Updates to the Couple Years of Protection Conversion Factors
Updated: May 13
This post has been adapted from another blog titled ‘Updated Couple Years of Protection: Literature Review and Guidance’. Original text can be found here.
Couple Years of Protection (CYP) is an output indicator that was introduced into programming in 1973 and is commonly used by international organizations and host-country governments to monitor progress and measure performance of family planning programs and to make assumptions about family planning coverage. CYP is the estimated protection provided by family planning methods during a one-year period, based on the volume of all contraceptives sold or distributed free of charge to clients during that period.
Recently, FHI 360, Avenir Health, and the U.S. Agency for International Development (USAID) developed a brief to synthesize findings relevant to CYPs and provide background information about the CYP development and revision process for the broader family planning field. Updated CYP factors to take into account methods that are new or newly available in low- and middle-income countries (LMICs), methods with labeled duration of use change, and methods that had a change in packaging presentation The updated CYP factors have been adopted by USAID and are reflected on the agency website.
USAID, FHI 360, and Avenir Health co-hosted a webinar to discuss the CYP updates, as well as recommendations for their use, on May 4, 2022. A recording of the event is available here. and the deck presented at the webinar is available here. The event's Q&A is available here.
Relevant for the hormonal IUD are the updates to the CYP conversion factor, from 3.3 CYP per insertion in 2011 to 4.8 per insertion in 2021. More information on CYP is available in the compendium of family planning/reproductive health indicators here.