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New Client‐Centered Discontinuation Measures Using the Demographic and Health Survey Calendar Data

Bibliographic Data

ID10796980
AuthorsAparna Jain (0000-0003-1683-3341, Senior Associate Population Council 4301 Connecticut Ave, NW, #208 Washington, DC 20008 USA, corresponding author), Elizabeth Tobey (0000-0002-8036-6904, Staff Associate Population Council 4301 Connecticut Ave, NW, #208 Washington, DC 20008 USA)
Year2022
Volume53
Issue4
Pages681-693
Publication date2022-12-01
Open AccessYes
TypeARTICLE
VenueStudies in Family Planning (JOURNAL)
Journal identifiersISSN: 0039-3665 • E-ISSN: 1728-4465
PublisherWiley (PUBLISHER • GB)
DOI10.1111/sifp.12212
PMID36134449
OpenAlexW4296917335
LanguageEN
Citations received1
References cited2

The main source of method discontinuation data comes from the calendar data of the Demographic and Health Surveys (DHS). DHS considers each episode of use contributed by a woman in the calendar to calculate method discontinuation. This means that episodes from women who contribute only one episode of contraceptive use are combined with episodes from women who contribute multiple episodes of use. This paper explores the DHS calculation of episode‐based discontinuation and proposes new indicators that focus specifically on the client and puts her as the unit of analysis. First, we attempt to replicate the DHS calculation by applying weighted averages to episodes from women who contributed only one episode and from women who contributed multiple episodes of use. We then calculate three client‐centered discontinuation indicators, using the five‐year calendar data of the DHS. The methodology is illustrated by using data collected in Bangladesh, Kenya, and Indonesia. Starting with the very first method used and reported in the calendar and following use over 12 months, we develop a client‐centered discontinuation indicator. We build on the calculation of the client‐centered discontinuation indicator by: (1) excluding switching to result in all contraceptive discontinuation (complete discontinuation); and (2) limiting discontinuation to women still in need of contraception applying the DHS definitions of in need

Developed country · Discontinuation · Environmental health · Family medicine · Family planning · Population · Psychiatry · Research methodology · Sociology · Unit (ring theory · Child Nutrition and Water Access · Demography · Global Maternal and Child Health · Medicine · Poverty, Education, and Child Welfare · Psychology · Pediatrics

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  • Reducing Unmet Need by Supporting Women with Met Need

    Anrudh K Jain, Francis Obare et al.•International Perspectives on…•2013

Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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