(Updated: 2020-11-05 12:16:20 EDT)
Understanding Client Exit Interview Sample in PMA
PMA has conducted client exit interviews (CEI) since 2019. As of September 2020, public CEI datasets for 6 surveys are available. This document describes and assesses PMA CEI sample.
CEI sampling methods: “For client exit interviews, a random convenience sample of female family planning clients were interviewed over two days from interviewed SDPs with daily average family planning client volume of three or more” (Source: User Notes for CEI public datasets)
Main questions: Considering the convenience sampling methods,
(1) Where do PMA CEI sample come from?
(2) How does PMA CEI sample compare against modern method users in the country?
Note: All estimates using CEI datasets are unweighted. Estimates using female interview datasets are weighted for sample design.
1. Total number of SDPs by survey
2. Percent of SDPs that had CEI: overall vs. by facility type
3. Average number of clients interviewed per SDP, among those had CEI: overall vs. by facility type
4. Total number of clients interviewed
5. Characteristics of FP clients interviewed by survey - comparison against female population who use modern methods
5.1. Age
- Age: no systematic pattern
- CEI sample tend to be younger in Burkina, Kenya, and Kano.
- The opposite in Kinshasa, Kongo Central, and Lagos.
5.2. Education
- CEI sample tend to be more educated in Kenya and Kano
- no clear difference in Lagos
- waiting for recode for Burkina and DRC
5.3. Methods received
- In all surveys, CEI sample does not capture EC and male condom users.
- Disproportionately high sterilization in DRC CEI samples
- Waiting for recode for Burkina Faso
** Sizable implant in CEI sample indicates “implant use” will continue to grow in HQFQ for at least a few more years?
Note:
1. * Among FP clients who have received either methods or prescription
2. ** Female population currently using modern methods (based on recodeded
“mcp”). Method mix based on
“current_methodnum_rc” in the public datasets.
3. *** Female population currently using modern methods (based on reported
“current_use”). Method mix based on
“current_methodnum_rc” in the public datasets. This method mix is (almost) comparable with that in DHS.
4. Other methods includes female condom, diaphragm, foam, Jelly, SDM, or LAM
6. CEI in Senegal SPA case study
Another health facility survey with CEI is SPA. Sampling is different for both facilities (representative facilities in the country) and clients (up to 5 clients in all sampled facilities that provide FP services).
In most countries, there’s no coordination between DHS and SPA implementation, but, in Senegal, continuous DHS and SPA have been conducted since 2012. Thus, we can make similar comparisons between CEI sample and female population using modern methods. FP observation/CEI has been conducted every other year, and below is based on Senegal Continuous DHS and SPA 2012/13, 2015, and 2017.
FYI, the number of FP clients interviewed per facility is much smaller in SPA.
All estimates are weighted in both SPA and DHS.
6.3. Methods received
Note:
1. *Among FP clients who have received methods. This can be slightly different from above analysis in PMA, due to differences in questionnaires.
2. Other methods includes female condom, diaphragm, foam, Jelly, SDM, or LAM