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CycleBeads are a physical tool that facilitates the Standard Days Method of family planning. The Standard Days Method (SDM) requires women to keep track of their menstrual cycle and to know which days they are more likely to get pregnant. CycleBeads are a color-coded string of beads that represent the menstrual cycle; each bead represents a day of the cycle and the color helps a woman to determine the likelihood of getting pregnant if a she has unprotected intercourse that day.

Unit of intervention1 bead string

TypeShort term contraceptive method

Target populationWomen of reproductive age (15-49)

Increased access to family planning helps women prevent unintended and high-risk pregnancies, contributes to the overall health of women and their children, and reduces the need for abortion. For more information about how PSI is empowering women and couples to lead healthier lives, visit our website at:

Model Overview

PSI’s estimates for the health impact of family planning use a methodology developed by Marie Stopes International (MSI) in the Impact 2 model (version 4). Please see for detailed methodology. PSI’s current approach for estimating the impact on child mortality is based on assumptions about changes in mortality risk for children under-five years of age with lengthening birth intervals. PSI is working with modelers from partner organizations to integrate new evidence and adopt a set of common assumptions across impact models for family planning.

PSI uses USAID’s couple years of protection (CYP) conversion factors to represent the estimated protection against unintended pregnancy provided by contraceptive methods during one year. PSI does not modify these conversion factors when estimating CYPs provided.

Service provision:

When a client directly receives a family planning method from a PSI or PSI-affiliated provider during a consultation, PSI claims 100% of the impact of that service.


When PSI distributes a family planning method but does not provide it directly to a client, PSI claims 90% of the impact of that product, to take into account supply chain wastage.


When a client is referred by PSI to a non-PSI service provider, such as the public sector, instead of providing the service itself, PSI claims 50% of the impact of that service. This impact is only attributed to PSI when the referral is confirmed with appropriate documentation.

Model Outputs (impact metrics)

Estimates of DALYs averted, deaths averted, CYPs provided, and unintended pregnancies averted represent the projected health impact of the intervention. It is projected because it has not been directly measured.

Examples based on distribution of CycleBeads in Myanmar in 2015

* We are able to produce deaths averted coefficients for maternal deaths and child deaths individually. Within PSI’s Impact Calculator, these estimates are aggregated into a single deaths averted estimate. Estimates of maternal deaths averted are available via the export function within the calculator in most cases. Please contact for more information.

Examples of Statement of modeled results:

In 2015, an estimated 15,000 CYPs would be provided and 26 deaths, 2,132 DALYs, and 5,347 unintended pregnancies would be averted if 10,000 CycleBeads were distributed in Myanmar.