CONTRACEPTIVE PERFORMANCE REPORT

2013-2014

GOVERNMENT OF PAKISTAN
STATISTICS DIVISION
PAKISTAN BUREAU OF STATISTICS

CONTENTS
CONTENTS -------------------------------------------------------------------------------------------------------------PREFACE -----------------------------------------------------------------------------------------------------------------ACRONYMS ---------------------------------------------------------------------------------------------------------------SUMMARY ---------------------------------------------------------------------------------------------------------------1. INTRODUCTION-----------------------------------------------------------------------------------------------1.1 History of Family Planning program in Pakistan------------------------------------------------------1.2 Review of organizational pursuits of Population Welfare Program------------------------------1.3 Methodology------------------------------------------------------------------------------------------------1.3.1 Couple years of Protection---------------------------------------------------------------------------1.3.2 Contraceptive Prevalence Rate --------------------------------------------------------------------1.4 Service Delivery Units-------------------------------------------------------------------------------------1.4.1 Family Welfare Centers (FWCs)-------------------------------------------------------------------1.4.2 Reproductive Health Services Centers (RHS-A)------------------------------------------------1.4.3 Mobile Service Units (MSUs)---------------------------------------------------------------------1.4.4 Regional Training Institutes(RTIs)---------------------------------------------------------------1.5 Data Sources------------------------------------------------------------------------------------------------1.6 Flow of Data--------------------------------------------------------------------------------------------------1.7 Objectives-----------------------------------------------------------------------------------------------------2.

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RESULTS AND DISCUSSION---------------------------------------------------------------------------------

7-15

2.1
2.2
2.3
2.4

Source -wise Comparison in terms of Couple Years of Protection --------------------------------Method-wise Comparison of Contraceptives Performance----------------------------------------------Outlet-wise Comparison in terms of Couple Years of Protection--------------------------------------Comparative Outlet wise Performance of Contraceptives Delivery Services--------------------------

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2.4.1 Family Welfare Centers (FWCs)--------------------------------------------------------------------2.4.2 Reproductive Health Services Centers (RHS-A)-------------------------------------------------2.4.3 Reproductive Health Services Centers (RHS-B)-------------------------------------------------2.4.4 Mobile Service Units (MSUs)----------------------------------------------------------------------2.4.5 Provincial Line Departments (PLDs) -------------------------------------------------------------2.4.6 Registered Medical Practitioners (RMPs)--------------------------------------------------------2.4.7 Hakeems and Homoeopaths (H&H)---------------------------------------------------------------2.4.8 Male Mobilizer---------------------------------------------------------------------------------------2.4.9 Rahnuma Family Planning Association of Pakistan (FPAP)-----------------------------------2.4.10 Azad Jammu & Kashmir (AJK)-------------------------------------------------------------------2.4.11 Gilgit Baltistan (GB)--------------------------------------------------------------------------------

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2.5 Method and Outlet- wise Average performance----------------------------------------------------------2.5.1 Average performance per FWC by method------------------------------------------------------2.5.2 Average performance per RHS-A by method----------------------------------------------------2.5.3 Average performance per MSU by method-------------------------------------------------------

12-14
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2.6 Percentage Distribution of Total CYP by Source --------------------------------------------------------2.7 Percentage Distribution of Total CYP by Service Outlets ---------------------------------------------2.8 Percentage Distribution of Total CYP by Methods -----------------------------------------------------2.9 Province-Wise Family Planning and Mother & Child Health (MCH) Services- --------------------2.10 Contraceptive Prevalence Rate by Modern Methods-----------------------------------------------------

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STATISTICAL TABLES-------------------------------------------------------------------------------------------

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PREFACE
Pakistan Bureau of Statistics (PBS) is prime official agency of Pakistan, responsible for the
collection, compilation and timely dissemination of reliable statistical information to the policy
makers, planners and researchers. This organization publishes a variety of data, primary as well as
secondary, especially on economic and social aspects of the country.
The task of producing Contraceptive Performance Report has been assigned to PBS as a sequel
to the devolution of Ministry of Population Welfare (Mo PW). Pursuantly, Population Welfare
Statistics Section (PWSS) of PBS has produced the 4th issue of the Annual Contraceptive Performance
Report of Population Welfare Program for the year 2013-14.
Requisite information stems from all service delivery points in the country in order to ensure
nationwide coverage of Family Planning/Reproductive Health activities. Annual contraceptive
performance report is an important intervention to gauge outlet, sector and method-wise contraceptive
progress and observe the direction and track/trend for future Contraceptive Requirement and
Distribution in the country.
I am grateful to Provincial Population Welfare Departments (PPWDs), the District Population
Welfare Office, Islamabad Capital Territory (ICT), Population Welfare Department Azad Jammu &
Kashmir (AJK), Population Welfare Programme Gilgit-Baltistan (GB), Social Marketing of
Contraceptive (SMC) and other stakeholders for their valuable support in the compilation of this
document.
I hope that the user of the report would be able to learn about important measures being
undertaken to promote awareness of family planning methods among general public. Comments and
suggestions for improvement of Contraceptive Performance Report would be highly appreciated.

ASIF BAJWA
Chief Statistician
Pakistan Bureau of Statistics
Statistics Division
Government of Pakistan
Islamabad.

ii

ACRONYMS
AJK

Azad Jammu & Kashmir

CPR

Contraceptive Prevalence Rate

CRD

Contraceptive Requirement and Distribution

CS

Contraceptive Surgery

CYP

Couple Years of Protection

FATA

Federal Administered Tribal Areas

FPAP

Rahnuma Family Planning Association of Pakistan

FP/RH

Family Planning / Reproductive Health

FWCs

Family Welfare Centers

GB

Gilgit - Baltistan

H&H

Hakeem & Homeopaths

ICT

Islamabad Capital Territory

IUDs

Intrauterine Devices

MCH

Mother & Child Health

MM

Male Mobilizers

MMR

Maternal Mortality Rate

MoPW

Ministry of Population Welfare (Devolved)

MSS

Marie Stopes Society

MSUs

Mobile Service Units

NGOs

Non- Governmental Organizations

PBS

Pakistan Bureau of Statistics

PGR

Population Growth Rate

PLDs

Provincial Line Departments

PPWDs

Provincial Population Welfare Departments

PWSS

Population Welfare Statistics Section

RHS

Reproductive Health Services

RMPs

Registered Medical Practitioners

RTIs

Regional Training Institutes

SMC

Greenstar Social Marketing of Contraceptives

TFR

Total Fertility Rate

iii

SUMMARY
The profile of contraceptive performance in 201314, compared with the preceding year
201213 is summarized as under:a)

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.

b)

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.

c) 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.
d) 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.
e) 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%).

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1. INTRODUCTION
Demographic statistics such as population size, structure, growth rate etc. are pivotal for
the social and economic development of the country. At present, Pakistan is the 6th most
populous country in the world with estimated population of 188 million and Growth Rate of
1.95 percent which is higher than the average growth rate of South Asian countries.Such a
rapid growth in population poses serious threats to the countrys social progress, economic
stability, health, environment, law & order and food security.The countrys high fertility rate is
a major contributor to this situation.
Reduction in population growth is one of the top priorities of the government of Pakistan
to maintain balance between countrys resources and population. However, according to the
Economic Survey of Pakistan, 2013-14, Pakistan is still lagging behind other neighbouring
countries in all Family Planning indicators (TFR, CPR, PGR & MMR etc.) except Afghanistan.
In this context, Family Planning Programs can contribute significantly as there is negative
correlation between the Total Fertility Rate (TFR) and the Contraceptive Prevalence Rate
(CPR). The decline in the TFR could be more substantial if there is greater use of
contraceptives in the country. Use of contraceptives can be increased through female
literacy,role of women in decision making, awareness through media and easy access to
contraceptive techniques and tools. Keeping in view the key role of contraceptives in the
reduction of TFR, this report is an effort to have an up to date dataon the contraceptives
provided in the market by the government and private stake holders under the population
welfare programme.

