The Philippines is the only country in which the DHS questionnaire includes NFP methods other than Rhythm. These are the methods listed, and the probes for them. Some of you may object to one or more of these probes. For example, the Symptothermal method is not just a combination of other methods as the probe implies, and there are many variations of it. But you have to admit that this is a huge improvement over what is used in all other countries. Now the Philippines is not the only country with a strong NFP program. Why is it the only country in which these methods are listed? Probably because no on is advocating for it
Status of NFP in the U.S. and the World: A review of data from the National Survey of Family Growth and the Demographic and Health Surveys
Status of NFP in the U.S. and the World: A review of data from the National Survey of Family Growth and the Demographic and Health Surveys Irit Sinai Human Fertility: Where Faith & Science Meet Milwaukee, Wisconsin, July 15, 2010
Natural Family Planning methods Symptothermal Method Billings Ovulation Method Creighton Model Calendar The Standard Rhythm Days Method Marquette Model The TwoDay Method
DHS fertility awareness questionsFrom one menstrual period to the Yesnext, are there certain days when awoman is more likely to become Nopregnant? I don’t knowIs this time just before her period Just before her period beginsbegins, during her period, rightafter her period has ended, or During her periodhalfway between two periods? Right after her period ended Halfway between two periods Other Don’t know
Of women who ever-used Rhythm, % who knew thata woman is more likely to get pregnant if she hassex half way between two periods
When during her cycle a woman can become pregnant Kenya, 2008n = 756 (13.5% of all respondents – those who ever used Rhythm)
Ever use of rhythm in developing countries Mean rhythm ever use by continent Africa (38 countries) 15.3% Asia (14 countries) 14.5% Europe (5 countries) 19.7% America (14 countries) 19.6^
Current use of rhythm in developing countries Mean current rhythm use by continent Africa (38 countries) 4.1% Asia (14 countries) 4.0% Europe (5 countries) 3.8% America (14 countries) 5.5%
Standard Days Method useCountry Ever use Currently usingBenin (2006) 0.3% 0.1%Bolivia (2008) 1.4% 0.2%Madagascar (2008) 0.2% <0.1%Peru (2004-08) 0.2% <0.1%Philippines (2008) 0.4% 0.1%Rwanda (2007-08) 1.9% 0.5%
MUCUS, BILLINGS, OVULATION. Women can monitor the cervical mucus to determine the days of the month they areThe Philippines most likely to get pregnant. BASAL BODY TEMPERATURE. Women can monitor the body temperature to determine the days of the month they are most likely to get pregnant. SYMPTOTHERMAL. It is a combination of Basal Body Temperature and Mucus, Billings, Ovulation Method. STANDARD DAYS METHOD. This method uses a beaded necklace on which each bead represents the days of a womans cycle. The necklace would help determine the days when the woman is likely to get pregnant. CALENDAR OR RHYTHM OR PERIODIC ABSTINENCE. Every month that a woman is sexually active she can avoid pregnancy by not having sexual intercourse on the days of the month she is most likely to get pregnant.
NFP use, The Philippines, 2008Method Ever use Currently usingMucus 1.1% 0.1%BBT 0.6% <0.1%Symptothermal 0.2% <0.1%Standard Days Method 0.4% 0.1%Rhythm 19.5% 6.2%
Related questions in the NSFG Have you ever used rhythm or safe period by calendar to prevent pregnancy? Have you ever used Natural Family Planning or safe period by temperature or cervical mucus test to prevent pregnancy?
NFP use, U.S. (2006-08)Method Ever use Currently usingPeriodic abstinence – calendar rhythm 19.4% 0.5%Periodic abstinence – natural family planning 4.6% 0.1%