family planning africa

, a boost in economic productivity that occurs when there are growing numbers of people in the workforce and falling numbers of dependents. Secondly, data on the type of task sharing intervention packages were collected. Although this remains true, SSA continues to register higher proportions of unmet contraception expectations to date [10, 11]. New York: United Nations. This evidence corroborates our findings. WHO Recommendations on antenatal care for a positive pregnancy experience: summary. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003026, [2] United Nations, Department of Economic and Social Affairs, Population Division. Family planning also includes information about how to become pregnant when it is desirable, as well as treatment of infertility. What are some of the barriers? One of the barriers in West Africa for young people is that family planning services cost money and usually young people dont have enough money to pay for those services. But weve been working with transformational leaders who advocate for free access to family planning services. This study presents a different picture of progress in eight significant countries since the 2012 London Family Planning Summit, says study lead Saifuddin Ahmed, PhD, MBBS, professor in the Bloomberg Schools Department of Population, Family and Reproductive Health and senior technical adviser at the Bill & Melinda Gates Institute for Population and Reproductive Health at the Bloomberg School. Geneva, Switzerland: WHO; 2018. Fulgence Kayishema, one of the last fugitives sought over the 1994 Rwanda genocide, appeared before a court in the South African city of Cape Town on Friday, two days after being arrested following 22 years on the run.He allegedly took part in one of the genocide's bloodiest episodes, when thousands of men, women and children who had Acommitment maker since 2012 and a member of both the Ouagadougou Partnership and SWEDD (Sahel Womens Empowerment and Demographic Dividend project), Burkina Faso has taken its FP2020 commitment seriously through its 20172020 RH/FP strategy, which incorporates task sharing for family planning [30]. Fostering Economic Growth, Equity, and Resilience in Sub-Saharan Africa: The Role of Family Planning, Interactive. AFRICA. In the bid to assuage human resource shortages, many countries have started to train less experienced health workers perform tasks that should otherwise be performed by qualified doctors or other highly-trained healthcare workers [18]. Google Scholar. Division of Sustainable Development Goals. Sharma N, et al. 2018 World Health Organization and Johns Hopkins Bloomberg School of Public Health. Privacy Family planning can also help countries realize a demographic dividend, a boost in economic productivity that occurs when there are growing numbers of people in the workforce and falling numbers of dependents. North Korea's spy satellite launch fails 2012;43(1):5762. Africa UNFPA works to improve access to reproductive health services, including for marginalized young people. Similar results have been found in many other African contexts. Therefore, from 2019, Nigeria embarked on rolling out the pilot project at country level. 1992. Facilities and Administrative Services Policies, Information and Communications Technology Policies, IP Protocol for PSEA Interagency Resources, Oversight and Internal Audit and Investigation Policies, Corporate Environmental Responsibility in UNFPA, Protection from Sexual Exploitation, Sexual Abuse and Sexual Harassment, Generation Equality Forum: Action Coalition on Bodily Autonomy and SRHR, We Decide: Including and empowering persons with disabilities. In Malawi, for example, health workers are receiving training on providing sensitive and accurate information and services tailored to adolescents. The total fertility rate is 5.3 with current contraceptive prevalence rate of 12%. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. May 31, 2023 AFRICA In the highlands of West Pokot, Kenya, farming is the way of life. Furthermore, in addition to an effective supply chain of services, mechanisms for quality control were put in place. Section 4 examines the extent to which family planning programs have reached women regardless of economic status, enriching our understanding of whether poverty is affecting family planning use. Country responses - Burkina Faso. 2019;17(1):59. For instance, the Democratic Republic of Congo (DRC) is one of the countries that have suffered the most from human resource shortages in the whole world. Nigeria has an estimated population of 200 million with 45 million women of reproductive age [36]. Figure2 illustrates the uptake in implants increased by 80% within a period of four years (2015 to 2019). Web4 Three Successful Sub-Saharan Africa Family Planning Programs A second major common theme among the three countries in the DHS reports involves demand and Kenya and Ghana have made significant strides, focusing their efforts on expanding equitable access to quality care and establishing legislative instruments to include family planning in services. Key challenges included lack of awareness and misconceptions regarding some contraception methods such as long-acting family planning (LAFP) methods among the target population, shortages of medical equipment and logistics, poor infrastructure (electricity, water, and roads), and poor mentorship and supporting supervision. It is only proper for women to have direct influence over their lives. Ghanas main next step in task sharing for family planning is to initiate a Midwifery Assistant programme. Worldwide, there have been remarkable gains in the provision and utilization of reproductive health and FP services. The findings, along with continued monitoring of these trends and their causes, will help inform thinking and provide guidance beyond 2020 as the global family planning community makes a push to achieve universal access to reproductive health by2030. We have not fully discovered the impact of the Covid 19 pandemic in terms of sexual and reproductive health, but our evidence and findings are pointing to increased rates of gender-based violence and unplanned pregnancies, Dr Samukeliso Dube, Executive Director of FP2030, a global partnership for family planning, shared with me in an interview. The training was provided by the Ministry of Health. TN validated the content and edited the manuscript before submission. NK validated the content and edited the manuscript before submission. WebHome Family planning Access to safe, voluntary family planning is a human right. As can be seen, the number of Implant users tripled from the onset of countrywide task sharing programme (2013) to 2018. Nobody is after you; it is your initiative to start work: a qualitative study of health workforce absenteeism in rural Uganda. Family Planning Provision of Implanon was shifted from healthcare facility level to community level. The state of strategic plans for the health workforce in Africa. Task sharing plays a role in increasing contraceptive uptake and holds promise in promoting universal access to family planning in the SSA region. Owing to the limited number of data-points (often only two