family planning africa28 May family planning africa
Adverse circumstances were limited to a small number of poor-performing family planning providers. This population trend, which hinders the attainment of development and health goals in Africa, has existed for more than two decades and will continue to rise unless substantial changes are made [38,39,40]. Furthermore, the collection of electronic information rather than verbal could have limited the depth of information provided. 2017;12(3):e0174631. 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. Using advanced trends-analysis techniques and drawing upon data from at least four points in a period, the study suggests contraceptive uptake in some parts of Africa may have even surpassed ambitiousexpectations.. Janowitz B, Stanback J, Boyer B. High rate of unplanned pregnancy in the context of integrated family planning and HIV care services in South Africa. 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. Kamarudin MKA, et al. PubMedGoogle Scholar. By using our website you agree to this. 2020. https://datawrapper.dwcdn.net/V12Gh/3/. Some barriers to successful implementation include poor retention of lower cadre providers, inadequate documentation, and poor data systems. Millogo T, et al. For all women in the study, the average annual rate of change was 1.92 percent, with the average rate of change for married women even higher at 2.25 percent. 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. 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. Americas Big City Brain Drain In Africa, the Methods This study used the nineteen demographic and health surveys (DHS) conducted between 2015 and 2020 in sub-Saharan Africa. There may have been different naming based on country-specific contexts, but they all referred to the above three categories of healthcare providers. Division of Sustainable Development Goals. Ormel H, et al. 2020. https://www.unfpa.org/data/world-population-dashboard. In Nigeria, there was collaboration with professional bodies which enhanced acceptance and ownership of task sharing programmes. Population growth and economic development in developing and developed countries. North Koreas attempt to put the countrys first spy satellite into space failed Wednesday in a setback to leader Kim Jong International Nutrition Foundation for Developing Countries. Family Planning Services in Africa: The Successes and Challenges The small sample size of key informants who provided information to the RPR could be considered a limitation to the study. Evidence from the present review point to possible association between task sharing for family planning and increased contraceptive uptake, which makes task sharing a potential viable intervention. This is a welcome development given the increase in unwanted sex, a key aspect of sexual and gender-based violence. Section 5 complements the analysis of poverty by examining the relationship between family planning, fertility trends, and socioeconomic inequality both between and within countries in SSA. These regional hubs established across Africa will not only bring us closer to the problem but will enable us to establish proven solutions to the many issues women are facing all over the continent, Dr Dube says. All data sources were verified to ensure reliability of reported information. Similarly, unmet contraceptive needs were higher in 2011 (25.3% of unmet contraceptive needs) as compared to 2019 (22% of unmet contraceptive needs). Additionally, advocacy meetings and community mass mobilisation campaigns were regularly conducted. Amidst the stories to change, one is fast becoming a favourite - family planning. While unmet need for contraception was 19% in 2018, the country aims to attain 27% of contraceptive coverage by 2020 [36]. It is against this evidence that we recommend WHO Regional Office for Africa and member states to build on the evidence from Burkina Faso, Ethiopia, Ghana, and Nigeria in elaborating country policies for task sharing in family planning. This involved a desk review of country task sharing policy documents, implementation plans and guidelines, annual sexual and reproductive health programme reports, WHO regional meeting reports on task sharing for family planning; and information from key informants on country background, intervention packages, impact, enablers, challenges and ways forward on task sharing for family planning. Les rsultats indiquent une augmentation des indicateurs de planification familiale pendant la priode de mise en uvre du partage des tches. 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. Furthermore, training and monitoring of lay- and auxiliary-level cadres remains a dire necessity. 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. Prevents pregnancy by avoiding unprotected vaginal sex during most fertile days. Each year, Ethiopia expects a total number of 3 million pregnancies. A couple of notable challenges concerned funding gaps and the uneven distribution of CHNs in task sharing. 1992. Nairobi, Kenya, PACE: Policy, Advocacy, and Communication Enhanced for Population and Reproductive Health, U.S. Census and the American Community Survey, Adaptive Learning and Knowledge Management, Distilling Research for Non-Technical Audiences, Policy and Advocacy Communications Training, Our Commitment to Diversity, Equity, and Inclusion, Report. Results were disseminated through regional and sub-regional meetings in Burkina Faso, Ghana, Kenya, and Cote dIvoire. Family planning 2020;17:110. This evidence is aimed at promoting the implementation and scale-up of task sharing programmes in SSA countries by WHO. This rate is well ahead of benchmark goals designed to give access to family planning services to an additional 120 million women in 69 of the worlds poorest countries by2020. Funding for the study came from the Bill & Melinda GatesFoundation. Family planning is central to gender equality and womens empowerment, and it is a key factor A total weighted sample of 175, 820 women of reproductive age who were married during the survey was used for Ghana: GSS, GHS, and ICF; 2017. Family Tweheyo R, et al. Although this remains true, SSA continues to register higher proportions of unmet contraception expectations to date [10, 11]. Population Reference Bureau Data was analysed in two steps. The Future of Family Planning in Africa. May 31, 2023 AFRICA In the highlands of West Pokot, Kenya, farming is the way of life. 