1.1 History of Family Planning Program- in Pakistan

Recognizing the consequences of high Population Growth Rate (PGR) on its economic
and social development programmes, family planning activities were started in Pakistan on
limited scale in the First Five Year National Development Plan (1955-1960) through voluntary
organizations. In the Second Five Year Plan (1960-65), however, family planning services
were dispensed through the health infrastructure. Family Planning gained priority in the Third
Five year Plan (1965-1970), when an independent setup was established for managing and
executing the Population Welfare Programme. Institutional arrangements for the programme
attained the status of an independent ministry on 12th June, 1990.Pakistan's first Family
Planning Scheme was a part of the country's Third Five Year Plan (19651970).This scheme
became the template for all subsequent family planning strategies. The scheme's goal was to
have a vast impact in the shortest time possible, with a reduction of the birth rate from 50 to 40
per 1000 by 1970. At the onset of the program, condoms were the most available method of
contraception, but by 1966 the Intrauterine Device (IUD) had replaced it and has become the
1

"corner-stone" of the Scheme. The programme witnessed a positive change and received
sustained political support from 1988 to 2002 and, as a signatory to the Programme of Action
developed at the International Conference on Population and Development at Cairo in 1994,
Pakistan pledged to provide universal access to family planning by 2010.There was
consistency and continuity in the operations during these years. As a result, Pakistan was
referred to be entering the fertility transition phase, with the increasing trend of Contraceptive
Prevalence Rate (CPR), resulting in the reduction of Total Fertility Rate (TFR) and Population
Growth Rate (PGR).
Though Pakistan was one of the first Asian countries to begin a family planning program
with some help from international donors, fertility has declined slower than in neighbouring
countries. Historical political strife and cultural restrictions on women constraining their
empowerment have hampered implementation of family planning strategies throughout the
country. Most women who say they do not want any more children or would like to wait a
period of time before their next pregnancy do not have the contraceptive resources available to
them to act according to their will.

1.2 Review of Organizational Pursuits of Population Welfare Programme

Population Welfare Programme is an ongoing social development endeavour, operating
within the framework of nationally accepted broad-based and strategically focused Population
and Development policies. Since its launching, the Population Welfare Programme has
experienced many phases in terms of administrative and financial setup.
Before devolution process- 2010, the Federal Government was responsible for the overall
execution and entire funding of the Population Welfare Programme through M/o Population
Welfare. The M/oPopulation Welfare was responsible for Policy Planning, advocacy of
population issues including reproductive health and gender concern, target setting, training,
coordination with other ministries, negotiations for foreign assistance and fulfilling related
obligation , monitoring, research, evaluation, information, education and communication
programme, services statistics, procurement, warehousing & distribution of
contraceptives/commodities, providing policy support to NGOs, public-private partnership and
social marketing of contraceptives.
In pursuance to 18th Constitutional Amendment Act 2010, the Ministry of Population
Welfare (MoPW) has ceased to exist from 07-12-2010. The functions of Collection,
Maintenance and Analysis of Population Statistics, handled earlier by the Ministry of
Population Welfare (MoPW) have been relocated to Statistics Division (Pakistan Bureau of
Statistics). To implement the decision of the Government of Pakistan, the Statistics Division

has established a new section in PBS entitled Population Welfare Statistics Section (PWSS)
with the following objectives:
a. To collect, compile and disseminate contraceptive performance data on monthly,
quarterly and yearly basis at provincial and national level;
b. To maintain data base on contraceptive services statistics;
c. To carry out periodic analysis of contraceptive performance statistics and
d. To develop liaison with national & international statistical agencies

1.3 Methodology
As per past practice in the Ministry of Population Welfare, the Pakistan Bureau of
Statistics collects the contraceptive performance data on monthly basis by post, through e-mail
and by fax from the Provincial Population Welfare Departments (PWDs); Population Welfare
Departments AJK, GB ,FATA; District Population Welfare Office,(ICT), Islamabad; Family
Planning Association of Pakistan (FPAP) ; Marie Stopes Society of Pakistan (MSS); Greenstar
Social Marketing of Contraceptives (SMC) and Regional Training Institutes (RTIs). After
careful editing and coding, the data is being classified into tabulation plan and data processing
is being undertaking at Data Processing Centre of PBS.
The data is entered on monthly basis and after three months, it is consolidated into the
quarterly performance report. At the end of financial year, the performance of all four quarters
combined together constitutes annual report. In the current annual report, the percentage change
in the contraceptive performance for the financial year 2013-14 using Couple Years of
Protection (CYP) has been compared with the last year (2012-13).Contraceptive Prevalence Rate
(CPR) on the basis of Modern Methods is also estimated to gauge the birth control process in the
country. Methodology involved in the calculation of Couple Years of Protection (CYP) and
Contraceptive Prevalence Rate (CPR) is detailed below:

1.3.1 Couple Years of Protection (CYP)

The term Couple Years of Protection (CYP) is one of several commonly used indicators
to assess internationally the family planning efforts. It is the protection provided by
contraceptive methods during one-year period, based upon the volume of all contraceptives
sold or distributed to clients during that period. It is also an indirect estimate of birth control.

CONVERSION FORMULAE FOR COUPLE YEARS OF PROTECTION (CYP)

144UNITS OF CONDOM

= 1 CYP

15 CYCLES OF ORAL PILL

= 1 CYP

1 INSERTION OF IUD

= 3.5 CYP

5 VIALS OF INJECTABLE

= 1 CYP

1CASE OF CONTRACEPTIVE SURGERY (CS)

= 12.5 CYP

1.3.2 Contraceptive Prevalence Rate (CPR)

The CPR is the percentage of women who are practicing, or whose sexual partners are
practicing, any form of contraception. It is usually measured for married women having ages
between 15-49 years only.The Contraceptive Prevalence Rate (CPR) of Pakistan is calculated
on the basis of consumption of contraceptive by converting number of units sold into users
with the help of the formulae given in the following table:
CONVERSION FORMULAE FOR USERS
100 UNITS OF CONDOM
13 CYCLES OF ORAL PILL
1 INSERTION OF IUD
5 VIALS OF INJECTABLE
1 CONTRACEPTIVE SURGERY (CS) CASE

=
=
=
=
=

1 USER
1 USER
1 USER
1 USER
1 USER

Thereafter, number of users is divided by number of Married Women of Reproductive

Age (MWRA), symbolically represented as under:
No. of Users
CPR (%) =

*100
MWRA

1.4 Service Delivery Units

The following Service Delivery Units are spread all over in the country to facilitate the
users for their needs:
1.4.1 Family Welfare Centre (FWC)
The FWC is the cornerstone of Pakistans Population Welfare Programme. These centers
constitute the most extensive institutional network in the country for promoting and delivering
family planning services in both urban and rural areas. As a static facility, it serves a
4

population of about 7000; while operating through its satellites clinics and outreach facility,
an FWC covers a population of about 12000.
1.4.2 Reproductive Health Services Centers
The Reproductive Health Service Centers are the major clinical component of the
Pakistans Population Welfare Programme. They provide services through RHS-A Centers and
RHS-B Centers.The RHS-A centers are hospital-based service delivery units. They provide
contraceptive surgery facilities for women and men with safe and effective backup medical
support.Well-established hospitals and clinics with fully-equipped operating facilities
(operation theatre facilities, beds for admission, post-operative care, sterilization and
emergency resuscitation equipment, etc.) and trained work force.
1.4.3 Mobile Service Units (MSUs)
The MSUs are the flagship of the Population Welfare Programme. These provide a
package of quality Family Planning/Reproductive Health (FP/RH) services to the people of
those remote villages and hamlets where no other health facility exists. The MSUs operate
from specially-designed vehicles which carry with-in them all the facilities of a mini clinic
ensuring complete privacy for simple gynecological procedures.
1.4.4 Regional Training Institutes (RTIs)
The RTIs provide skill-based training in FP/RH for all categories of health care providers
i.e. Doctors, medical students, nurses, student nurses, lady health visitors and other paramedics.
The RTIs also undertake activities focused on raising the awareness level of hakims,
homeopaths, community health workers, teachers and college students.

