Family planning service utilization and market segmentation in the Philippines

Type Book
Title Family planning service utilization and market segmentation in the Philippines
Author(s)
Publication (Day/Month/Year) 2000
Publisher Macro international
URL http://www.measuredhs.com/pubs/pdf/fa34/fa34.pdf
Abstract
Between 1993 and 1998, there was an increase in the use of contraceptives in the Philippines. Notable gains in modern method use were recorded, mainly for injectables and female sterilization. Women from poorer households and rural areas registered the most rapid gains in family planning use. The findings also suggest that efforts to raise levels of female schooling, at least to secondary levels, result in greater family planning use. The results also show that younger women tend to use contraceptives less. Younger women of whatever marital status need to be reached more effectively by the family planning program. Employment of women and household wealth status have a positive relation with contraceptive use, especially for modern methods. Unemployed women are less likely to use contraceptives. This correlation implies that policies that encourage women to participate in gainful economic activities will help increase the use of contraception. The relation between the household wealth index (this study’s proxy variable for income) and contraceptive use also demonstrates that women with a higher income more likely to use contraception than poor women. Contrary to expectations, spousal communication about family planning and geographic accessibility to service delivery points appear to be less critical in determining contraceptive use. Community attributes, as reflected by the type of residence and region, influence the use of contraception, although region is important only for modern methods. Women from rural areas are less likely to use contraceptives, although some improvement in rural prevalence is noted between 1993 and 1998. Modern method use improved substantially in Mindanao and areas of Luzon outside Metro Manila over the same period. The results from 1998 also show that living in an Local Performance Program (LPP) province is not an important determinant of contraceptive use. Women who were not visited by family planning fieldworkers in the previous 12 months are less likely to use contraceptives. Visits to health facilities encourage greater use of contraceptives, particularly modern methods. The results show that more respondents heard messages about family planning on radio and television in 1993 than in 1998. However, there is little evidence that this media contact is actually associated with greater use of contraception..

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