data-points), a trend line was only possible for Ghana and Nigeria. Among nine study settings, the proportion of users relying on implants ranged from 12.4 percent in Lagos, Nigeria to 50.3 percent in Burkina Faso. Nigeria has allotted one percent of its health budget strictly for sexual and reproductive health (SRH). Family Planning, Maternal and Reproductive Health. Increasing knowledge about and access to modern contraception among adolescent girls is a crucial starting point for improving their long-term health. How family planning is reshaping Africa | Family Planning 2030 Project PACE: Policy, Advocacy, and Communication Enhanced for Population and Reproductive Health. A list of full family planning indicators for Burkina Faso before (2010) and after (2019) implementation of the task sharing for family planning programme is shown in Table 1. UNFPA, World Bank Group and the United Nations Population Division. LO conceptualized the study, developed the research methodology, analysed the data, and prepared the initial draft manuscript. The study was published online May 17 in The Lancet Global Health. On the other hand, lack of motivation and absenteeism of health care providers in impoverished countries widens the gap in quality family planning services [17]. While UN Women and FAO are developing local techniques to cope with climate stresses, such efforts would be futile without targeting the harmful social norms that exist which hold women and the regions broader development back. Lack of knowledge also plays a role, with many women not understanding that they are able to become pregnant, not knowing what contraceptive methods are available, or having incorrect information about modern methods. 2020;15(8):e0236352. Nigeria Demographic and Health Survey 2018. Four years after the first advocacy meeting, this paper explores the lessons learnt in relation to task sharing for family planning in five countries in the WHO African region. Central Statistical Agency (CSA). Article In low-resource settings such as Zambia, obstetric fistula (OF) is a visible indicator of gaps in maternal health care resulting in failure to provide adequate, Plans should be specific on and include documented best practices and promote mentoring (i.e. It is also estimated that of the 2.6 million stillbirths that occurred globally in 2015, 98% were in LMICs [7]. This is way lesser than the WHO doctor-population ratio of 1:1000. Country plans for task sharing for family planning should be positioned within the broader national objectives of Universal Health Coverage (UHC) and Primary Health Care (PHC) in order to achieve the SDGs agenda. Despite Ghana having halved the maternal mortality ratio in the past 20years (760 maternal deaths per 100,000 live births in 1990s versus 310 maternal deaths per 100,000 live births in 2019), the country still has one of the lowest contraceptive prevalence rates in the region (22.2% in 2014) [34]. BMJ Open. Evidence summaries: the evolution of a rapid review approach. Although this may be true, previous studies from the African context did not report side effects or incidents from CHWs providing LARC namely IUCD. Stud Fam Plann. With all of the projects that Ripple Africa is involved with in Malawi fish conservation, forest conservation, education or healthcare the major problems arise because of the rapid population growth. The unmet need for family planning among currently married women is high in urban Nigeria, at 20%. Meeting the family planning needs of the urban population can help to achieve population growth rates that make cities to be good places to live. But family planning remains a neglected subject in urban development programmes in Nigeria. Implementation of the task sharing policy for family planning increased the uptake of LARC. As these barriers are addressed in some regions there have been increases in demand satisfied with modern methods of contraception, Methods of contraception include oral contraceptive pills, implants, injectables, patches, vaginal rings, Intra uterine devices, condoms, male and female sterilization, lactational amenorrhea methods, withdrawal and fertility awareness based methods. The same phone technology that allows us to press 1 to make a same-day appointment can be used to get spouses in Africa to talk to each other about family planning and increase the use of modern contraception. Expanding access and use of effective contraception is important in achieving universal access to reproductive healthcare services, especially in low- and middle-income countries (LMICs), such as those in sub-Saharan Africa (SSA). I am a product of having the ability to choose the number of children I have and advancing my career as I want. By Stephanie Desmon. This study explores the status, successes, challenges and impacts of the implementation of task sharing for family planning in five SSA countries. This information is necessary for policymakers amid the aim by WHO Regional Office for Africa and member states of rolling-out and expanding task sharing for family planning programmes region-wide. Singh D, et al. 2017;12(3):e0174631. Chambers R. Rapid but relaxed and participatory rural appraisal: towards applications in health and nutrition. Ensuring access for all people to their preferred contraceptive methods advances several human rights including the right to life and liberty, freedom of opinion and expression and the right to work and education, as well as bringing significant health and other benefits. Costs and benefits of meeting the contraceptive needs of adolescents. While task sharing guidelines have been developed and disseminated in many SSA countries, limited evidence exists on their adoption, implementation and outcomes to promote scale-up. These issues have caught the attention of the FP2030, prompting a collaboration with the Population Council, a non-profit organisation championing healthcare for difficult-to-reach populations. Ouedraogo, L., Habonimana, D., Nkurunziza, T. et al. Digital Health Compendium: Harnessing the Power of Digital Health Technology for Family Planning and Reproductive Health, American Community Survey (ACS) Data Users Group, MOMENTUM: A Global Partnership for Health and Resilience, PACE (Policy, Advocacy, and Communication Enhanced). Family Planning and the 2030 Agenda for Sustainable Development. We also believe that within Nigeria and other African regions, there is a robust network of organisations that would collaborate with the governments to build commitments. Funding for the study came from the Bill & Melinda GatesFoundation. L'Organisation mondiale de la Sant (OMS) recommande le partage des tches comme stratgie importante pour amliorer l'accs aux services de sant sexuelle et reproductive en sattaquant la pnurie des prestataires de soins de sant. Family Planning 2030 With weak health systems present in fragile economies, the higher fertility rates present greater risks of unpropitious pregnancy outcomes in SSA countries [3,4,5]. Fortunately, interventions such as modern contraception which space and limit pregnancies significantly improve the overall health of women of reproductive age [9].
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