Licence: CC BY-NC-SA 3.0 IGO. Unfortunately, we did not obtain data on adverse effects that could have resulted from CHWs and midwives inserting and removing IUCD. Future PMA surveys will follow the same cohorts of women and provide even more accurate estimates of annual contraceptive use change and allow for a better understanding of factors that are driving thatchange.. These benefits were recognized in the Programme of Action of the International Conference on Population and Development (ICPD), which called for the right of men and women to be informed and to have access to safe, effective, affordable and acceptable methods of family planning of their choice. This agreement lays the foundation for much of UNFPAs work. Office of Family Planning. Preliminary results were a powerful tool to advocate for the scaling up of task sharing for family planning programmes. New York: United Nations. Global, Regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030. Having frequent monitoring surveys establishes trends with directly measured rates and avoids having to compare, and possibly reconcile, estimates across other surveys conducted around the same time, adds Radloff. In the first instance, data for the RPR were obtained through a desk review of country task sharing for family planning policy documents, relevant implementation plans and guidelines, and annual sexual and reproductive health programme reports. Country responses - Burkina Faso. 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. The report, available in English and French, is broken into six sections. All data sources were verified to ensure reliability of reported information. Family planning/contraception Therefore, we recommend additional studies that can statistically attribute outcomes to the task sharing intervention. Les donnes de ce RPR sont utiles pour l'laboration des politiques nationales et l'intensification du partage des tches pour les programmes de planification familiale. Certains obstacles la russite de la mise en uvre comprennent une faible rtention des prestataires de niveau infrieur, une documentation inadquate et des systmes peu performants de gestion des donnes. Each participating village received two community health workers (CHWs) trained to provide injectable contraception (Sayana press) in addition to contraceptive pills. NK validated the content and edited the manuscript before submission. Although this remains true, SSA continues to register higher proportions of unmet contraception expectations to date [10, 11]. Ministre de la Sant, Plan National dAcclration de Planification Familiale du Burkina Faso 20172020. Over the years, women's choices have slowly metamorphosed. https://www.un.org/en/development/desa/population/publications/pdf/family/familyPlanning_DataBooklet_2019.pdf, [4] Family Planning Can Reduce High Infant Mortality Levels. 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. I would love to see that for many young women in Africa. It is also essential for improving maternal and newborn health: around the world, complications from pregnancy and childbirth arethe leading killer of adolescent girls (ages 15-19). family planning PO validated the content and edited the manuscript before submission. As policymakers, advocates, and program implementers consider the future of family planning programs in sub-Saharan Africa, we identify emerging opportunities to drive equitable, data-based, and client-centered programs through 2030 and beyond. 2018;7(4.34):1237. Africa's population: In search of a demographic dividend. Deconstructing social and gender norms hindering the access to rights-based family planning for women and girls, as well as those impacting men, young people, and vulnerable people is also an important commitment. Provided by the Springer Nature SharedIt content-sharing initiative. In Malawi, for example, health workers are receiving training on providing sensitive and accurate information and services tailored to adolescents. What are the implications for fertility trends? Ghana: GSS, GHS, and ICF; 2017. Access to safe, voluntary family planning is a human right. Family planning is central to gender equality and womens empowerment, and it is a key factor in reducing poverty. In the late 1980s and 1990s, periods of The implication of the shortage of health workforce specialist on universal health coverage in Kenya. The family planning community created the Family Planning 2020 (FP2020) initiative at the 2012 London Summit. Washington, D.C. 20009, 213 Lantana Road, Westlands Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF; 2019. This evidence is aimed at promoting the implementation and scale-up of task sharing programmes in SSA countries by WHO. Likewise, Auxiliary nurses are not allowed to insert and remove IUCD unless in the context of rigorous research (Box 1). Trends in contraceptive prevalence rates in sub-Saharan Africa since the 2012 London Summit on Family Planning: results from repeated cross-sectional surveys was written by Saifuddin Ahmed, Yoonjoung Choi, Jose G Rimon, Souleymane Alzouma, Peter Gichangi, Georges Guiella, Patrick Kayembe, Simon P Kibira, Fredrick Makumbi, Funmilola OlaOlorun, Elizabeth