Lessons from a geospatial analysis of depot medroxyprogesterone acetate sales by licensed chemical sellers in Ghana. (30th May 2015)

• Record Type: Journal Article
• Authors: Shelus, Victoria; Lebetkin, Elena; Keyes, Emily; Mensah, Stephen; Dzasi, Kafui
• Is Part Of: International journal of gynaecology and obstetrics. Volume 130(2015)Supplement 3
• Page Start: E25
• Page End: E30
• Publication Date: 2015-05-30
• Subjects: Depot medroxyprogesterone acetate -- Family planning -- Geospatial analysis -- Ghana -- Geographic information systems -- Licensed chemical sellers; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1016/j.ijgo.2015.05.007
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objectives: To map access to depot medroxyprogesterone acetate (DMPA) from licensed chemical sellers (LCS); to estimate the proportion of women of reproductive age in areas with access; and to examine affordability and variability of costs. Methods: A geospatial analysis was conducted using data collected from 298 women who purchased DMPA from 49 geocoded LCS shops in the Amansie West and Ejisu‐Juabeng districts of Ghana from June 4 to August 31, 2012. The women reported on cost and average distance traveled to purchase DMPA. Results: In Amansie West, 21.1% of all women of reproductive age lived within average walking distance and 80.4% lived within average driving distance of an LCS. In Ejisu‐Juabeng, 41.9% and 60.1% of women lived within average walking and driving distance, respectively. Distribution of affordability varied across each district. Conclusions: Access to LCS shops is high, and training LCS to administer DMPA would increase access to family planning in Ghana, with associated time and cost savings.