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Demographic and Health Survey 2009-10 - Timor-Leste Ministry of ...

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70 | Family Planning<br />

5.9 TIMING OF FEMALE STERILIZATION<br />

In countries where female sterilization is prevalent, there is interest in trends in the adoption<br />

<strong>of</strong> the method <strong>and</strong> age at the time <strong>of</strong> sterilization. There were only 54 women in the <strong>2009</strong>-<strong>10</strong> TLDHS<br />

sample who were sterilized at the time <strong>of</strong> the survey. Due to these small numbers, a separate table is<br />

not shown in this report. The median age at sterilization was 34.1 years, with the majority sterilized<br />

before age 40 (79 percent), <strong>and</strong> 20 percent were sterilized between 40 <strong>and</strong> 44 years.<br />

5.<strong>10</strong> SOURCE OF MODERN CONTRACEPTION METHODS<br />

Table 5.8 on source <strong>of</strong> contraception is intended simply to document the main sources <strong>of</strong><br />

contraception for users <strong>of</strong> different modern methods <strong>of</strong> contraception. Information on where women<br />

obtain the contraceptive method that they use is important for program managers <strong>and</strong> implementers in<br />

designing family planning policies <strong>and</strong> programs. All current users <strong>of</strong> modern contraceptive methods<br />

were asked the most recent source <strong>of</strong> their methods. The government sector remains the major source<br />

<strong>of</strong> contraceptive methods in <strong>Timor</strong>-<strong>Leste</strong>, providing methods to almost nine in ten current users.<br />

Eighty-eight percent <strong>of</strong> users get their methods from the government sector, 9 percent from the private<br />

medical sector, <strong>and</strong> 2 percent from other sources. The share <strong>of</strong> the government sector has increased<br />

slightly over the past five years. Data from the 2003 DHS show that the government sector supplied<br />

methods to 80 percent <strong>of</strong> users.<br />

Forty-five percent <strong>of</strong> all users are served by community health centers, 20 percent by health<br />

posts, 17 percent by government <strong>and</strong> referral hospitals, 3 percent by integrated community health<br />

services (SISCa), <strong>and</strong> 2 percent by mobile clinics. In the private medical sector, most users are served<br />

by private hospitals/clinics (8 percent <strong>of</strong> all users). Most contraceptives sold in private hospitals/<br />

clinics are provided through the <strong>Timor</strong>-<strong>Leste</strong> Contraceptive Retail Sales Company.<br />

Table 5.8 Source <strong>of</strong> modern contraception methods<br />

Percent distribution <strong>of</strong> users <strong>of</strong> modern contraceptive methods age 15-49 by most recent source <strong>of</strong> method,<br />

according to method, <strong>Timor</strong>-<strong>Leste</strong> <strong>2009</strong>-<strong>10</strong><br />

Source<br />

Female<br />

sterilization Pill IUD Injectables Implants Total 1<br />

Public sector 91.7 77.2 96.9 89.3 97.9 88.4<br />

National hospital 55.4 2.3 28.4 1.4 0.0 5.5<br />

Referral hospital 29.1 15.4 15.6 <strong>10</strong>.2 16.2 11.8<br />

Community health center 4.1 42.9 39.5 48.3 59.3 45.4<br />

<strong>Health</strong> post 0.0 13.3 <strong>10</strong>.7 23.6 13.1 20.3<br />

SISCa post 0.0 1.8 0.0 4.1 2.0 3.4<br />

Mobile clinic 0.0 1.5 2.0 1.7 7.3 1.8<br />

Other public 3.1 0.0 0.6 0.0 0.0 0.2<br />

Private medical sector 2.1 13.9 2.4 9.7 2.1 9.3<br />

Private hospital/clinic 0.0 9.5 2.4 8.2 2.1 7.5<br />

Pharmacy 0.0 2.4 0.0 0.5 0.0 0.9<br />

Private doctor’s <strong>of</strong>fice 0.0 1.5 0.0 0.2 0.0 0.3<br />

Mobile clinic 0.0 0.0 0.0 0.1 0.0 0.0<br />

Field worker 0.0 0.0 0.0 0.1 0.0 0.1<br />

Other private medical 2.1 0.6 0.0 0.5 0.0 0.5<br />

Other source 0.0 8.9 0.0 0.8 0.0 1.8<br />

Shop 0.0 0.6 0.0 0.0 0.0 0.4<br />

Friend/relative 0.0 5.3 0.0 0.2 0.0 0.6<br />

Marie Stopes (NGO) 0.0 1.5 0.0 0.3 0.0 0.4<br />

Other NGO 0.0 1.5 0.0 0.3 0.0 0.4<br />

Other 6.2 0.0 0.0 0.2 0.0 0.4<br />

Missing 0.0 0.0 0.7 0.0 0.0 0.0<br />

Total <strong>10</strong>0.0 <strong>10</strong>0.0 <strong>10</strong>0.0 <strong>10</strong>0.0 <strong>10</strong>0.0 <strong>10</strong>0.0<br />

Number <strong>of</strong> women 65 135 <strong>10</strong>5 1,255 68 1,647<br />

1 Total includes other modern methods but excludes lactational amenorrhea method (LAM) <strong>and</strong> st<strong>and</strong>ard days<br />

method.

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