Article Text
Abstract
Introduction This study linked data from the 2012 Haiti Demographic and Health Survey (DHS) and the 2013 Haiti Service Provision Assessment (SPA) to estimate the extent to which women’s contraceptive use is associated with the method choices available in Haiti’s health facilities.
Methods Using Global Positioning System (GPS) data for DHS clusters and for health facilities, we linked each DHS cluster to all of the family planning facilities located within a specified distance, and then measured the cluster’s level of contraceptive method choice based on the number of facilities within the buffer zone that offered three or more modern contraceptive methods. Random intercept logistic regressions were used to model the variation in individual modern contraceptive use and the availability of multiple method choices at the cluster level.
Results Limited number of family planning facilities in Haiti offered at least three modern contraceptive methods (51% in urban and 23% in rural). Seventeen percent of both rural and urban women lived in an area with low availability of multiple methods—meaning that no facility in the specified buffer zone offered three or more contraceptive methods. Another 29% of rural women and 41% of urban women had medium availability—that is, only one facility in the buffer zone offered three or more methods. In rural areas, compared with women living in a cluster with low availability of multiple methods, the odds of using a modern method are 73% higher for women living in a cluster with medium availability, and over twice as high for women living in a cluster with high availability. A similar positive relationship was also found in urban areas.
Conclusions Women in Haiti have only limited proximity to a health facility offering a variety of contraceptive methods. Improving access to a range of methods available at health facilities near where people live is critical for increasing contraceptive use in both urban and rural areas of Haiti.
- health services research
- geographic information systems
- health systems
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Footnotes
Handling editor Seye Abimbola
Contributors WW designed the study, conducted the analysis and drafted the manuscript. LM contributed to the writing and revision of the manuscript. Both authors reviewed and approved the final version.
Funding This study was funded by the United States Agency for International Development (USAID) (Grant Number: #AID-OAA-C-13-00095).
Competing interests None declared.
Patient consent Not required.
Ethics approval The DHS Program IRB.
Provenance and peer review Not commissioned; externally peer reviewed.
Data statement No additional data are available.