EA had more than three private SDPs identified during the listing process, then three private SDPs are randomly selected in each round. Questionnaires PMA2020 uses standardized questionnaires for households and service delivery points (SDPs) to gather data that are comparable across program countries and consistent with existing national surveys. Prior to launching the survey in each country, these questionnaires are reviewed and modified by local experts to ensure all questions are appropriate to each setting. Three questionnaires were used to collect data from the PMA2015/Ghana-R4 survey: the household questionnaire, the female questionnaire and the service delivery point (SDP) questionnaire. These questionnaires were based on model surveys designed by PMA2020 staff at the Bill & Melinda Gates Institute for Population and Reproductive Health in Baltimore at the Johns Hopkins Bloomberg School of Public Health, Kwame Nkrumah University of Science & Technology (KNUST) School of Public Health in collaboration with University of Development Studies (UDS), and fieldwork materials of the Ghana Demographic and Health Survey (DHS). All PMA2020 questionnaires are administered using Open Data Kit software and Android smartphones. The PMA2015/Ghana-R4 questionnaires were in English on the phone and had to be translated into local languages using available translations from similar population surveys and experts in translation. The interviews were conducted in the local language or English in a few cases when the respondent was not

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comfortable with the local language. Female resident enumerators in each enumeration area administered the household questionnaire and female questionnaire in selected households. The household questionnaire gathers basic information about the household, such as ownership of livestock and durable goods, as well as characteristics of the dwelling unit, including wall, floor and roof materials, water sources, and sanitation facilities. This information is used to construct a wealth quintile index. The first section of the household questionnaire, the household roster, lists basic demographic information about all usual members of the household and visitors who stayed with the household the night before the interview. This roster is used to identify eligible respondents for the female questionnaire. In addition to the roster, the household questionnaire also gathers data that are used to measure key water, sanitation, and hygiene (WASH) indicators, including regular sources and uses of water, sanitation facilities used and prevalence of open defecation by household members. The female questionnaire is used to collect information from all women age 15 to 49 who were listed on the household roster at selected households. The female questionnaire gathers specific information on: education; fertility and fertility preferences; family planning access, choice and use; quality of family planning services; exposure to family planning messaging in the media; and the burden of collecting water on women. The SDP questionnaire collected information about the provision and quality of reproductive health services and products, integration of health services, and WASH within the health facility. Training, Data Collection and Processing Training The PMA2015/Ghana-R4 fieldwork refresher training started on April 16, 2015, with a training of 15 field supervisors and 3 central staff. PMA2020 staff from the Bill & Melinda Gates Institute for Population and Reproductive Health of the Johns Hopkins Bloomberg School of Public Health led the training, with support from Kwame Nkrumah University of Science & Technology (KNUST) School of Medicine project staff. The one-day training of field supervisors on April 16th focused on updates to the survey protocol since the previous round. The field supervisors then became the trainers for the four subsequent resident enumerator (RE) refresher training sessions that also took place in January 2014. Four groups of training were organized for REs. Four groups of training were organized for REs. Two training workshops were held in Kumasi - the first for REs from Volta, Brong Ahafo and Eastern regions and the second for REs from Ashanti region. A third training was organized in Tamale-UDS for Northern, Upper East and Upper West regions, and a fourth in Accra for REs from Western region, Central region, and Greater Accra. As this was a refresher training for continuing staff, the training focused on a handful of newly added questions to the household questionnaire and review of the service delivery point (SDP) questionnaire and review of survey content and protocol. Throughout the trainings, REs and supervisors were evaluated based on their performance on several written and phone-based assessments, practical field exercises and class participation. The RE trainings were conducted primarily in English, whereas small group sessions were all conducted in the local languages predominantly spoken in the selected EAs. Supervisors received additional training prior to and after the RE training to further strengthen their supervisory skills, including instruction on conducting re-interviews, carrying out random spot checks, and engaging communities through local leaders.

