This article uses linked data from the 1995 Morocco DHS calendar and the 1992 Morocco DHS service-availability module to study the effect of service environment on contraceptive discontinuation, switching, and adoption of a modern method following a birth. The 1995 Morocco DHS also collected information on the source of supply for each episode of use of a modern method recorded in the calendar, allowing study of the association between the source of supply and discontinuation and switching rates. Multilevel event-history models are used to evaluate the impact of individual-level sociodemographic characteristics and community-level indicators of family planning service provision. The findings show that the presence of a nearby public health center is associated with higher modern-method adoption after a birth and lower method-failure rates; the presence of a pharmacy is associated with lower discontinuation due to side effects or health concerns. The degree of method-choice potential has a positive impact on both the rate of switching from the pill to another modern method and on modern-method adoption after a birth.
|Pages (from-to)||28 - 42|
|Number of pages||13|
|Journal||Studies in Family Planning|
|Publication status||Published - 1 Mar 1999|
Bibliographical notePublisher: Population Council
Steele, FA., Curtis, SL., & Choe, MK. (1999). The Impact of Family Planning Service Provision on Contraceptive-Use Dynamics in Morocco. Studies in Family Planning, 30 (1), 28 - 42. http://links.jstor.org/sici?sici=0039-3665%28199903%2930%3A1%3C28%3ATIOFPS%3E2.0.CO%3B2-5