Percent of facilities with appropriate staff to support quality LAPM services


Percent of facilities with staff trained to provide long-acting and permanent methods (LAPMs), altogether and broken down by method.

This indicator is calculated as:

(Number of facilities with staff trained in LAPM / Total number of surveyed facilities eligible to offer at least one LAPM onsite) x 100


Among facilities that offer LAPMs, responses to a facility survey question asking about which staff have received pre-service or in-service training on LAPMs, when they were trained, and the content of the training. Evaluators may wish to follow-up with a question regarding the presence of standards of practice or service protocols for LAPM at the facility.

The question should specify that the service must be provided onsite rather than just referring a client for the method. Data should be collected for each method provided.

Because of the differences in the type of services offered at particular levels of facilities, evaluators should tabulate the indicator by facility type to guarantee accurate interpretation of the indicator.

If targeting and/or linking to inequity, classify service delivery points by location (poor/not poor) and disaggregate by location.

Facility survey or interviews with facility staff

This indicator assists in determining the extent to which facilities are able to provide access to LAPMs based on their human resource capacity. Collecting information on staff trained is one component in measuring the provision of quality services to clients.

This indicator needs to be tracked along with indicators of health system training protocols. In addition, having trained providers on site does not guarantee client access to high quality services if the service providers are not following the right procedures or making the right decisions regarding the course of action for specific clients, or if other key components of quality, such as essential supplies and equipment are not available.

family planning, long-acting/permanent methods (LAPM), quality

Three of the LAPMs are female methods and one is a male method. Method-specific data can offer a perspective on whether a FP program is providing contraceptive choice for women and men.