Omoluabi, Easmon Otupiri, Sani Oumarou, Assefa Seme, Solomon Shiferaw, Philip Anglewicz, Scott Radloff and AmyTsui. A total weighted sample of 175, 820 women of reproductive age who were married during the survey was used for Although this may be true, previous studies from the African context did not report side effects or incidents from CHWs providing LARC namely IUCD. Contraception prevalence rate among married women increased from 18.6% in 2008 to 19.8% in 2014 among rural residents and from 15.1% in 2008 to 24.6% in 2014 among urban women. Nigerias cities are growing fast: family planning must be part of Family Planning and Reproductive Health | Global Health | U.S. This includes a wide range of contraceptives including pills, implants, intrauterine devices, surgical procedures that limit fertility, and barrier methods such as condoms as well as non-invasive methods such as the calendar method and abstinence. Int J Eng Technol. Data was collected in two steps. We found that task sharing programmes mainly involved community health workers, midwives and nurses. Owing to the limited number of data-points (often only two data-points), a trend line was only possible for Ghana and Nigeria. Moreover, they share common priorities: advocacy, capacity building, and financial pledge for impact sustainability. The Family Planning model in Spectrum was used to project the impact of modern contraception on pregnancies, abortions and births in South Africa (2015-2030). World Population Dashboard. Family planning Cette tude explore l'tat des lieux, les russites, les dfis et les impacts de la mise en uvre du partage des tches pour la planification familiale dans cinq pays d'Afrique subsaharienne. 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. Towards achieving the family planning targets in the African BMJ Glob Health. 2020. Africa Department of Economics and Social Affairs. We are seeing very clearly the vision of family planning and we encourage it.. UNFPA works with governments, NGOs, community-service organizations, faith-based organizations, youth groups and the private sector to strengthen community-based and youth-friendly reproductive health services, and to provide these services during humanitarian crises. That is why we (FP2030) are in Africa today.. For all countries studied, CHWs, midwives, and nurses were trained on the provision of contraceptive pills and LARC namely, Implants and IUCD. Costs and benefits of meeting the contraceptive needs of adolescents. et al. Prevents pregnancy by avoiding unprotected vaginal sex during fertile days, Reliable effectiveness rates are not available. 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). Figure2 illustrates the uptake in implants increased by 80% within a period of four years (2015 to 2019). For instance, within a period of six months (February to September 2017) during the implementation of task sharing for family planning by trained CHWs and midwives, a total 1225 implantsof which 857 were new userswere administered. Population growth and economic development in developing and developed countries. Particular attention must be paid to promoting their reproductive rights, access to family planning, and other sexual and reproductive health services. 2010: Burkina Faso. Africa This evidence corroborates our findings. Your privacy choices/Manage cookies we use in the preference centre. By Stephanie Desmon. UNFPA supports many aspects of voluntary family planning, including procuring contraceptives, training health professionals to accurately and sensitively counsel individuals about their family planning options, and promoting comprehensive sexuality education in schools. PLoS Med 17(2):e1003026. A new study led by researchers at Johns Hopkins Bloomberg School of Public Health shows that women in eight sub-Saharan African countries are gaining access to and using modern contraception at a faster rate than previously projected. Google Scholar. They provided family planning counselling and education, promoted dual protection for HIV positive women, inserted and removed Implants and IUCD, and provided injectable contraception. 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. World Family Planning 2020 Highlights: Accelerating action to ensure universal access to family planning (ST/ESA/SER.A/450). WebFamily planning in Africa can be a challenge as there are lots of misconceptions surrounding them. WebFP2020 is a global partnership to empower women and girls by investing in rights-based family planning. May 31, 2023 1:20 AM PT. Phase Two, which started in 2011, was the IUCD task sharing programme which was piloted in one region where the device was inserted and removed by midwives and nurses rather than physicians. Data was collected, analysed, and presented according to five subdomains: country background, task sharing intervention packages, impact, enablers and challenges, and ways forward. Box 997413, MS Code 8400 . We still have challenges with the maternal mortality rate in Africa and women's rights. Kamarudin MKA, et al. The training was provided by the Ministry of Health. Community health worker promotions increase uptake of long-acting reversible contraception