Jhpiego contracted DAMAX to conduct routine monitoring of exposure to Tupange Pamoja programming interventions and modern contraceptive prevalence rate (mCPR) using Lot Quality Assurance Sampling (LQAS) in all five Municipal Councils of Dar es Salaam Region.
The study was designed to evaluate the effectiveness of TCI’s family planning (FP) and adolescent and youth sexual reproductive health (AYSRH) interventions to inform how FP programming can utilize different approaches to reach more women and young girls with FP services.
The main aim of the study was to estimate mCPR in urban areas on a routine basis where Tupange Pamoja Program is being implemented, and to determine effect of exposure to family planning and adolescent and youth sexual reproductive health (AYSRH) interventions on modern contraceptive prevalence rate. Further, the study aimed to identify supervisions units with “inadequate” performance on FP and AYSRH program outcomes in need of support to implement the evidence-based interventions and determine quality of FP and contraception services provided in program supported facilities. The study followed a cross-sectional design to be conducted at baseline and midline of the program implementation utilizing quantitative data collection approach.
Data collection for the study was done in two settings 1) Household setting using household survey, and 2) Health Facility setting using client exit interviews and facility assessment. Based on LQAS methodology, urban areas within TCI implementing geography (Dar es Salaam) were categorized into implementation zones defined as the five 5 municipalities of Dar es Salaam Region namely: Kigamboni, Kinondoni, Ilala, Temeke and Ubungo.
In summary, for all the 5 municipals, the study team was able to successfully visit and conducted interviews in all 105 sampled supervision areas (Mitaa’s) that were selected for the household survey data collection. While the overall required ‘calculated’ sample size for the baseline household survey was a total of 3,186 women and girls of reproductive age at the five municipals, the study team was able to collect data from 3,200 women and girls of reproductive age.