1.5 Data Sources

The Contraceptive Performance Report is prepared on the basis of data received from the
following sources:
Provincial Population Welfare Departments (PPWDs);
Population Welfare Departments AJK, GB and FATA;
The District Population Welfare Office, (ICT), Islamabad
Family Planning Association of Pakistan (FPAP) ;

Marie Stopes Society of Pakistan (MSS);

Social Marketing of Contraceptive (SMC);
Regional Training Institutes (RTIs) and
Public-private Partnership(PPP)/Target Groups Institutes(TGIs)
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1.6 Flow of Data/Performance Reports

The District Population Welfare Office is the main operational tier of Population Welfare
Program. It is responsible for actual implementation of population welfare activities in the
field. For the purpose, it collects Contraceptive Performance Reports of all the reporting units
(FWCs, RHS-A, MSUs etc.),then compile / consolidate these reports and transmit it to its
provincial Population Welfare Department. The provincial Population Welfare
Departmentstransmit these reports to Pakistan Bureau of Statistics. Apart from the provincial
departments, FATA, AJK, GB and few prominent NGOs i.e. Rahnuma (FPAP); Marie Stopes
and Greenstar (SMC) also provide Contraceptive Performance data to PBS for preparation of
contraceptive performance reports.

1.7 Objectives:
Main objectives of the Contraceptive Performance Report are as following:
To assess the province/sector-wise, method-wise and outlet-wise contraceptives
performance using Couple Year of Protection (CYP).
To provide basis for estimating annual contraceptives requirements and distribution in
the country.
To obtain Contraceptive Prevalence Rate (CPR) to assess the birth control strategy of
the country

RESULTS AND DISCUSSION

2.1 Source-wise Comparison in terms of Couple Years of Protection

The province/sector-wise comparison of contraceptive performance during the year
2013-14 in terms of Couple Year of Protection (CYP) has been made with the previous year
2012-13 in Table-1 annexed with the report.
At national level, an increase of 11.15% has been observed for all program and
non-program outlets during the year (2013-14) compared with 2012 -13.
At provincial level, contraceptive performance of the current financial year compared
with the previous year, an increase has been witnessed in all provinces Punjab (2.5%), Sindh
(7.1%),Khyber Pakhtunkhwa (22.5%) and Balochistan (3.9%). Significant increase in CYP of
KPK for 2013-14 as compared to the previous year is due to establishment of 110 new FWCs
along-with better contraceptive supply through USAID Deliver Project.
As far as the district Islamabad, FATA and Gilgit-Baltistan are concerned, the
contraceptive performance for the year 2013-14 compared with year 2012-13 has depicted an
increase of 33.3%,11.1% and 59.1% respectively. 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 Service 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. . For NGO sector, an increase has
been observed in the performance of Rahnuma Family Planning Association of Pakistan
(FPAP) (20.7%) and in Marie Stopes Society of Pakistan (MSS) (64.3%) in the year 2013-14
compared to year 2012-13. However, the performance of Greenstar/Social Marketing of
Contraceptive (SMC), has decreased by 1.4%. 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. As reported by MSS, significant increase in its performance is
due to progress in the following areas of service delivery channel:
S. No.
1.
2.
3.
4.

Service Delivery Channel

July, 2012 to
June, 2013

July, 2013
to
June, 2014

% change in
2013-14 over
2012-13

Suraj Social Franchise Network and

Reproductive Health Private Providers
No. of Outreach camps held
MSS Outreach Teams
Field Health Educators

525
256
14
303

882
616
20
428

68%
141%
43%
41%

2.2 Method-wise Comparison of Contraceptive Performance

In absolute terms, the contraceptive performance of program and non-program service
outlets have reported a sale of 193.200 million units of Condoms, 6.794 million cycles of Oral
Pills, 1.669 million insertions of Internal Uterine Devices (IUDs) and 2.811 million vials of
Injectables. In addition to this, a total 110,171 Contraceptive Surgery (CS) cases have been
performed during the financial year 2013-14.
At national level, method-wise comparison during 2013-14 over 2012-13, in terms of
CYP, has shown an 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. The details are shown in Table-2 at the end of report.
At provincial level, method-wise contraceptives performance for the year 2013-14 is
highlighted by using CYP in the preceding paragraphs.
In case of condoms, method-wise performance of year 2013-14 compared with the last
year (2012-13), has reflected an increase in Punjab (2.4%), Sindh (8.8%), Khyber
Pakhtunkhwa (15%), Islamabad (1.9%), AJK (13.6%), FATA (3.7%), Gilgit-Baltistan
(130.2%), RTIs (24.6%), Rahnuma/FPAP (16.3%), Marie Stopes (104.3%). However, a
decrease in Baluchistan (1.4%) and SMC (0.8%) has been noticed. For Oral Pills, an increase
has been witnessed in Punjab (5.2%), Khyber Pakhtunkhwa (5.4%), Balochistan (11.2%),
Islamabad (4.8%), AJK (19.2%), Gilgit-Baltistan (53.2%) and, RTIs (9.8%), Rahnuma FPAP
(18.5%), Marie Stopes Society (61.6%), while decrease has been shown in Sindh (3.7%)
FATA (10.5%) and SMC (0.1%).
For IUDs, an increase has been observed in Punjab (1.2%), Sindh (2.6%), Khyber
Pakhtunkhwa (29.5%), Balochistan (3.3%), Islamabad (56.2%), FATA (21%), Gilgit-Baltistan
(85.0%), RTIs (25.0%) Rahnuma/FPAP (25.7%) Marie Stopes Society (64.4%) and
Greenstar/SMC (3.2%) while a decrease has been depicted in AJK (18.5%). In case of
Injectables, an increase has been observed in Khyber Pakhtunkhwa (7.0%), Balochistan
(3.0%), Islamabad (6.3%), Gilgit-Baltistan (18.8%), Rahnuma FPAP(2.1%) and Marie Stopes
Society (48.6%) whereas a decrease has been observed in Punjab (2.7%), Sindh (6.6%), AJK
(11.1%), FATA (5.9%), RTIs (11.6%) and Greenstar/SMC (20.1%).If we look into the figure
of Contraceptives Surgery cases, an increase has been recorded in Punjab (5.3%), Sindh
(18.8%), KPK (2.2%), Balochistan (9.0%), AJK (19.5%) and Rahnuma/FPAP (12.4%)
whereas a decrease has been observed in Islamabad (6.4%), RTIs (59.3%) and Greenstar/SMC
(17%). The details are reflected in Table-3.

2.3 Outlet-wise Comparison in Terms of Couple Year of Protection

The contribution of services outlets in terms of CYP during the year 2013-14 compared
with year 2012-13, has shown an 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 Practioners (RMPs),
12.5% in Regional Training Institutes (RTIs),20.7% in Rahnuma (FPAP), 64.3% in Marie
Stopes Society of Pakistan,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),1.4% in Greenstar/Social Marketing of Contraceptives
(SMC) and 8.9% in AJK. The details are given in Table-4 and graphical presentation is in
Fig.1.

Figure-1

PERCENTAGE INCREASE/DECREASE IN TERMS OF CYP BY SERVICE OUTLETS

FOR THE YEAR 2013- 2014 OVER THE YEAR 2012-13

80.0
64.3

59.1

60.0
40.0
20.0

10.8

17.2

14.5

2.4

6.6

20.7

12.5

11.2

11.1

0.0
-1.4
-8.9

-20.0
-24.5

-40.0

PAKISTAN

GS/(SMC)

MSS

RAHNUMA

FATA

G.B.

AJK

RTIs

RMPs

PLDs

MM

H&H

MSU

RHS-B

RHS-A

FWC

-60.0

-25.3

-36.1

SERVICE OUTLETS

2.4 Comparative Outlet-wise Contraceptive Performance of Delivery Services

The Outlet/Province/Sector-wise comparison of ContraceptivesPerformance forDelivery
Services has been given in detail at Table-5. Discussion on the results is as under:
2.4.1 Family Welfare Centers (FWCs)

