In 2020, our team at Asia Pacific Management and Research Group Inc. (APMARGIN) conducted a large-scale population-based survey using Lot Quality Assurance Sampling (LQAS) to assess contraceptive coverage across 17 provinces in the Philippines. This initiative was supported through the partnership of the Department of Health Women’s and Men’s Health Development Division and the Department of Science and Technology Philippine Council for Health Research and Development.

Designing and Implementing a Nationwide Study

We led the full design, coordination, and implementation of the survey, working directly with local teams to generate timely subnational data. Fieldwork was completed through face-to-face interviews using a standardized tool. We trained enumerators, carried out province-specific sampling, and ensured quality control in data processing from start to finish.

Focusing on Reproductive-Age Women

The study centered on women aged 15 to 49 years old. Our goal was to gather insights that could guide improvements in family planning service delivery. We explored key areas such as current and past contraceptive use, reasons for nonuse, access to health services, and the quality of information women receive about family planning.

Key Insights from the Data

Modern contraceptive use varied widely across provinces. Zamboanga Sibugay reported the highest rate at over 80 percent, while areas like Quezon, Manila, and Abra reported rates below 40 percent.

Common reasons for non-use included plans for future pregnancy, concerns about side effects, and infrequent sexual activity. Some women mentioned lack of information or limited partner support.

Most areas did not report challenges in reaching facilities or accessing supplies, although island barangays experienced more logistical concerns.

Awareness was generally high for short-acting methods like pills and injectables, but fewer women were familiar with long-acting and permanent methods that aligned with their reproductive goals.
Health provider engagement remained limited. In 12 of 17 provinces, most women had not received any counseling on family planning from a health worker in the past six months.

Prioritizing Targeted Support

Using the LQAS decision rule, we identified 11 supervision areas across provinces such as Manila, Pangasinan, Cebu, Camarines Sur, and Tawi Tawi that could benefit from targeted technical assistance. These findings highlight the importance of strengthening outreach, improving provider capacity, and offering more client-centered counseling.

Looking Ahead

This study provides clear direction for decision-makers at both national and provincial levels. Strengthening provider-client interaction, updating education materials, and tracking follow-up with both users and those who discontinue are essential steps. Encouraging involvement from partners, in-laws, and community members can also help improve acceptance and support.

This work affirms that LQAS can be a practical and cost-effective approach for local family planning monitoring. We are honored to have contributed to evidence-informed action for reproductive health in the country.

If you would like a copy of the full report or want to explore how these findings can guide your programs, we welcome you to connect with us through our official channels.