Understanding the relationship between family planning method choices and modern contraceptive use: an analysis of geographically linked population and health facilities data in Haiti

The study links GPS locations of the clusters of the 2012 Haiti Demographic and Health Survey with the facilities of the 2013 Service Provision Assessment. Each cluster is classified as having low, medium or high availability of multiple methods, depending on how many nearby facilities offer three or more modern methods, and random intercept logistic regressions model individual modern contraceptive use for 5042 married women.

Few facilities offered three or more modern methods: 51% in urban areas and 23% in rural areas. In rural areas, 17% of women lived in an area with low availability, 29% had medium availability and 54% had high availability. Modern contraceptive use was 35% where availability was high and 20% where no nearby facility offered three or more methods. In rural areas the odds of using a modern method were 73% higher with medium availability and over twice as high with high availability. The authors conclude that widening the range of methods at nearby facilities is needed to raise contraceptive use.