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Data Collection and Processing Data collection was conducted between May and September 2015. Unlike traditional paper-and-pencil surveys, PMA2020 uses Open Data Kit (ODK) Collect, an open-source software application, to collect data on mobile phones. All the questionnaires were programmed using this software and installed onto all project smartphones. The ODK questionnaire forms are programmed with automatic skip-patterns and built-in constraints to reduce data entry errors. The ODK application enabled REs and supervisors to collect and transfer survey data to a central ODK Aggregate cloud server. This instantaneous aggregation of data also allowed for concurrent data processing and course corrections while PMA2020 was still active in the field. Throughout data collection, central staff at KNUST and the data manager at the Gates Institute in Baltimore routinely monitored the incoming data and notified field staff of any potential errors, missing data or problems found with form submissions on the central server. The use of mobile phones combined data collection and data entry into one step; therefore, data entry was completed when the last interview form was uploaded at the end of data collection in September. Once all data were on the server, data analysts cleaned and de-identified the data, applied survey weights, and prepared the final data set for analysis using Stata® version 14 software. Data analysis for the national dissemination of preliminary findings was conducted between September and October 2015.

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Response Rates The table below shows response rates for household and female respondents by residence (rural/urban) for PMA2015/Ghana-R4. A total of 4,185 households were selected for the PMA2015 Round 4 survey; 4,142 households were found to be occupied at the time of the fieldwork. Of the occupied households, 4,053 (97.9%) consented to a household-level interview. The response rate at the household level was equitable in rural (97.9%) and in urban (97.8%) areas. In the occupied households that provided an interview, a total of 5,291 eligible women aged 15 to 49 years were identified. Overall, 98.0% of the eligible women were available and consented to the interview. The female response rate was equitable between the rural (98.3%) and urban (97.7%) enumeration areas (EAs). Only de facto females are included in the PMA analyses; the final completed de facto female sample size was 5,185 (unweighted). The final SDP sample included 239 facility interviews, of which 233 were completed for a response rate of 97.5%.

PMA2015/Ghana-R4

Result Urban Rural Total

Household interviews

Households selected 2,134 2,051 4,185

Households occupied 2,107 2,035 4,142

Households interviewed 2,060 1,993 4,053

Household response rate* 97.8% 97.9% 97.9%

Interviews with women ages 15-49

Number of eligible women** 2,628 2,663 5,291

Number of eligible women interviewed 2,568 2,617 5,185

Eligible women response rate 97.7% 98.3% 98.0%

*Household response rate = households completed/households occupied **Eligible women response rates include only women identified in completed household interviews †Eligible response rate = eligible women interviewed/eligible women Source: Performance Monitoring and Accountability 2020 (PMA2020) survey PMA2015/Uganda Round 2. Weights were adjusted for non-response at the household and individual levels and applied to all household and individual estimates in this report. SDP estimates are not weighted

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Sample Error Estimates The following table shows sample errors for the PMA2020 indicators described above. For more information about PMA2020 indicators, including estimate type and base population, click here. *Current or recent users = women currently using contraception, or have used in the last 12 months.

Variable Value[R] Standard Error

Confidence Interval

R-2SE R+2SE

All women ages 15 to 49

Currently using a modern method 0.234 0.013 0.209 0.259

Currently using a traditional method 0.047 0.005 0.037 0.057

Currently using any contraceptive method 0.281 0.015 0.251 0.310

Currently using injectables 0.089 0.007 0.074 0.104

Currently using male condoms 0.035 0.006 0.024 0.046

Currently using implants 0.042 0.006 0.029 0.054

Chose method by self or jointly in past 12 months 0.916 0.016 0.885 0.948

Paid fees for family planning services in past 12 months 0.630 0.029 0.572 0.687

Informed by provider about other methods 0.609 0.031 0.547 0.670

Informed by provider about side effects 0.580 0.033 0.514 0.646

Satisfied with provider: Would return and refer friend/relative to provider 0.838 0.028 0.783 0.894

Visited by health worker who talked about family planning in past 12 months 0.134 0.018 0.099 0.169

Married women ages 15 to 49

Currently using a modern method 0.290 0.018 0.255 0.324

Currently using a traditional method 0.057 0.006 0.044 0.069

Currently using any contraceptive modern method 0.346 0.019 0.308 0.384

Currently using injectables 0.134 0.012 0.110 0.159

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Currently using male condoms 0.025 0.005 0.014 0.035

Currently using implants 0.055 0.009 0.038 0.072

Chose method by self or jointly in past 12 months 0.932 0.017 0.897 0.967

Paid fees for family planning services in past 12 months 0.639 0.030 0.579 0.699

Informed by provider about other methods 0.660 0.033 0.593 0.726

Informed by provider about side effects 0.656 0.034 0.588 0.725

Satisfied with provider: Would return and refer friend/relative to provider 0.836 0.031 0.775 0.897

Visited by health worker who talked about family planning in past 12 months 0.176 0.024 0.128 0.223