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  • Title: Family planning program effort and the initiation of contraceptive use: a multi-level analysis.
    Author: Chamratrithirong A, Bennett A, Prasartkul P, Podhisita C.
    Journal: Warasan Prachakon Lae Sangkhom; 1989 Jul; 2(1):43-62. PubMed ID: 12316143.
    Abstract:
    The family planning (FP) and population programs of Thailand have been effective in increasing contraceptive use and causing declining fertility in a timely manner. Evaluation of these programs could be useful in applying successful elements here in other programs. To do this evaluation statistical analysis was used to determined which elements and in which settings are related with program success. Both qualitative and quantitative methods are used to measure program effectiveness at the district and subdistrict level. Questionnaires were used from district, health officers, hospital directors, and subdistrict health workers. There were inputs from outside agencies, private family planning associations, and other organizations whose goals include increasing contraceptive use. Questionnaires were then used in 8 districts, the variables obtained from these focused on 4 categories: demand creation, service availability, management and outside support indicators. Correlation analysis was used to evaluate the relation of individual and composite efforts and program effectiveness from service statistics. Then questionnaires were given nationally in a sample of 145 districts using the same methods as in the smaller sample. This data, with individual and village data from another survey, "The Determinants and Consequences of Contractive use Patterns in Thailand", were used to determine which efforts at the district or subdistrict level are associated with contraceptive usage at the individual level. Multiple regression analysis and analysis of variance are used in this determination. The results confirmed that the individual demand is the most valuable factor. The differences in setting and program efforts are small in relation to contribution. Socioeconomic factors should be taken into consideration when programming resources for national program evaluation. The largest impacts on Thailand's program, were inputs that improved access to service and demand creation and management also contributed significantly. Evaluation should be done when the programs are new and growing, and results here show that both demand and supply sides are almost equally significant.
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