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June 20, 2026Open Access Journal of ContraceptionOpen Access

Impact of The Challenge Initiative on Public-Sector Family Planning Service Provision in Pakistan: Evidence from a Difference-in-Differences Analysis

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Authors

GAGhazunfer AbbasJSJunaid-ur-Rehman SiddiquiBBBushra Butt

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Overview

Randomized trial demonstrates increased family planning clients in Pakistan, implying successful service provision enhancements.

Key Points

  • The study aims to evaluate the effectiveness of The Challenge Initiative on modern family planning service provision in urban Pakistan.
  • Implemented interventions in Punjab and Sindh provinces
  • Utilized contraceptive Logistics Management Information System (cLMIS) data from June 2020 to June 2025
  • Applied difference-in-differences analysis and interrupted time-series analysis for data evaluation.
  • DiD analysis showed a significant increase of 3,673 clients (p < 0.01) in intervention districts compared to controls.
  • In the Department of Health, a net effect of 6,100 clients was observed (p < 0.001).
  • ITSA trends supported DiD findings, displaying sustained increases in client volume in intervention areas.

Cite This Study

Abbas et al. (2026) studied this question.

synapsesocial.com/papers/6a362e62db0793dc1a5362ebhttps://doi.org/10.2147/oajc.s569200
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Scaling Modern Family Planning Through the Challenge Initiative: Insights from 15 Urban Districts in Pakistan2025 · 1 citations
  2. 2Impact of the Challenge Initiative’s Community Health Volunteers (CHV) on Public Sector Service Provision of Family Planning Services in Urban Sindh, Pakistan2025
  3. 3Sustainable Integration of The Challenge Initiative’s High-Impact Interventions and Practices by Local Governments in Sindh, Pakistan2025
  4. 4Male Involvement: A Missing Link in Pakistan’s Family Planning Programs2025
  5. 5Utilization of social franchising in family planning services: a Pakistan perspective2024