Overview of Key Concepts and Definitions for Service Statistics

1. Overview of Key Concepts and Definitions for Service Statistics From choice, a world of possibilities

2. Overview of Key Concepts and Definitions for Service Statistics • Session Objectives: • To review and understand the definitions of key Service Statistics indicators, units of measure, channels of distribution, and key service categories • To review especially hard to understand concepts and definitions Footer Text

3. Key Indicators of Service Output • Number of New Users to Contraceptive Services, by age • Number of Contraceptive Services Provided, by type, by age • Total Couple-Years of Protection Achieved, by channel (based on number of Items Provided) • Number of Non-Contraceptive SRH Services Provided, by type, by age • Number of Non-SRH services Provided, by type, by age Footer Text

4. “Units of Measure” for reporting on Key Indicators • New Users • Services • Items Provided • Referrals • Note: Reporting on All Units of Measure for ALL channels is NOT required Footer Text

5. The Prep Tool: Organizing Units of Measure and Channels Used to organize the concepts and Units of Measure across channels. Footer Text

6. New User Definition: • A client who visits the MA and accepts one or more modern method(s) of contraception from the Association for the first time. Clarifications: • A new user at the MA may have used contraception in the past from another source. • If an existing client at the MA switches to a new method, (for example, if a client has an IUD removed and begins using injectables) that person should not be recorded as a new user. • Clients coming to the Member Association for the first time but referred elsewhere for contraceptive services should not be included as new users. • Clients who have previously used non-contraceptive services provided by the Member Association and subsequently receive contraceptives for the first time should be recorded as new users at their first contraceptive acceptance at the MA. Exception: • All acceptors of male or female sterilization are considered new users, even if they have previously received temporary contraceptive methods from the MA. Confusions: • The earlier terminology called ‘new acceptor’ remains conceptually same as ‘new user’. • Synonymous with Initial Consult Footer Text

7. New Users: Example 1 A woman has been buying condoms from a pharmacy for a number of years. She has never obtained contraceptives from the MA. Then she goes to the MA clinic where she receives condoms. Is she a new user? Of what method? Footer Text

8. New Users: Example 2 A woman has been buying condoms from a pharmacy for a number of years. She has never gotten contraceptives from the MA. Then she goes to the MA clinic where she receives and IUD. Is she a new user? Of what method? Footer Text

9. New Users: Example 3 A woman who has been receiving condoms from the MA clinic for 6 months decides to switch to oral contraceptive pills. She receives the oral contraceptive pills from the MA clinic. Is she a new user? Of what method? Footer Text

10. New Users: Example 4 A woman who has been receiving oral contraceptive pills from the MA clinic for 5 years decides to have a sterilization from the MA. Is she a new user? Of what method? Footer Text

11. New Users: Example 5 A woman gets a sterilization at a government clinic, but goes to the MA clinic for follow-up. Is she a new user? Of what method? Footer Text

12. New Users: Example 6 A woman in a community, who has not visited an Association clinic or CBD outlet previously to receive a method, goes to the CBD post and requests an IUD. The volunteer promoter is not trained to provide that service and refers the client to the nearest MA operated clinic outlet, where she receives the desired method. Is she a new user? Of what method? At which outlet? Footer Text

13. Services Provided Definition: • The total number of services provided to clients. Clarifications: • If a client receives more than one item pertaining to contraception (ie, if a client is given condoms and IUD together), the number of services should be recorded as one. • If a client is provided with two or more services during one visit which are not all contraceptive services (for example, oral contraceptives and counselling on sexually transmitted infections), the number of services should be recorded as two or more. Confusions: • Visits vs. Services.Sometimes the terms ‘visits’ and ‘service provided’ are confused. We no longer use the term ‘visits; a client can receive more than one service per visit, and it is the total number of services provided that should be recorded.  In the past, a visit was defined as the number of times a person enters a clinic or a provider goes to a client Footer Text

14. Services Provided: Example 1 A woman comes to the MA for an IUD insertion, and additionally receives condoms. How many services does she receive? What service(s)? Footer Text

15. Services Provided: Example 2 A woman comes to the MA and receives emergency contraception, condoms, as well as an HIV and Chlamydia test. How many services does she receive? What service(s)? Footer Text

16. Items Provided Definition: • The total number of contraceptive items given to clientsdirectly or indirectly from the Member Associations’ service delivery points (SDPs). Clarifications: • This includes contraceptives provided to: • other individuals on behalf of the client • other agencies that receive contraceptives from the Member Association. • These data are collected primarily for CYP calculations, so data is only collected on contraceptive items. Footer Text

17. Referrals Definition: • A referral occurs when a client is directed to external (non MA) source(s) for clinical, social, or other service provision. • This unit of measure captures the number of referrals by MA staff of MA clients to external (non-MA) Service Delivery Points /organizations for services. Clarifications: • Referrals to contraceptive services are not included CYP calculations. • The number of referrals is not included in the total # of services provided. Confusions: • External vs. internal referrals (report external referrals only) Footer Text

18. Age of Clients Definition: • Age of clients at time of service provision • Youth are considered <25 • On day of 25th birthday and after, considered ‘25 years and above’ Clarification: • If a client comes to a Member Association SDP for a service before and then after his or her 25th birthday, the first will be recorded as a service provided to a young person, the second will not. • Only collected for new users and services provided Footer Text

19. Contraceptive Service Detail Categories Categories: • Initial Consultation (synonymous with New User) • Follow up/Resupply • Method specific counseling (VSC only) • Removal (IUD, implants only) • ALL services (was other/generic) • FP General counseling Footer Text

20. Initial Consultation vs. Follow-up/resupply Initial Consultation: First contraceptive service provided to a client at an MA service delivery point by a service provider. • Includes counseling regarding a range of methods • Results in acceptance of a method- If no item accepted, classify as FP General Counseling • Even if client has received contraceptive services before, outside of the MA, the 1st contraceptive service at the MA is initial consult. Follow-up/resupply: Any subsequent contraceptive service (after the initial consultation) provided to a client at an MA service delivery point. • does not need to be provided by a service provider • could include contraceptive resupply at a pharmacy, a counseling service, or a control service with a clinician. Footer Text

21. Contraceptive Counseling Definitions Family Planning General Counseling • Definition: This concept is used to capture all individual or group counseling given about a range of methods when the client does not accept a method. • Note: If counseling if given and the client accepts a method, the counseling is considered a part of the Initial Consultation service and should not be recorded as Family Planning General Counseling. Method specific counseling • Definition: This concept is used only for Female and Male Voluntary Surgical Contraception, as there is no initial consultation for the surgery. It involves individual or partner counseling (not group) about the method and includes counseling of other non-permanent methods that are offered. Emergency Contraception Counseling • Definition:Involves individual or partner counseling (not group) about emergency contraception (EC). • Should be reported for each client who receives counseling about EC- for those who accept and those who don’t accept the method. Footer Text

22. SRH (non-contraceptive) Service Detail Categories Categories: • Consultation • Diagnostic • Therapy • Surgery • Counseling • Other Footer Text

23. Non-SRH Service Detail Categories Categories: • Consultation • Diagnostic • Therapy/Treatment • Surgery • Counseling • Other Footer Text

24. Number of Outlets per Channel (S3 form) Number of outlets: • Definition: the number open when reporting (Feb) Urban/peri-urban/rural: • How do you define these? Is it a useful breakdown? Footer Text

25. Thank you! Footer Text