The performance of FWCs in terms of CYP has increased by10.8%, at the national level
during the year 2013-14, compared with the last year (2012-13). At the provincial level,
increase has been observed in Punjab (7%), Khyber Pakhtunkhwa (24.8%),Balochistan (8.9%)
and Islamabad (36.6%).Whereas Sindh reported a minor decrease of 0.1%. For Method wise
comparison, at national level, FWCs have shown an increase of 8.5% in Condoms,5.0% in Oral
Pills, 12.4% in IUDs and 2.5% in Injectables.
2.4.2 Reproductive Health Services Centers (RHS-A)
The performance of RHS-A centers, at national level, during the year 2013-14 compared
with the last year (2012-13) in terms of CYP has increased by 14.5%.At provincial level, an
increase has been observed in all the provinces i.e. Punjab (9.8%), Sindh (36.2%), Khyber
Pakhtunkhwa (6.1%) and Balochistan(3.1%), whereas Islamabad has shown a decrease of
0.6%. Regarding Method-wise comparison, the performance of RHS-A centers, at national
level, has shown an increase for Condoms by 13.7%,Oral Pills by 3.6%,IUDs by 17.9% and
Contraceptive Surgery by 14.4% whereas a decrease is witnessed in Injectables by 4.7%.
2.4.3 Reproductive Health Services Centers (RHS-B)
The performance of RHS-B centers for the year 2013-14 compared with the last year, in
terms of CYP has decreased by 36.1%,at national level. At provincial level, an increase has
been observed in Khyber Pakhtunkhwa (13.7%), Balochistan (9.1%) and Islamabad
(13.7%),whereas a decrease has been reported in Punjab (31.1%)and Sindh (99.0%). However
for Method wise comparison, the performance of RHS-B centers has shown a decrease in
Condoms (33.2%), Oral Pills (41.3%), IUDs (42.9%), Injectables (30.9%) and Contraceptive
Surgery cases (32.5%), at the national level.
2.4.4 Mobile Service Units (MSUs)
The performance of MSUs for the year 2013-14 compared with the year 2012-13, in
terms of CYP, has decreased by 24.5%, at national level. At provincial level, increase has been
witnessed in Khyber Pakhtunkhwa (23.3%) whereas decrease has been observed in Sindh
(5.4%), Balochistan (7.9%) and Islamabad (15.3%), however performance of Punjab has not
received. For Method wise comparison, the Performance of MSUs has shown a decrease in
Condoms (9.6%), Oral Pills (20.0%), IUDs (27.4%) and Injectables (16.4%), at national level.
2.4.5 Provincial Line Departments (PLDs)
The performance of PLDs for2013-14 compared with the last year (2012-13), in terms of
CYP, has decreased by 25.3%, at national level. At Provincial level, an increase has been
observed in Khyber Pakhtunkhwa (16.7%), Balochistan (0.5%) and Islamabad (49.3 %);
whereas decrease has been witnessed in Punjab (31.4%). Performance of PLDs of Sindh has
not been received. From Method-wise analysis, it has been computed that the performance has
increased in Oral Pills (12.8%) whereas the performance has decreased in Condoms (33.4%),
IUDs (25.8%) and Injectables (39.0%), at national level.
10

2.4.6 Registered Medical Practitioners (RMPs)

While comparing the performance of RMPs for the current year with the last year (201213), in terms of CYP, an increase of 17.2 % has been observed, at national level. At provincial
level, an increase has been noticed in Sindh (51.2%), Khyber Pakhtunkhwa (86.3%),
Balochistan (0.4%) and in Islamabad (60.2%). Whereas decline has been reported in Punjab
(7.9%). The method-wise performance of RMPs has shown an increase in Condoms (5.4%),
Oral Pills (1.8%), IUD (22.3%) and Injectables (8.3%), at national level.
2.4.7 Hakeems and Homoeopaths (H&H)
In terms of CYP, an increase has been observed in the performance of H&H during the
year 2013-14 compared with the year 2012-13, by 2.4%, at national level. At provincial level,
increase is observed in Punjab (0.9%), Sindh (1.0%), Khyber Pakhtunkhwa (12.4%) and
Balochistan (5.8%). The method-wise performance of H&H for the year 2013-14 has shown an
increase in Condoms by 8.7% and decrease in Oral Pills by 8.1%, at national level.
2.4.8 Male Mobilizer (MM)
In terms of CYP, an increase has been observed in the performance of Male Mobilizer
by 6.6%, at national level. At provincial level, increase has been witnessed in Punjab (8.7%)
and Khyber Pakhtukhwa (11.7%). The decrease has been observed in Sindh (6.8%). The
method-wise performance of Male Mobilizer has shown an increase in Condoms by 2.4%, in
Oral Pills by 3.3%, and Injectables (780%), at national level.
2.4.9 Rahnuma Family Planning Association of Pakistan (FPAP)
For Rahnuma (FPAP), the overall contraceptive performance for 2013-14 has shown an
increase by 20.7%, in terms of CYP, compared with the last year (2012-13).The comparison of
the method-wise performance has revealed an increase in Condoms (16.3%), Oral Pills
(18.5%), IUDs (25.7%), Injectables (2.1%) and Contraceptive Surgery cases (12.4%).
2.4.10 Azad Jammu & Kashmir (AJK)
The contraceptive performance during 2013-14 for AJK has decreased in terms of CYP
by 8.9% over the previous year. While the method-wise performance, an increase has been
reported in Condoms (13.6%), Oral Pills (19.2%) and Contraceptive Surgery cases (19.5%)
whereas a decrease has been reported in IUDs (18.5%) and Injectables (11.1%).
2.4.11 Gilgit Baltistan (GB)
The contraceptive performance of GB for the year 2013-14 has reported a significant
increase of 59.1% in terms of CYP. The method-wise analysis, increase has been observed for
Condoms (130.2%), Oral Pills (53.2%) and IUDs (85%) and Injectables (18.8%).
11

2.5 Method and Outlet-wise Average Performance

Method and Outlet-wise Average performance for the Federal and Provincial setup
during the financial year 2013-14 is given in Table-6. The details are as follows:

2.5.1 Average performance of FWC by method

Among provinces, the highest average performance of FWC has been reported by Sindh
for Condoms i.e. 20,031 units, followed by 19,732 units in Khyber Pakhtunkhwa, 15,933 units
in Punjab and 8913 units in Balochistan were sold per FWC whereas 20,666 units per FWC
have been reported in Islamabad. The maximum numbers of 1240 cycles of Oral Pills were
dispensed by Khyber Pakhtunkhwa and the lowest 583 cycles were reported by FWCs of
Balochistan. The highest insertions of IUDs i.e. 366 have been reported by FWCs of Khyber
Pakhtunkhwa and the lowest figure (63)is reported by FWCs of Balochistan,whereas 308
insertions have been witnessed in Islamabad. When we look into the figure for injectables, it is
noticed that the maximum number has been reported by Khyber Pakhtunkhwa as 730 vials
while the minimum number i.e. 149 has been observed in Balochistan. When these
contraceptives performances are translated into CYP, it is observed that on average, the highest
number of CYP i.e.1646 has been reported in Khyber Pakhtunkhwa while the lowest 352 for
Balochistan, whereas 1353 has been calculated for Islamabad. The graphical presentation of
each contraceptive method dispensed per FWC is presented in Fig-2:

12

Figure-2

Average Achievement Per FWC by Method

for the Year 2013-14
CONDOM (Units)

25,000
20,000

ORAL PILL (Cycles)

20,666
17,198

20,03119,732
15,933

15,000

1,400
1,200
1,000
800
600
400
200
-

8,913

10,000
5,000
-

1,240
948
698

IUD (Cases)
400
350
300
250
200
150
100
50
-

366

240
104

798

583

INJECTABLE (Vials)
800
700
600
500
400
300
200
100
-

308

270

713

63

730
413

266

344

379

149

CYP
2,000
1,500
1,000

1,646

1,353

1,155

635

1,089

352

500
-

2.5.2

Average performance of RHS-A by method

The highest average achievement for Condoms per RHS-A is 19,455 units which have
been sold in Khyber Pakhtunkhwa, followed by 14,995 units in Punjab,13,360 units in
Balochistan and 11,382 units in Sindh whereas 33,613 units have been sold in Islamabad. The
Reproductive Health Services-A Centres of Islamabad were able to dispense 1025 cycles of
Oral Pills. Among provinces, highest dispensation of Oral Pillsi.e.1226 cycles for RHS-A of
Khyber Pakhtunkhwa compared with the lowest 611 cycles of Oral Pills by RHS-A of Sindh.
The highest insertions of 437 IUDs were reported by RHS-A of Khyber Pakhtunkhwa
compared with the lowest 197 insertions carried out by RHS-A in Sindh. The highest
Injectables i.e.843 vials were observed by Khyber Pakhtunkhwa compared with the lowest 375
vials reported by RHS-As of Punjab whereas Islamabad reached to 530 vials. The highest
Contraceptive Surgery cases were performed by Punjab i.e.634 and the lowest (125) in Khyber
Pakhtunkhwa whereas RHS-A of Islamabad carried out 379 cases of contraceptive surgery.
When the data of contraceptives performance is translated into CYP, it is observed that on the
average, the highest numbers of CYP for Punjab (9,480), while the lowest (3,306) have been
calculated for Balochistan. The graphical presentation of each contraceptive method recorded
per RHS-A is presented below:

