The overall Contraceptive Performance for the year 2013-14 in terms of Couple Years of Protection (CYP) has increased by 11.15% in comparison with the last year 2012-13.
The Province-wise profile of CYP indicates an increase in all provinces, that is, Punjab (2.5%), Sindh (7.1%), Khyber Pakhtunkhwa (22.5%) and Balochistan (3.9%). As far as the district Islamabad, FATA and Gilgit-Baltistan are concerned, the contraceptive performance has depicted an increase of 33.3%, 11.1% and 59.1% respectively, compared with the previous year. Significant increase in CYP of KPK for this year as compared to the previous year is due to establishment of 110 new FWCs along-with better contraceptive supply through USAID Deliver Project. Similarly significant performance in Islamabad and FATA is due to sufficient supply/stock of contraceptives during the year 2013-14. In GB, the performance has enhanced due to increase in budget allocation during the year 2013-14 to revive the Population Welfare Programme activities, that is holding Mobile Services Unit (MSU) Camps, undertaking Information Education & Communication (IEC) activities and improving desk and field monitoring/supervision. All these activities improved contraceptive clientage during 2013-14 as compared to previous year.
Method-wise comparison of CYP shows increase in Condoms (2.5%), Oral Pills (3.4%), IUDs (17.5%) and Contraceptive Surgery (CS) cases (6.1%), whereas a decrease of 5.9% in Injectables has been observed.
Outlet-wise CYP reflects increase of 10.8% in Family Welfare Centers (FWCs), 14.5% in Reproductive Health Services-A(RHS-A) Centers, 2.4% in Hakeems and Homeopaths (H&H), 6.6% in Male Mobilizers (MM), 17.2% in Registered Medical Practitioners (RMPs), 12.5% in Regional Training Institutes (RTIs), 59.1% in Gilgit-Baltistan and 11.1% in FATA. The performance has decreased by 36.1% in RHS-B, 24.5% in Mobile Service Units (MSUs), 25.3% in Provincial Line Departments (PLDs), 8.9% in AJK and 1.4% in Greenstar/ Social Marketing of Contraceptives (SMC). For NGOs sector, 20.7% increase has been observed in the performance of Rahnuma Family Planning Association of Pakistan (FPAP) and 64.3% in Marie Stopes Society (MSS) of Pakistan in the year 2013-14 compared to 2012-13. Significant increase in Rahnuma FPAP is due to trainings & refreshers of 126 healthcare providers on comprehensive package of modern contraceptive methods. Moreover 500 staff members of Rahnuma FPAP were trained on reporting and recording of data. Significant increase in progress of MSS during 2013-14 as compared to 2012-13, is due to expansion of its Suraj Social Franchise Network, increased frequency of outreach camps and enhanced number of field health educators etc.
The overall Contraceptive Prevalence Rate (CPR) by modern methods, during 2013-14 is 27.41%. The provinces make the rising sequence of CPR as Balochistan (6.73%), Sindh (12.82%), Punjab (17.64%) and Khyber Pakhtunkhwa (23.35%). The highest CPR is observed in the Federal district Islamabad (40.30%).