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. 2023 Dec 21;54(4):585–607. doi: 10.1111/sifp.12255

TABLE 4.

Contraception usage and resources costs by method without and with intervention—2023–2050

Contraception method a 2023–2030 2031–2040
Without interventions With Pop and PPFP interventions Without interventions With Pop and PPFP interventions
Mean percentage of women using (thousands of users) Costs in millions of MWK (thousands of USD) Mean percentage of women using (thousands of users) Costs b in millions MWK (thousands USD) Mean percentage of women using (thousands of users) Costs in millions of MWK (thousands of USD) Mean percentage of women using (thousands of users) Costs b in millions MWK (thousands USD)
Pill 2.1% (125) 6,089 (7,707) 3.1% (189) 9,294 (11,765) 2.3% (172) 10,458 (13,238) 3.5% (268) 16,272 (20,597)
IUD 0.4% (24) 4 (5) 1.1% (65) 17 (21) 0.5% (37) 6 (8) 1.8% (135) 25 (32)
Injections 26.6% (1,589) 26,815 (33,943) 31.1% (1,861) 31,509 (39,885) 29.5% (2,239) 47,091 (59,609) 33.4% (2,532) 53,149 (67,278)
Implant 6.3% (380) 2,111 (2,672) 9.6% (583) 3,563 (4,510) 8.4% (640) 4,268 (5,403) 15.9% (1,209) 8,083 (10,232)
Male condom 3.1% (186) 3,082 (3,902) 5.2% (310) 5,189 (6,568) 3.4% (256) 5,292 (6,699) 5.6% (427) 8,800 (11,140)
Female sterilization 3.0% (177) 587 (743) 3.4% (200) 784 (993) 2.8% (212) 1,003 (1,270) 3.4% (258) 1,157 (1,464)
other modern 0.2% (14) 235 (298) 0.5% (29) 507 (642) 0.3% (21) 451 (571) 0.7% (52) 1,113 (1,409)
Modern contraceptives TOTAL 41.7% (2,494) 38,922 (49,269) 53.9% (3,238) 50,863 (64,383) 47.1% (3,577) 68,570 (86,798) 64.3% (4,881) 88,599 (112,150)
Pop implementation 0 (0) 26,845 (33,980) 0 (0) 42,959 (54,379)
PPFP implementation 0 (0) 3,015 (3,816) 0 (0) 4,825 (6,107)
Pop and PPFP implementation 0 (0) 29,859 (37,797) 0 (0) 47,784 (60,486)
Modern contraceptives and interventions implementation TOTAL 38,922 (49,269) 80,722 (102,180) 68,570 (86,798) 136,382 (172,636)
Contraception method a 2041–2050 2023–2050
Without interventions With Pop and PPFP interventions Without interventions With Pop and PPFP interventions
Mean % of women using (thousands of users) Costs in millions of MWK (thousands of USD) Mean % of women using (thousands of users) Costs b in millions of MWK (thousands of USD) Mean % of women using (thousands of users) Costs in millions of MWK (thousands of USD) Mean % of women using (thousands of users) Costs b in millions MWK (thousands of USD)
Pill 2.5% (238) 14,400 (18,228) 3.7% (328) 19,823 (25,093) 2.3% (178) 30,947 (39,174) 3.5% (262) 45,389 (57,454)
IUD 0.5% (52) 9 (11) 2.1% (188) 31 (39) 0.5% (37) 19 (24) 1.6% (129) 72 (92)
Injections 31.8% (3,016) 63,225 (80,031) 34.9% (3,103) 64,830 (82,063) 29.3% (2,281) 137,131 (173,583) 33.1% (2,499) 149,488 (189,225)
Implant 9.9% (940) 6,156 (7,792) 19.6% (1,750) 11,182 (14,155) 8.2% (653) 12,535 (15,867) 15.1% (1,181) 22,828 (28,897)
Male condom 3.5% (334) 6,871 (8,697) 5.6% (498) 10,222 (12,939) 3.3% (258) 15,245 (19,298) 5.5% (412) 24,211 (30,646)
Female sterilization 3.1% (293) 1,368 (1,731) 3.7% (334) 1,454 (1,840) 3.0% (227) 2,957 (3,744) 3.5% (264) 3,395 (4,297)
Other modern 0.3% (29) 622 (787) 0.8% (69) 1,467 (1,857) 0.3% (21) 1,309 (1,657) 0.6% (50) 3,087 (3,907)
Modern contraceptives TOTAL 51.7% (4,900) 92,650 (117,279) 70.4% (6,269) 109,008 (137,985) 46.8% (3,657) 200,143 (253,346) 62.9% (4,796) 248,469 (314,518)
Pop implementation 0 (0) 50,932 (64,471) 0 (0) 120,736 (152,830)
PPFP implementation 0 (0) 5,720 (7,241) 0 (0) 13,560 (17,164)
Pop and PPFP implementation 0 (0) 56,652 (71,712) 0 (0) 134,295 (169,994)
Modern contraceptives and interventions implementation TOTAL 92,650 (117,279) 165,660 (209,697) 200,143 (253,346) 382,765 (484,513)
a

Modern methods only, that is, periodic abstinence, withdrawal and other traditional methods not shown.

b

Pop and PPFP interventions starting in 2023, annual costs estimated per population size of 2016 are 1.3 billion MWK and 146 million MWK respectively, which is 2.4 billion MWK and 264 million MKW, respectively, when inflated to 2021 MWK (Appendix 5, Table A5.1); annual costs are then scaled by the total population of women and men aged 15–49 each year