13

Figure-3

Average Achievement Per RHS-A by Method

for the Year 2013-14
CONDOM (Units)

40,000
35,000
30,000
25,000
20,000
15,000
10,000
5,000
-

ORAL PILL (Cycles)

33,613

19,455
14,995
13,360
11,382

1,400
1,200
1,000
800
600
400
200
-

14,473

1,226
797

IUD (Cases)
500
400

437

377

300

INJECTABLE (Vials)
411

843

800

229

600

200

400

100

200

581
375

391

CON. SURGERY (Cases)

700
600
500
400
300
200
100
-

2.5.3

379
125

530

447

CYP

634
285

794

611

1,000

316

197

1,058 1,025

10,000
9,000
8,000
7,000
6,000
5,000
4,000
3,000
2,000
1,000
-

429

178

9,480

6,585 6,711
4,452

3,481 3,306

Average performance of MSU by method

The highest average reported performance for Condoms per MSU is 15,973 units sold in
Sindh followed by 13,592 units in Khyber Pakhtunkhwa, 6,226 units in Balochistan, and 16,680
units in Islamabad. The Mobile Service Units of Khyber Pakhtunkhwa were able to dispense 817
cycles of Oral Pills compared with the lowest 364 cycles in Balochistan whereas in Islamabad
633 cycles were dispensed. The highest reported insertions of IUDs (382) took place in Khyber
Pakhtunkhwa compared with the lowest (90) in Balochistan, whereas in Islamabad, 245
insertions of IUDs were reported. The highest numbers of Injectables 744 vials reported by
Khyber Pakhtunkhwa compared with the lowest 215 vials reported by MSUs of Balochistan,
whereas in Islamabad, 261 vials of injectables have been witnessed. When the contraceptive
performance data is translated into CYP, it is observed that on the average, the highest numbers
of CYP (1634) were calculated for Khyber Pakhtunkhwa while the lowest (426) are for
Balochistan whereas 1068 CYP were noted in Islamabad. The graphical presentation of each
contraceptive method as reported by MSUs is presented below:

14

Figure-4

Average Achievement Per MSU by Method

for the Year 2013-14
CONDOM (Units)

ORAL PILL (Cycles)

15,973
13,592

18,000
17,000
16,000
15,000
14,000
13,000
12,000
11,000
10,000
9,000
8,000
7,000
6,000
5,000
4,000
3,000
2,000
1,000
-

16,680
12,752

1,000

817

800
600

6,226

400

IUD (Cases)
500

INJECTABLE (Vials)
800
700
600
500
400
300
200
100
-

382

400

245

300

100

573

364

200

129

200

633

586

172

90

744
407

375
215

261

CYP
1,634

2,000
1,500

1,068

675

1,000
500

809

426

Note:

2.6

(performance of MSUs of Punjab is not received)

Percentage Distribution of Total CYP by Source

The percentage distribution of total CYP by Province/Sector, during the financial year
2013-14, is reflected in Punjab (31.78%), Sindh (8.56%), Khyber Pakhtunkhwa (11.35%),
Balochistan (1.08%), Islamabad (1.19%), FATA (0.35%), AJK (0.28%), GB (0.15%), RTIs
(0.04%), Rahnuma/Family Planning Association of Pakistan (FPAP)(7.49%), Greenstar/ Social
Marketing of Contraceptive (SMC) by (24.31%) and Marie Stopes Society of Pakistan
(13.42%). The details are given in Table-7.

2.7

Percentage Distribution of Total CYP by Service Outlets

The percentage distribution of total CYP by Service outlets, during the financial year
2013-14, is depicted 32.46% in FWCs, 14.65% in RHS-A,1.70% in RHS-B, 1.21% in MSUs,
0.64% in PLDs, 1.24% in RMPs, 0.11% in H&H and 1.96% in MM. The details are presented
in the Table-8.

2.8

Percentage Distribution of Total CYP by Methods

15

The method-wise percentage contribution for IUDs, Contraceptive Surgery, Condom

Injectables and Oral Pills, in terms of total CYP, has been 61.0%, 14.38%, 14.01%, 5.87% and
4.73%, respectively. The details are given in Table-9.

2.9

Province-wise Family Planning and Mother& Child Health

(MCH) Services Delivery

The data indicates that during the year (2013-14), 3.039 million clients availed Family
Planning Services of various Contraceptive methods out of which the Family Welfare Centers
provided the services to 275,524 clients for Pre-natal and 189,639 clients for Post-natal Care.
Apart from these, Family Welfare Centers had provided treatment to 1,472,541 clients
(Children + Adults) for General Ailments. The details are given in Table-10.

2.10

Pakistan-Contraceptive Prevalence Rate (CPR) by Modern Methods

The overall Contraceptive Prevalence Rate, on the basis of modern methods, during the
year 2013-14 is 27.41%, under the Population Welfare Programme. In the Provincial setup,the
CPR in Punjab is 17.64%, Sindh12.82%, Khyber Pakhtunkhwa 23.35%, Balochistan 6.73%
and in Federal district Islamabad is 40.30%.The CPR is calculated from Contraceptive
Performance data received from the Provincial Population Welfare Departments (PPWDs);
Population Welfare Departments AJK, GB & FATA; The District Population Welfare Office,
ICT, Islamabad; Rahnuma/Family Planning Association of Pakistan (FPAP) ; Marie Stopes
Society of Pakistan (MSS); Green star /Social Marketing of Contraceptive (SMC) and
Regional Training Institutes (RTIs). The details are given in Table-11.

16

STATISTICAL TABLES

17

STATISTICAL TABLES
TABLE-1 CONTRACEPTIVE USAGE BY DATA SOURCE DURING 2013-14 OVER
2012-13.
TABLE-2 CONTRACEPTIVE USAGE BY METHOD DURING 2013-14 OVER 2012-13.
TABLE-3 COMPARATIVE ANALYSIS OF CONTRACEPTIVE USAGE BY SOURCE &
METHODS DURING 2013-14 OVER 2012-13.
TABLE-4 OUTLET - WISE USAGE OF CONTRACEPTIVE DURING 2013-14 OVER
2012-13.
TABLE-5 COMPARATIVE ANALYSIS OF CONTRACEPTIVE BY OUTLET &
METHOD DURING 2013-14 OVER 2012-13.
TABLE-6 METHOD AND OUTLET - WISE AVERAGE PERFORMANCE DURING
2013-14.
TABLE-7 PERCENTAGE DISTRIBUTION OF TOTAL CYP BY SOURCE DURING
2013-14.
TABLE-8 PERCENTAGE DISTRIBUTION OF TOTAL CYP BY OUTLET DURING
2013-14.
TABLE-9 PERCENTAGE DISTRIBUTION OF TOTAL CYP BY METHOD DURING
2013-14.
TABLE-10 PROVINCE-WISE FAMILY PLANNING AND MOTHER & CHILD HEALTH
(MCH) SERVICES DURING 2013-14.
TABLE-11 CONTRACEPTIVE PREVALENCE RATE BY MODERN METHODS FOR
THE YEAR 2013-14.

