Spatial distribution of contraceptive usage by district in Pakistan: Percent change in 'couple years of protection' in 2015-16 compared to 2014-15

Pakistan's population will cross the 200 million-mark in 2017. 'Couple Years of Protection' (CYP) is a proxy indicator for various contraceptive methods used. The Pakistan 'Contraceptive Performance Report 2015-2016' (CPR) in Pakistan, provides comparison with the previous year i.e. 2014-2015 in terms of CYP percent change at the district level in the country. In this study, CPR percent change data were mapped and cluster analysis was conducted, using GIS programmes to visualize spatial distribution in the country by district. No statistical evidence of clustering at the global/country level was found. The percent change in CYP 2015-16, compared to 2014-15 at the district level ranged from -90.4% to 316.9% in the 113 districts for which data was available. Sixty-five districts reported negative CYP percent change, while 48 reported positive CYP change. With the exception of Balochistan province, all provinces and FATA had districts with percent change in CYP ranging from -90.4% to -50.0%.