Percent of CPR accounted for by LAPMs, broken down by method


Among all users of family planning (FP), the percent using a long-acting or permanent method (LAPM) in a specified timeframe (e.g. one year). This indicator should be calculated separately for each method and then aggregated over all methods to reach a combined percentage.

This indicator is calculated as:

Number of users of LAPMs/number of users of all FP methods  x 100

  • Number of users of IUD/number of users of all FP methods x 100
  • Number of users of implants/number of users of all FP methods x 100
  • Number of users of female sterilization/number of users of all FP methods x  100
  • Number of users of male sterilization/number of users of all FP methods x 100

Related indicators are, Percent of modern method CPR accounted for by LAPMs, broken down by method and Contraceptive prevalence of LAPMs (number of users of LAPMs divided by women of reproductive age).

Total number of individuals practicing FP and of these, the number that are currently using LAPM

Census data, Demographic and Health Surveys, other population-based surveys with detailed contraceptive use data or service statistics


This indicator gives a snapshot of how prevalent LAPM use is in any given country or site as well as the prevalence of specific LAPMs.  For FP programs trying to promote LAPMs, this indicator will measure outcome at the population level.

In countries with rapidly evolving FP programs, data may not be up-to-date.  Also, although evaluators may theoretically derive the CPR accounted for by LAPMs from service statistics on numbers of current users and estimates of total number of FP users, population-based surveys are preferred in order to minimize the problems associated with maintaining a running count of current users (which is needed for the denominator) and with obtaining current population estimates.

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


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 needs to make more effort to include men. Low use of female LAPM methods, which may be more expensive and may require extra resources to access services than short-acting or traditional methods, may indicate a need to assess gender-based constraints that impact women’s ability to access clinical services. High use of female sterilization may also reflect a gender bias on the part of providers if they do not recognize the importance of contraceptive choice for all clients.

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