AFRO-NETS> Family Planning: CYP cost calculation (4)

[Anthony Klouda <anthonyk@aklouda.demon.co.uk>]

Family Planning: CYP cost calculation (4)
-----------------------------------------

Mike,

The following is a quote from the Pocketbook of Family Planning and Re-
productive Health Indicators for Program Design and Evaluation produced 
by PopTech, which you can get from them at:

1611 North Kent Street
Suite 508
Arlington Virginia 22209 
USA

I am not associated with this group, but I think the book is free. It 
really is tiny and slips easily into a shirt pocket. It is worth get-
ting as it covers a host of indicators and CYP really is a very poor 
measure which does not help much in planning or thinking with people if 
you have a people-centred reproductive health focus rather than a gen-
eralised distribution focus. I think the Futures Group (part of Pop-
Tech) have offices in Nairobi, so you might get their address from 
USAID (sorry, but I don't have their address on me).


======start of quote======

Couple Years of Protection (CYP)

The estimated contraceptive protection from pregnancy provided by fam-
ily planning services during a one-year period, based upon the volume 
of all contraceptives sold or distributed free of charge to clients 
during that period. The CYP is calculated by multiplying the quantity 
of each method distributed to clients by a conversion factor, which 
yields an estimate of the duration of contraceptive protection provided 
per unit of that method. The CYP for each method is then summed over 
all the methods to obtain a total CYP figure.

The conversion factors currently in use in the USAID system are the 
following conversions recommended by USAID in 1997:

Method:
Oral contraceptives:             1 CYP per 15 cycles
CU T 380-A IUD:                3.5 CYP per IUD inserted
Norplant (implant)             3.5 CYP per implant
Condoms:                         1 CYP per 120 units
Vaginal foaming tablets:         1 CYP per 120 units
Sterilisation (male or female):  8 CYP per procedure (Africa)
Depo-Provera (injectable):       1 CYP per 4 doses (ml)
Noristerat (injectable):         1 CYP per 6 doses
Cyclofem (monthly injectable):   1 CYP per 12 doses
Natural Family Planning:         1 CYP per 2 trained, confirmed adopt-
                                       ers
Lactational Amenorrhea Method:   1 CYP per 4 active users
Diaphragm:                       1 CYP per diaphragm


======end of quote===========

So for example if I had distributed 120 condoms, I would divide that 
number by 120 and see that I had delivered the total of 1 couple year 
of protection. i.e. it assumes that in one year one couple will have 
had 120 acts of sexual intercourse with that could lead to pregnancy, 
each one of which was protected by the use of a condom. Similarly, the 
vasectomy is supposed to have an average effect of 8 years. Put these 
factors into a spreadsheet and you have your table.

In relation to your question on costings, I do not know of a standard-
ised way of doing this as it is clearly enormously complex as well as 
judgemental as to how you allocate costs (especially those which are 
shared), and how you determine costs of a variety of human inputs (in-
cluding the costs incurred by the people wanting or obtaining contra-
ception), so here I think it is up to your imagination and whatever you 
would find useful to measure in relation to what you would like to 
achieve with the people around you. All you have to do then is explain 
your thinking with your figures.

I hope this is helpful.

Anthony Klouda
Africa Regional Technical Adviser for Reproductive Health
CARE International
mailto:anthonyk@aklouda.demon.co.uk


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