18

Table: 1

CONTRACEPTIVE USAGE BY DATA SOURCE

SOURCE

COUPLE YEARS OF PROTECTION (CYP)

2013-2014

PUNJAB

2012-2013

%AGE CHANGE
2013-2014
Vs
2012-2013

3,042,433

2,968,060

2.5

819,719

765,073

7.1

1,086,718

887,349

22.5 *

BALOCHISTAN

103,807

99,867

3.9

ISLAMABAD

SINDH
K.P.K

113,503

85,164

33.3

AJK

26,488

29,061

-8.9

FATA

33,953

30,569

11.1

GB

14,491

9,106

59.1

4,123

3,664

12.5

716,656

593,648

20.7 #

MARIE STOPES

1,284,977

781,890

64.3

GREENSTAR (SMC)

2,327,237

2,360,493

-1.4

9,574,104

8,613,944

11.15

RTIs
RAHNUMA (FPAP)

Pakistan

* Significant increase in KPK is due to establishment of 110 new FWCs during the year 2013-14.
Significant increase in Islamabad is due to sufficient supply of contraceptive compared to previous year
Significant increase in FATA is due to sufficient supply of contraceptive & filling up of vacant post of Women Medical Officer
Federal Govt. enhanced the budget allocation for GB, during the year 2013-14 to revive programe activities.
# Significant increase in Rahnuma FPAP is due to training & refreshers of 126 healthcare providers and 500 staff members.
Significant increase in MSS is due to expansion of its Suraj Social Franchise Netw ork and enhanced frequency of outreach camps

Table: 2

CONTRACEPTIVE USAGE BY METHOD DURING 2013-2014 OVER 2012-2013

OVERALL PERFORMANCE
METHOD
2013-2014

CONDOMS
CYP

(Units)

ORAL PILL
CYP

(Cycles)

IUD
CYP

(Insertion)

INJECTABLE
CYP

(Vials)

CS
CYP

(Cases)

TOTAL

2012-2013

%AGE CHANGE
2013-2014
Vs
2012-2013

193,200,006
1,341,667

188,451,464
1,308,691

2.5

6,793,922
452,928

6,573,102
438,207

3.4

1,668,640
5,840,240

1,420,464
4,971,624

17.5

2,810,660
562,132

2,986,989
597,398

-5.9

110,171
1,377,138

103,842
1,298,025

6.1

9,574,104

8,613,944

19

11.15

Table: 3

COMPARATIVE ANALYSIS OF CONTRACEPTIVE USAGE BY SOURCE & METHOD

CONDOM
(Units)

SOURCE

2013-2014 2012-2013

ORAL PILL
(Cycles)

IUD
(Insertions)

INJECTABLES
(Vials)

% 2013-2014 2012-2013 % 2013-2014 2012-2013 % 2013-2014

Chang
Chang
Change

PUNJAB

39,645,484 38,718,472

2.4 1,612,655 1,533,147

5.2

482,739 476,805

SINDH

18,351,687 16,869,248

8.8

666,194 691,497

-3.7

90,368

K.P.K

16,321,339 14,196,352 15.0

950,211 901,828

5.4

BALOCHISTAN

2,101,037

2,130,937

-1.4

126,840 114,043

11.2

16,611

ISLAMABAD

1,108,236

1,087,086

1.9

43,889

41,882

4.8

22,979

CON SURGERY
(Cases)

COUPLE YEARS OF

2012-2013

PROTECTION
% 2013-2014 2012-2013 % 2013-2014 2012-2013
%
Chang
Change
Change

1.2

469,100

481,899

-2.7

70,096

66,542

5.3 3,042,433 2,968,060

2.5

88,045

2.6

320,378

342,839

-6.6

21,400

18,008

18.8

819,719

765,073

7.1

219,023 169,178

29.5

441,425

412,654

7.0

4,413

4,319

2.2 1,086,718

887,349

22.5

16,085

3.3

39,299

38,155

3.0

1,181

1,083

9.0

103,807

99,867

3.9

14,715

56.2

25,961

24,415

6.3

1,381

1,475

-6.4

113,503

85,164

33.3

-11.1

423

354

19.5

26,488

29,061

-8.9

AJK

265,048

233,243 13.6

17,607

14,772

19.2

4,412

5,413

-18.5

13,718

15,432

FATA

448,499

432,414

3.7

49,224

54,990

-10.5

6,516

5,386

21.0

23,752

25,244

-5.9

0.0

33,953

30,569

11.1

GB

119,786

52,042 130.2

18,804

12,275

53.2

2,385

1,289

85.0

20,288

17,075

18.8

0.0

14,491

9,106

59.1

2,242

934

RTIs

28,639

22,981 24.6

2,042

9.8

747

25.0

1,841

2,083

-11.6

11

27

-59.3

4,123

3,664

12.5

RAHNUMA (FPAP)

1,102,805

948,579 16.3

144,423 121,892

18.5

156,351 124,404

25.7

455,456

445,914

2.1

4,884

4,347

12.4

716,656

593,648

20.7

MARIE STOPES

1,712,545

838,126 104.3

0.0 1,284,977

206,290 127,630

61.6

352,928 214,674

64.4

120,418

81,009

48.6

781,890

64.3

GREENSTAR (SMC) 111,994,901 112,921,984

-0.8 2,955,543 2,957,104

-0.1

313,394 303,723

3.2

879,024 1,100,270

-20.1

6,382

7,687

-17.0 2,327,237 2,360,493

-1.4

Pakistan

2.5 6,793,922 6,573,102

3.4 1,668,640 1,420,464

17.5

2,810,660 2,986,989

-5.9

110,171 103,842

6.1 9,574,104 8,613,944

11.15

Table: 4

193,200,006 188,451,464

OUTLET-WISE USAGE OF CONTRACEPTIVE DURING 2013-14 OVER 2012-13

COUPLE YEARS OF PROTECTION (CYP)
OUTLETS

%AGE CHANGE

2013-2014

2012-2013

2013-14
Vs
2012-13

FWC

3,107,439

2,804,233

10.8

RHS-A

1,402,582

1,224,584

14.5

RHS-B

162,772

254,610

-36.1

MSU

115,750

153,210

-24.5

10,104

9,868

2.4

187,665

175,994

6.6

60,891

81,463

-25.3

HAKEEM & HOMEOPATH

MALE MOBILIZER
PLDs
RMPs

118,978

101,553

17.2

RTIs

4,123

3,664

12.5

AJK

26,488

29,061

-8.9

GB

14,491

9,106

59.1

FATA

33,953

30,569

11.1

RAHNUMA (FPAP)

716,656

593,648

20.7

MARIE STOPES

1,284,977

781,890

64.3

GREENSTAR (SMC)

2,327,237

2,360,493

-1.4

Pakistan

9,574,104

8,613,944

11.15

20

Table: 5

OUTLETS &
METHODS

COMPARATIVE ANALYSIS OF CONTRACEPTIVE USAGE BY OUTLET & METHOD

CONDOM
(Units)

ORAL PILL
(Cycles)
%
2013-2014
Change

2012-2013

IUD
(Insertions)

INJECTABLES
(Vials)

2013-2014

2012-2013

% 2013-2014 2012-2013
%
Chan
Change

2013-2014

2012-2013

FWC
PUNJAB

49,065,944
23,963,875

45,238,753
22,933,272

8.5
4.5

2,280,012
1,050,280

2,171,064
988,182

5.0
6.3

685,244
405,965

609,795
377,587

12.4 1,081,743
7.5
400,436

1,055,275
381,661

SINDH
K.P.K

12,579,344
10,497,284

11,109,847
9,197,245

13.2
14.1

447,511
659,536

453,760
623,526

-1.4
5.8

65,623
194,608

67,374
149,597

-2.6
30.1

259,052
388,431

BALOCHISTAN
ISLAMABAD

1,426,113
599,328

1,437,572
560,817

-0.8
6.9

93,254
29,431

81,067
24,529

15.0
20.0

10,124
8,924

9,143
6,094

10.7
46.4

RHS-A
PUNJAB

3,024,955
1,484,517

2,661,245
1,254,645

13.7
18.3

165,979
78,876

160,282
71,396

3.6
10.5

66,006
37,309

55,991
33,372

SINDH

853,614

734,956

16.1

45,794

46,690

-1.9

14,741

K.P.K
BALOCHISTAN

505,826
80,158

491,377
80,473

2.9
-0.4

31,885
6,350

34,776
4,600

-8.3
38.0

11,351
1,371

ISLAMABAD
RHS-B

100,840
47,002

99,794
70,414

1.0
-33.2

3,074
4,943

2,820 9.0
8,425 -41.3

23,306
4,900

52,113
0

-55.3
0.0

2,255
390

7,996
1,500

3,401
1,000

135.1
50.0

ISLAMABAD
MSU

9,300
1,823,492

13,900
2,016,143

PUNJAB
SINDH

0
1,150,037

K.P.K
BALOCHISTAN

COUPLE YEARS OF
PROTECTION

CON SURGERY
(Cases)

