Most Common Family Planning Methods: Pills and Withdrawal

1. The contraceptive prevalence rate (CPR) or the proportion of married women in the Philippines who are using any method of family planning, is 51 percent, according to the preliminary results of the 2008 National Demographic and Health Survey (NDHS) conducted by the National Statistics Office.

My up-to-date definition would be that CPR is the ratio of married women who have sex and have no intention of having a baby, whether with consent or not, with video or not, and with ecstasy before or after or none at all.

2. The current estimate of CPR and the estimates from the 1998 NDHS and 2003 NDHS imply increasing contraceptive use by married women over the last decade: 47 percent in 1998, 49 percent in 2003, and 51 percent in 2008 (Table 2).

These estimates are subject to sampling errors since these are based on sample surveys, hence, the observed differences are not always significant. The increase in the CPR over the last decade, from 1998 to 2008, is statistically significant. However, the observed increase from 2003 to 2008 is not significant (Table 1).

Note that the confidence intervals for 2003 [47.6 50.1] and 2008 [49.4 52.0] have overlaps; thus a significant difference, or increase, between the two CPRs cannot be established.

3. Thirty-four percent of married women rely on a modern method, mostly the pill (16 percent) and female sterilization (9 percent). The use of the pill has increased in the past 5 years, from 13 percent in 2003 to 16 percent in 2008 (Table 3).

4. Users of modern natural family planning methods comprise less than one percent. Modern natural family planning methods include cervical mucus method or ovulation method or Billings method, standard days method (SDM) and lactational amenorrhea method (LAM). Seventeen percent of married women used a traditional method in 2008 compared to 16 percent in 2003, with the increase coming from the withdrawal method.

5. Even with government policy or in the absence of it,
• Significant gain in use of pills has been observed.
• The use of natural family planning methods has not increased significantly.
• About half of married women (49 percent) are still not using any method.

Kalahati ng mga babaeng kasal ay walang kahit na anong pampigil sa panggigigil.

[Please pardon how the three tables are presented. I have not discovered how to present these properly, after numerous attempts.]

Table 1. Contraceptive prevalence rates (CPR), with standard errors and confidence intervals, Philippines: 1998, 2003, 2008
———————————————
Year/ CPR/ Standard Error/ Lower*/Upper*
1998/ 46.5/ 0.7/ 45.2/ 47.9
2003/ 48.9/ 0.6/ 47.6/ 50.1
2008/ 50.7/ 0.6/ 49.4/ 52.0

———————————————
* 95 % Confidence Interval Boundaries
Sources: 1998, 2003 and 2008 National Demographic and Health Surveys

Table 2. Percentage of currently married women age 15-49 using modern and traditional family planning methods, Philippines 1973-2008
———————————————-
Survey/ Modern/ Traditional/ All
1973 National Demographic Survey1/ 10.7/ 6.7/ 17.4
1978 Republic of the Philippines Fertility Survey1/ 17.2/ 21.3/ 38.5
1983 National Demographic Survey1/ 18.9/ 13.1/ 32
1988 National Demographic Survey/ 21.6/ 14.5/ 36.1
1993 National Demographic Survey/ 24.9/ 15.1/ 40
1998 National Demographic and Health Survey/ 28.2/ 18.3/ 46.5
2003 National Demographic and Health Survey/ 33.4/ 15.5/ 48.9
2008 National Demographic and Health Survey/ 34.0/ 16.7/ 50.7
——————————————-
1 Calculated for currently married women 15-44 years

Table 3. Percent distribution of currently married women by contraceptive method used, Philippines: 2003, 2008
———————————————
Method/ 2003/ 2008
Any method/ 48.9/ 50.7
Any modern method/ 33.4/ 34.0
Female sterilization/ 10.5/ 9.2
Male sterilization/ 0.1/ *
Pill/ 13.2/ 15.7
IUD/ 4.1/ 3.7
Injectables/ 3.1/ 2.6
Male condom/ 1.9/ 2.3
Mucus/Billings/Ovulation/ 0.1/ 0.1
Standard days method/ -/ *
LAM/ 0.3/ 0.4
Other modern methods/ -/ *
Any traditional method/ 15.5/ 16.7
Calendar/rhythm/periodic abstinence/ 6.7/ 6.4
Withdrawal/ 8.2/ 9.8
Other traditional method/ 0.6/ 0.4
Not currently using/ 51.1/ 49.3
Total/ 100.0/ 100.0
———————————————–
“*” denotes figure in the cell is less than 0.05 percent

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Filed under contraceptive use, family planning, Philippine development, Philippines, statistics

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