private shops and pharmacies as providers of family planning

Private Shops & Pharmacies as Providers of Family Planning

Trends in Modern CPR

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Why does this topic matter? Private drug shop/pharmacies are often the first point of care

Training and supporting drug shop/pharmacies is recognized as a promising high impact

practice (HIP)

Donors and implementers are increasingly looking at this group as part of HRH efforts

While these private providers are important sources for care, challenges remain for:

Drug quality Service quality Policy restrictions Fragmentation

APC has core funds to support a Community of Practice for drug shops/pharmacies

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Let’s look at the dataSecondary Analysis of the DHS

Snapshot of FP Trends15 African Countries

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Where do women go?

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What do they buy?

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Drug Shops & Pharmacies

Who do they serve?

13|*Includes countries where MCPR ≥ 20% and use of pharmacy/shops as source for last modern method ≥ 8%Source: Most recent Demographic and Health Survey, 2008-2013.

14|*Includes countries where MCPR ≥ 20% and use of pharmacy/shops as source for last modern method ≥ 8%Source: Most recent Demographic and Health Survey, 2008-2013.

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16|*Includes countries where MCPR ≥ 20% and use of pharmacy/shops as source for last modern method ≥ 8%Source: Most recent Demographic and Health Survey, 2008-2013.

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Some take aways For FP, private shops/pharmacies appear to serve the wealthier

segments

• Would client profiles look different for other health services/commodities, e.g., malaria, zinc/ORS?

For low mCPR countries (<20%), would drug shop/pharmacy client profiles look different?

• Ghana, Nigeria?

FP clients are more likely to be located in rural areas

• Would disaggregating relative wealth by place of residence reveal other patterns, e.g. urban poor vs. rural wealthy?

Tanzania appears to be an outlier

• FP clients are young, rural and unmarried

Can the data tell us anything about programming and investment?

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