in Rwanda. It stood out that the strong commitment and stewardship of health authorities from the top to the bottom levels, the expansion of contraceptive options, the community involvement, and the improved financial and geographic accessibility of family planning services played an important facilitating role. In the light of the evidence above, a wealth of literature has established a correlation between higher fertility rates, poverty and pregnancy-related deaths/complications. A total of 384 IUCDs, of which 238 were new users, were provided by newly trained midwives. Data and materials used for this review are available either online (policies and country reports) or from the corresponding author (meeting presentations, information from key informant interviews). Access to contraceptive information is central to achieving gender equality. The intervention led to increased modern contraception access and use and general improvement in family planning indicators during the implementation periods. This can lead to higher rates of unintended pregnancy, increased risk of HIV and other STIs, limited choice of contraceptive methods, and higher levels of unmet need for family planning. 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. A country cannot move forward if it leaves half of its population behind and family planning is that tool that brings women together to be able to choose, insists Dr Dube. Beyond a period of two weeks, the data was confirmed as missing information. cookie policy, For every additional dollar that is invested in contraception, the cost of pregnancy-related care will be reduced by about three dollars, according to, Family planning can also help countries realize a . PLoS ONE. 2019;17(1):59. An Inland Empire high school teacher has been arrested on suspicion of unlawful sexual intercourse with a 17-year-old female student, according to the San The couple prevents pregnancy by avoiding unprotected vaginal sex during the 1st and last estimated fertile days, by abstaining or using a condom. Another Sci Rep. 2019;9(1):19. CAS Ormel H, et al. Both numbers exceed the 1.4 percent benchmark set at the 2012 London Summit on Family Planning. 2018). Kumar S, Kumar N, Vivekadhish S. Millennium development goals (MDGS) to sustainable development goals (SDGS): Addressing unfinished agenda and strengthening sustainable development and partnership. On-line support and resources to Family Agency, C.S., Ethiopia Mini Demographic and Health Survey 2014 2014: Addis Ababa, Ethiopia. 2020. https://datawrapper.dwcdn.net/V12Gh/3/. De la Croix D, Gobbi PE. For Burkina Faso and Ethiopia, we compared proportions before and during task sharing interventions. Family 2020. https://www.un.org/en/development/desa/population/publications/pdf/family/Ten_key_messages%20for%20WFFP2020_highlights.pdf. 2020. https://www.who.int/workforcealliance/countries/bfa/en/. How are trends in family planning use related to trends in poverty and economic inequality? While a few programs are more personalizedsuch as Shujaaz, an East African media platform that tailors communications to different groups among the adolescent-girl populationthese are the exception. Consequently, the number of women using a modern contraceptive method increased from 663 million to 851 million and the contraceptive prevalence rate increased from 47.7 to 49.0 per cent. The proportion of women of reproductive age who have their need for family planning satisfied by modern contraceptive methods (SDG indicator 3.7.1) has increased gradually in recent decades, rising from 73.6 per cent in 2000 to 76.8 per cent in 2020 [5] .Reasons for this slow increase include: limited choice of methods; limited access to services, particularly among young, poorer and unmarried people; fear or experience of side-effects; cultural or religious opposition; poor quality of available services; users and providers bias against some methods; and gender-based barriers to accessing services. Task sharing plays a role in increasing contraceptive uptake and holds promise in promoting universal access to family planning in the SSA region. and privilege dynamics. Singh D, et al. WebThis second edition of Family Planning Methods and Practice: Africa is the product of collaboration between African and American colleagues, the Centers for Disease Control and Prevention (CDC), and is supported by the United States Agency for International Development (USAID). As can be seen, the number of Implant users tripled from the onset of countrywide task sharing programme (2013) to 2018. A rapid review is a knowledge synthesis method in which components of the systematic review process are simplified or omitted to produce information in a short period of time [23]. Family Planning Family Planning in West Africa | PRB Implementation of the task sharing policy for family planning increased the uptake of LARC. With the establishment of FP2030's regional hubs across West and East Africa and subsequently North and Central Africa, what is the future of family planning in the continent? By: Royal Uche. Transforming our world: the 2030 Agenda for Sustainable Development.
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