%
2013-2014 2012-2013 % 2013-2014
Change
Chang

2012-2013

%
Change

2.5
4.9

0
0

0
0

0.0 3,107,439 2,804,233

0.0 1,737,399 1,623,024

10.8
7.0

278,922
363,373

-7.1
6.9

0
0

0
0

0.0
0.0

398,682
875,681

398,996
701,702

-0.1
24.8

23,851
9,973

21,609
9,710

10.4
2.7

0
0

0
0

0.0
0.0

56,325
39,353

51,710
28,801

8.9
36.6

17.9
11.8

93,384
37,082

97,996
35,742

-4.7
3.7

89,665
62,799

78,388
57,400

14.4 1,402,582 1,224,584

9.4 938,553 854,923

14.5
9.8

10,581

39.3

29,298

32,202

-9.0

21,400

15,483

38.2

333,934

245,228

36.2

9,617
1,475

18.0
-7.1

21,928
3,485

24,089
4,380

-9.0
-20.4

3,260
1,069

3,288
987

-0.9
8.3

90,502
19,838

85,308
19,242

6.1
3.1

1,234
14,355

946
25,134

30.4
-42.9

1,591
8,994

1,583
13,012

1,137
8,806

1,230
13,039

-7.6
-32.5

19,755
162,772

19,884
254,610

-0.6
-36.1

6,388 -64.7
80 387.5

13,456
40

24,516
0

-45.1
0.0

7,081
500

11,910
0

-40.5
0.0

7,297
0

9,142
2,525

-20.2
-100.0

140,037
300

203,251
31,568

-31.1
-99.0

1,773
165

1,162 52.6
270 -38.9

439
50

362
61

21.3
-18.0

966
132

470
242

105.5
-45.5

1,153
112

1,031
96

11.8
16.7

16,316
1,623

14,350
1,487

13.7
9.1

-33.1
-9.6

360
81,937

525 -31.4
102,450 -20.0

370
24,565

195
33,843

89.7
-27.4

315
58,233

390
69,641

-19.2
-16.4

244
0

245
0

-0.4
0.0

4,497
115,750

3,955
153,210

13.7
-24.5

284,253
1,066,627

0.0
7.8

0
42,217

16,065 0.0
47,067 -10.3

0
9,257

10,633
9,953

0.0
-7.0

0
27,035

10,256
29,894

0.0
-9.6

0
0

0
0

0.0
0.0

0
48,607

42,312
51,359

0.0
-5.4

407,752
249,023

372,993
274,452

9.3
-9.3

24,518
14,569

23,919
14,755

2.5
-1.3

11,458
3,605

8,993
3,962

27.4
-9.0

22,328
8,609

20,616
8,690

8.3
-0.9

0
0

0
0

0.0
0.0

49,035
17,040

39,784
18,495

23.3
-7.9

ISLAMABAD
PLD

16,680
246,313

17,818
370,063

-6.4
-33.4

633
63,718

644
56,507

-1.7
12.8

245
14,596

302
19,662

-18.9
-25.8

261
19,232

185
31,544

41.1
-39.0

0
0

0
0

0.0
0.0

1,068
60,891

1,261
81,463

-15.3
-25.3

PUNJAB
SINDH

155,550
0

273,343
3,588

-43.1
0.0

56,996
0

50,006
500

14.0
0.0

11,713
0

17,263
15

-32.1
0.0

14,116
0

26,531
176

-46.8
0.0

0
0

0
0

0.0
0.0

48,699
0

70,959
146

-31.4
0.0

5,816
61,947

6,746
58,066

-13.8
6.7

1,047
4,245

936
3,560

11.9
19.2

209
1,461

175
1,444

19.4
1.2

63
2,138

50
2,637

26.0
-18.9

0
0

0
0

0.0
0.0

854
6,254

732
6,222

16.7
0.5

23,000
2,588,547
1,434,727

28,320
2,455,257
1,405,824

-18.8
5.4
2.1

1,430
107,775
48,121

1,505
105,846
47,259

-5.0
1.8
1.8

1,213
24,834
12,253

765
20,308
13,434

58.6
22.3
-8.8

2,915
34,489
10,385

2,150
31,839
15,799

35.6
8.3
-34.3

0
0
0

0
0
0

0.0
0.0
0.0

5,084
118,978
58,134

3,404
101,553
63,092

49.3
17.2
-7.9

SINDH
K.P.K

418,902
355,273

447,844
200,510

-6.5
77.2

21,242
21,976

22,597
15,139

-6.0
45.2

633
955

27
434

2,244.4
120.0

4,405
7,709

990
4,056

344.9
90.1

0
0

0
0

0.0
0.0

7,422
8,817

4,909
4,732

51.2
86.3

BALOCHISTAN
ISLAMABAD

275,427
104,218

272,940
128,139

0.9
-18.7

7,645
8,791

9,207 -17.0
11,644 -24.5

0
10,993

0
6,413

0.0
71.4

1,084
10,906

597
10,397

81.6
4.9

0
0

0
0

0.0
0.0

2,639
41,967

2,629
26,191

0.4
60.2

1,078,258
718,007

992,387
701,464

8.7
2.4

39,237
24,342

-8.1
-3.3

0
0

0
0

0.0
0.0

0
0

645
0

-100.0
0.0

0
0

0
0

0.0
0.0

10,104
6,609

9,868
6,550

2.4
0.9

212,391
140,991

179,168
105,321

18.5
33.9

8,305
5,978

9,543 -13.0
7,411 -19.3

0
0

0
0

0.0
0.0

0
0

645
0

-100.0
0.0

0
0

0
0

0.0
0.0

2,029
1,378

2,009
1,225

1.0
12.4

PUNJAB
SINDH
K.P.K
BALOCHISTAN

K.P.K
BALOCHISTAN
ISLAMABAD
RMP
PUNJAB

H&H
PUNJAB
SINDH
K.P.K
BALOCHISTAN

42,712
25,174

0.5
-30.9

6,869

6,434

6.8

612

584

4.8

0.0

0.0

0.0

89

84

5.8

MM

19,653,272

19,197,833

2.4

656,188

635,111

3.3

2,120

95

2,131.6

88

10

780.0

0.0

187,665

175,994

6.6

PUNJAB

11,865,502

11,813,558

0.4

351,785

328,677

7.0

2,043

0.0

0.0

0.0

113,002

103,950

8.7

SINDH

3,132,499

3,327,218

-5.9

100,735

111,260

-9.5

74

95

-22.1

88

10

780.0

0.0

28,746

30,858

-6.8

K.P.K
BALOCHISTAN

4,400,401
0

3,818,759
0

15.2
0.0

203,498
0

194,959
0

4.4
0.0

3
0

0
0

0.0
0.0

0
0

0
0

0.0
0.0

0
0

0
0

0.0
0.0

44,135
0

39,516
0

11.7
0.0

254,870
238,298
115,672,223 115,449,369

7.0
0.2

170
3,394,133

215 -20.9
3,290,705 3.1

0
836,920

0
655,636

0.0
0
27.7 1,514,497

0
1,687,027

0.0
-10.2

0
11,700

0
12,415

0.0
1,781
1,669
-5.8 4,407,924 3,808,431

6.7
15.7

ISLAMABAD
Sub Total
RAHNUMA (FPAP)

948,579

16.3

144,423

121,892

18.5

156,351

124,404

25.7

455,456

445,914

2.1

4,884

4,347

12.4

593,648

20.7

GREENSTAR(SMC) 111,994,901 112,921,984

MARIE STOPES
1,712,545
838,126

1,102,805

-0.8
104.3

2,955,543
206,290

2,957,104
127,630

-0.1
61.6

313,394
352,928

303,723
214,674

3.2
64.4

879,024
120,418

1,100,270
81,009

-20.1
48.6

6,382
0

7,687
0

-17.0 2,327,237 2,360,493

0.0 1,284,977 781,890

716,656

-1.4
64.3

AJK

265,048

233,243

13.6

17,607

14,772

19.2

4,412

5,413

-18.5

13,718

15,432

-11.1

423

354

19.5

26,488

29,061

-8.9

GB

119,786

52,042

130.2

18,804

12,275

53.2

2,385

1,289

85.0

20,288

17,075

18.8

0.0

14,491

9,106

59.1

2,042

9.8

934

747

25.0

1,841

2,083

-11.6

11

27

-59.3

4,123

3,664

12.5

54,990 -10.5

6,516

5,386

21.0

23,752

25,244

-5.9

0.0

33,953

30,569

11.1

3.4 1,668,640

1,420,464

17.5

2,810,660

2,986,989

-5.9

110,171

103,842

6.1 9,574,104 8,613,944

11.15

RTIs

28,639

22,981

24.6

2,242

FATA

448,499

432,414

3.7

49,224

193,200,006 188,451,464

2.5

6,793,922

Pakistan

6,573,102

21

Table-6

METHOD AND OUTLET WISE AVERAGE PERFORMANCE DURING 2013-14

CONDOM
(Units)

