Contraception in Albania

Annex 9

Reproductive Health in Albania

Annex 9a

EXPECTED DEVELOPMENT OF THE CONTRACEPTIVE PREVALENCE RATE IN ALBANIA UNTIL THE YEAR 2005

Year	1996	1997	1998	1999	2000	2001	2002	2003	2003	2004	2005
high	10	13	16	20	25	30	34	37	38	39	40
low	5	7	10	14	19	22	25	27	28	29	30

Annex 9b

CONTRACEPTION FOR WOMEN IN REPRODUCTIVE AGE WHO USE IUD

Projection from 1996 - 2005 for Albania

Year	1996	1997	1998	1999	2000	2001	2002	2003	2004	2005
WRA for IUD	13226	16400	19163	22621	26539	29678	34187	34362	36792	34491
new acceptor	2645	2645	2645	2645	2645
	10581
new acceptor		3280	3280	3280	3280	3280
		10475
new acceptor			3833	3833	3833	3833	3833
			9405
new acceptor				4524	4524	4524	4524	4524
				8339
new acceptor					5308	5308	5308	5308	5308
					6949
new acceptor						5936	5936	5936	5936	5936
						6797
new acceptor							6837	6837	6837	6837
							7749
new acceptor								6872	6872	6872
								4885
new acceptor									7358	7358
									4481
new acceptor										6898
										590

Annex 9c

ESTIMATION OF NEEDS OF CONTRACEPTIVES IN ALBANIA FOR THE YEAR 1997 - 2005

	1996	1997	1998	1999	2000	2001	2002	2003	2004	2005
Number of WRA	826638	841021	855487	870030	884646	899331	914080	928706	943379	958096
Yearly increase		14383	14466	14543	14617	14685	14749	14625	14674	14717

Expected percentage of couples using the following contraceptives

O. C.	44	44	45	45	46	47	47	48	48	49
Injectables	25	25	23	23	22	21	20	19	18	17
IUD	16	15	14	13	12	11	11	10	10	9
Condoms	9	10	11	12	13	14	15	16	17	18
Spermicides	1	1	2	2	3	3	4	4	4	5
Other methods	5	5	5	5	4	4	3	3	3	2
TOTAL	100	100	100	100	100	100	100	100	100	100

Number of couples (WRA) per method

OC	363721	370049	384969	391513	406937	422686	429618	445779	452822	469467
Inj	206659	210255	196762	200107	194622	188860	182816	176454	169808	162876
IUD	132262	126153	119768	113104	106158	98926	100549	92871	94338	86229
Cond	74397	84102	94104	104404	115004	125906	137112	148593	160374	172457
Sper	8266	8410	17110	17401	26539	26980	36563	37148	37735	47905
Other methods	41332	42051	42774	43501	35386	35973	27422	27861	28301	19162
TOTAL	826638	841021	855487	870030	884646	899331	914080	928706	943379	958096

Per cent of expected contraceptive coverage (contraceptive prevalence rate = CPR)

CPR (per WRA)

10

13

16

20

25

30

34

37

39

40

Number of couples (WRA) per method, following the expected increase of the CPR

OC	36372	48106	61595	78303	101734	126806	146070	164938	176601	187787
Inj	20666	27333	31482	40021	48656	56658	62157	65288	66225	65151
IUD	13226	16400	19163	22621	26539	29678	34187	34362	36792	34491
Cond	7440	10933	15057	20881	28751	37772	46618	54979	62546	68983
Sper	827	1093	2738	3480	6635	8094	12431	13745	24528	19162
Other methods	40625	42051	42774	43501	35386	35973	27422	27861	28301	19162
TOTAL	119156	145917	172808	208807	247701	294981	328886	361174	394993	394736

Quantity of FP-methods necessary per year

OC (cycles)	472837	625383	800735	1017935	1322546	1648475	1898911	2144196	2295808	2441229
Injectables (vials)	82664	109333	125928	160085	194622	226632	248630	261152	264901	260602
IUD (pieces)	2645	3280	3833	4524	5308	5936	6837	6872	7358	6898
Condoms (pieces)	743974	1093327	1505656	2088072	2875101	3777192	4661811	5497938	6254605	6898292
Sper (tablets)	82664	109333	273756	348012	663485	809398	1243149	1374485	2452786	1916192

Annex 9d

CONTRACEPTIVE NEEDS FOR ALBANIA IN 1997 - 2005

(Separated for the different provider)

Oral contraceptives (cycles)

Provider	1997	1998	1999	2000	2001	2002	2003	2004	2005
MSI	150000	200000	250000	300000	300000	250000	200000	150000	100000
AFPA/IPPF	20000	20000	20000	20000	20000	20000	20000	20000	20000
PSI	0	0	0	0	0	0	0	0	0
private pharm	75046	144132	254484	462891	741814	987434	1243634	1423401	1586799
UNFPA	380337	436603	493451	539655	586661	650000	680000	700000	730000
TOTAL	625383	800736	1017935	1322935	1648474	1907434	2143634	2293401	2436799

Injectables (vials)

MSI	20000	25000	30000	35000	40000	30000	20000	15000	10000
AFPA/IPPF	5000	5000	5000	5000	5000	5000	5000	5000	5000
PSI	0	0	0	0	0	0	0	0	0
private pharm	13120	22667	40021	68118	101984	129288	151468	164239	169391
UNFPA	71213	73261	85063	86504	79648	80000	85000	80000	75000
TOTAL	109333	125928	160085	194622	226632	244288	261468	264239	259391

IUD (pieces)

MSI	2000	2700	3000	3500	3000	2500	2000	1500	1000
AFPA/IPPF	1000	500	500	500	500	700	1000	1200	1500
PSI	0	0	0	0	0	0	0	0	0
private pharm	394	690	1131	1858	2671	3555	3986	4562	4484
UNFPA	0	0	0	0	0	0	0	0	0
TOTAL	3394	3890	4631	5858	6171	6755	6986	7262	6984

Condom (pieces)

MSI	300000	400000	500000	600000	750000	0	0	0	0
AFPA/IPPF	100000	100000	100000	100000	200000	250000	300000	350000	100000
PSI	500000	500000	700000	700000	750000	800000	850000	900000	1000000
Action plus	10000	10000	12000	12000	15000	20000	20000	20000	20000
MST/AIDS	10000	10000	10000	15000	20000	30000	40000	50000	60000
private pharm	371987	546664	903394	1252843	2012570	2644034	3729448	4398351	5629144
UNFPA	0	100000	150000	200000	200000	300000	300000	400000	200000
TOTAL	1291987	1666664	2375394	2879843	3947570	4044034	5239448	6118351	7009144

Spermicides (tablets)

MSI	80000	100000	150000	170000	180000	200000	220000	270000	280000
AFPA/IPPF	0	0	0	40000	45000	50000	55000	70000	75000
PSI	0	0	0	0	0	0	0	0	0
private pharm	13120	49276	87003	232220	364229	646438	797201	1520727	1245525
UNFPA	16000	125000	110000	220000	220000	350000	360000	450000	460000
TOTAL	109120	274276	347003	662220	809229	1246438	1432201	2310727	2060525

Annex 10

Reproductive Health in Albania

PROVISION OF CONTRACEPTIVES THROUGH PRIVATE AND PUBLIC SECTOR (in %)

Year	1996	1997	1998	1999	2000	2001	2002	2003	2004	2005
public	90	88	82	75	65	55	48	42	38	35
private	10	12	18	25	35	45	52	58	62	65

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Edited by Aldo Campana,