Ethiopia 2015 contraceptive commodity and service assessment: Findings from public and private sector outlets

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Ethiopia’s 2014 population was estimated at 97.0 million people, with a projected growth of 2.5 percent per year.1 Almost a quarter of married women of reproductive age in Ethiopia have an unmet need for contraception.2 Important gains have been made in access to modern contraceptive methods in Ethiopia in recent years. The modern contraceptive prevalence rate (mCPR) has more than doubled since 2005, reaching 40% in 2014.3 Despite this progress, the mCPR remains far below the government’s goal of 65% by 2015. Unmet need remains high among married women and higher still among rural, lowincome and young women.5 There is low use of longacting reversible contraceptive (LARC) methods, with the majority of all users using injectables.3


Health services provided through the public sector have been augmented by a rapid expansion of the private for-profit and private not-for-profit sectors.5 Thirteen percent of modern contraceptive users acquired their method from a private sector source in Ethiopia in 2011 (with private clinics being the main private sector supplier), compared with over 35% of methods acquired from the private sector across SubSaharan Africa.3,4 However, high-quality evidence on the growing private sector provision of contraceptive methods remains limited.