NO. OF
OUTLETS

OUTLET

ORAL PILL
(Cycles)
Per
Outlet

IUD
(Insertions)

Per
Outlet

INJECTABLE
(Vials)

Per
Outlet

CON SURGERY
(Cases)

Per
Outlet

CYP

Per
Outlet

Per
Outlet

FWCs
PUNJAB

1504

23,963,875

15,933

1,050,280

698

405,965

270

400,436

266

1,737,399

SINDH

628

12,579,344

20,031

447,511

713

65,623

104

259,052

413

398,682

1,155
635

KHYBER PAKHTUNKHWA

532

10,497,284

19,732

659,536

1,240

194,608

366

388,431

730

875,681

1,646

BALOCHISTAN

160

1,426,113

8,913

93,254

583

10,124

63

23,851

149

56,325

352

ISLAMABAD

29

599,328

20,666

27,503

948

8,924

308

9,973

344

39,224

1,353

PAKISTAN

2853

49,065,944

17,198

2,278,084

798

685,244

240

1,081,743

379

3,107,311

1,089

PUNJAB

99

1,484,517

14,995

78,876

797

37,309

377

37,082

375

62,799

634

938,553

9,480

SINDH

75

853,614

11,382

45,794

611

14,741

197

29,298

391

21,400

285

333,934

4,452

KHYBER PAKHTUNKHWA

26

505,826

19,455

31,885

1,226

11,351

437

21,928

843

3,260

125

90,502

3,481

BALOCHISTAN

80,158

13,360

6,350

1,058

1,371

229

3,485

581

1,069

178

19,838

3,306

ISLAMABAD

100,840

33,613

3,074

1,025

1,234

411

1,591

530

1,137

379

19,755

6,585

PAKISTAN

209

3,024,955

14,473

165,979

794

66,006

316

93,384

447

89,665

429

1,402,582

6,711

RHS-A CENTRES

MSUs
PUNJAB

SINDH

72

1,150,037

15,973

42,217

586

9,257

129

27,035

375

48,607

675

KHYBER PAKHTUNKHWA

30

407,752

13,592

24,518

817

11,458

382

22,328

744

49,035

1,634

BALOCHISTAN

40

249,023

6,226

14,569

364

3,605

90

8,609

215

17,040

426

ISLAMABAD

16,680

16,680

633

633

245

245

261

261

1,068

1,068

PAKISTAN

143

1,823,492

12,752

81,937

573

24,565

172

58,233

407

115,750

809

Table: 7

PERCENTAGE DISTRIBUTION OF TOTAL CYP BY SOURCE

CYP

Percentage

3,042,433

31.78

819,719

8.56

1,086,718

11.35

BALOCHISTAN

103,807

1.08

ISLAMABAD

SOURCE
PUNJAB
SINDH
K.P.K

113,503

1.19

AJK

26,488

0.28

FATA

33,953

0.35

GB

14,491

0.15

4,123

0.04

RTIs
RAHNUMA (FPAP)

716,656

7.49

MARIE STOPES

1,284,977

13.42

GREENSTAR (SMC)

2,327,237

24.31

Pakistan

9,574,104

100.00

22

Table: 8

PERCENTAGE DISTRIBUTION OF TOTAL CYP BY SERVICE OUTLET

OUTLETS

CYP

Percentage

FWC

3,107,439

32.46

RHS-A

1,402,582

14.65

RHS-B

162,772

1.70

MSU

115,750

1.21

PLDs

60,891

0.64

RMPs

118,978

1.24

HAKEEM & HOMEOPATH

10,104

0.11

187,665

1.96

FATA

33,953

0.35

AJK

26,488

0.28

GB

14,491

0.15

4,123

0.04

716,656

7.49

MARIE STOPES

1,284,977

13.42

GREENSTAR (SMC)

2,327,237

24.31

Pakistan

9,574,104

100.00

MALE MOBILIZER

RTIs
RAHNUMA (FPAP)

Table: 9

PERCENTAGE DISTRIBUTION OF TOTAL CYP BY METHODS

METHODS

CYP

Percentage

CONDOMS

1,341,667

14.01

ORAL PILL

452,928

4.73

5,840,240

61.00

562,132

5.87

CS

1,377,138

14.38

Pakistan

9,574,104

100.00

IUD
INJECTABLE

23

Table-10

FAMILY PLANNING AND MOTHER & CHILD (MCH) SERVICES DURING 2013-14
Mother Care
PROVINCE/
FEDERAL

F.P
CLIENTS

PUNJAB

General Ailments

(Number of Clients)
Pre Natal Post Natal
Total

1,335,389 103,725

MCH Clients

(Number of Clients)
Children
Adult

Total

Col (5+8)

All Clients
Col (2+5+8)

10

66,549

170,274

142,243

410,741

552,984

723,258

2,058,647

SINDH

896,927

93,457

69,011

162,468

408,706

408,706

571,174

1,468,101

K.P.K

568,442

48,048

33,235

81,283

123,004

238,573

361,577

442,860

1,011,302

BALOCHISTAN

92,393

10,026

7,539

17,565

13,942

68,514

82,456

100,021

192,414

ISLAMABAD

26,897

3,342

2,405

5,747

21,024

2,546

23,570

29,317

56,214

AJK

31,732

4,676

1,947

6,623

3,056

9,839

12,895

19,518

51,250

GB

26,852

1,290

1,445

2,735

3,274

3,221

6,495

9,230

36,082

FATA

60,650

10,960

7,508

18,468

7,708

16,150

23,858

42,326

102,976

722,957

749,584

1,472,541

Total

3,039,282

275,524

189,639

465,163

1,937,704

4,976,986

Table-11
CONTRACEPTIVE PREVALENCE RATE BY MODERN METHODS FOR 2013-14
(Fig. in million)

PROVINCE
PUNJAB

MWRA**
Users

CONDOM ORAL PILL

16.321

CPR%
SINDH

Users

7.205

CPR%
KPK

Users

4.049

CPR%
BALOCHISTAN

Users

1.555

CPR%
ISLAMABAD

Users

0.231

CPR%

PROVINCIAL TOTAL Users

29.360

CPR%

GS(SMC) + Others* Users

IUD

INJECTABLE

C.S

Total

0.396
2.43
0.184
2.55
0.163
4.03
0.021
1.35
0.011
4.80
0.775
2.64
1.16

0.124
0.76
0.051
0.71
0.073
1.81
0.010
0.63
0.003
1.46
0.262
0.89
0.26

1.465
8.97
0.318
4.41
0.560
13.83
0.050
3.22
0.057
24.77
2.450
8.34
1.43

0.094
0.57
0.064
0.89
0.088
2.18
0.008
0.51
0.005
2.25
0.259
0.88
0.30

0.801
4.91
0.307
4.26
0.061
1.50
0.016
1.03
0.016
7.02
1.201
4.09
0.15

2.880
17.64
0.924
12.82
0.945
23.35
0.105
6.73
0.093
40.30
4.947
16.85
3.30

1.932
6.422

0.523
1.737

3.877
12.888

0.562
1.869

1.353
4.498

8.247
27.41

CPR%
PAKISTAN

Users
CPR%

30.083

Assumptions:
a) Carry-over effect of IUD is taken from 2009-10, performance of current year 100% and each next year 20% less.
b) Carry-over effect of CS cases is taken from 1999-2000. Current year performance is 100% and each next year is 5% less.
c) The provincial CPR is calculated on the basis of performance of PPWDs service delivery outlets only.
* Others include FPAP, M arie Stops Society, AJK, FATA, GB and RTIs.
**M arried Women of Reproductive age (M WRA) is taken as 16% of total population of Pakistan in Economic Survey, 2014.

24

GENESIS OF THE REPORT

The Annual Contraceptive Performance Report owes to continuous efforts of the following
PBS Officers:
1.

Dr.Bahrawar Jan, Deputy Director General

2.

Ms. Rizwana Siddique, Director

3.

Syed Adil Hashmi, Statistical Officer

4.

Mr. Arshad Ahmad Khan, Research Supervisor

5.

Mr. Mahmood-ul-Hasan, Statistical Investigator

6.

Mr. Ghulam Kibria , Data Processing Assistant

25