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. The eight countries include Burkina Faso, the Democratic Republic of Congo, Ethiopia, Ghana, Kenya, Niger, Nigeria andUganda. UNFPA works to improve access to reproductive health services, including for marginalized young people. The authors declare that they have no competing interests. On cover: 2000 edition--special section on AIDS. BMJ Glob Health. TN validated the content and edited the manuscript before submission. National Statistics Council Burkina Faso, Burkina Faso Health Statistical Yearbook 2010. 1 below. New York: Guttmacher Institute; 2016. WHO guidelines and the role of the physician in task sharing in safe abortion care. BMC Womens Health. For instance, cases of sexual and gender-based violence and lack of access to sexual health services increased astronomically in the earlier stages of the pandemic, especially during the lockdowns. BMC Pregnancy Childbirth. Afriyie DO, Nyoni J, Ahmat A. We build and expand on themes explored in the 2016 report to better understand progress and challenges that may shape the trajectory of rights-based family planning programs and inclusive development in the region. Data was collected in two steps. 1875 Connecticut Avenue, N.W. Through written communication (electronic mails), National Focal Points (NFPs) on sexual and reproductive health provided information on the country background, intervention packages, intervention impact, system-level enablers and challenges, and information on ways forward. Family Planning and the 2030 Agenda for Sustainable Development. 2018. WHO et al. With the establishment of FP2030's This escalation indicates Africas growing fertility rate [2]. Family planning is central to gender equality and womens empowerment, and it is a key factor in reducing poverty. Ganatra B, Faundes A. An additional 70 million women are projected to be added by 2030 [5]. Africa In this country, task sharing programmes for family planning started in 2008 when 33 Community Health Nurses (CHNs) from 6 regions received training in Jadelle insertion and removal. 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. WebFamily planning is going to happen in West Africa. Evidence has confirmed that such a financial challenge has potential for reducing provider motivation [28, 29]. Following the training, Ghana projects to further select and train 72 Midwifery Assistants on IUCD in a one-year pilot programme followed by an evaluation and countrywide rollout. During this meeting, five countries which are piloting or implementing programmes on task sharing for family planning (Burkina Faso, Cote dIvoire, Ethiopia, Ghana, and Nigeria) presented success stories as well as challenges, lessons learnt and ways forward. Evidently, other regions have recorded much higher declines compared to SSA (from 4.5 to 3.4 in Oceania, from 4.4 to 2.9 in Northern Africa and Western Asia, from 3.3 to 2.0 in Latin America and the Caribbean, and from 2.5 to 1.8 in Eastern and South-Eastern Asia) [2]. Fortunately, interventions such as modern contraception which space and limit pregnancies significantly improve the overall health of women of reproductive age [9]. Les rsultats indiquent principalement l'implication des agents de sant communautaires, des sages-femmes et des infirmires dans les programmes de partage des tches avec une formation lie lapprovisionnement de pilules contraceptives et de contraceptifs rversibles longue dure daction (LARC). of Family Planning To summarise, despite countries being at different stages in terms of promotion and implementation of task sharing policies, they have some achievements in common. 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). Specifically, the paper documents the status of task sharing for family planning policy implementation, its effect in coverage and use of family planning services, gauges key achievements, enablers and challenges to form a basis for the implementation monitoring and planning of task sharing initiatives for family planning in the region. Accessed 23 Aug 2020 at 00:37 (GMT+2). Access to contraceptive information is central to achieving gender equality. 2020;15(8):e0236352. Article However, in Africa, despite increasing availability, utilization of these services is less than 50%, even though there are wide variations among and within the countries across the continent. The UN Population Division's estimates show that in 2020, some 257 million women in developing countries wanted to prevent or delay pregnancy but were not using one of the modern, reliable forms of contraception. Notably, while the global fertility rate between 1990 and 2019 fell from 3.2 to 2.5 births per woman, this indicator only dropped from 6.3 to 4.6 births per woman for SSA [2]. In terms of socioeconomic benefits, achieving universal access to quality sexual and reproductive health services is estimated to yield returns of $120 for every dollar invested, according to some estimates. Family Planning 2030 Licence: CC BY-NC-SA 3.0 IGO. Section 3 explores how trends in mCPR may influence trends in fertility, highlighting patterns unique to SSA. 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]. Only one contraceptive method, condoms, can prevent both a pregnancy and the transmission of sexually transmitted infections, including HIV. Step Two consisted of a trend analysis of key family planning indicators. WHO and FP2030 to strengthen cooperation for sexual and reproductive health and rights, WHO updates recommendations to guide family planning decisions, What worked for us: knowledge-sharing to improve reproductive health programming, Independent Oversight and Advisory Committee, https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003026, https://www.un.org/en/development/desa/population/publications/pdf/family/familyPlanning_DataBooklet_2019.pdf, https://www.guttmacher.org/sites/default/files/report_pdf/ib_2-02.pdf, https://apps.who.int/iris/bitstream/handle/10665/260156/9780999203705-eng.pdf?sequence=1, Prevents the release of eggs from the ovaries (ovulation), Thickens cervical mucous to block sperm and egg from meeting and prevents ovulation, Thickens cervical mucous to blocks sperm and egg from meeting and prevents ovulation, Copper component damages sperm and prevents it from meeting the egg, Thickens cervical mucous to block sperm and egg from meeting, Forms a barrier to prevent sperm and egg from meeting. 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. 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, Nous avons utilis la mthodologie de la revue rapide des programmes (RPR) pour gnrer des donnes sur le partage des tches pour les programmes de planification familiale de cinq pays d'Afrique subsaharienne, savoir le Burkina Faso, la Cte d'Ivoire, l'thiopie, le Ghana et le Nigria. UNFPA also works to integrate family planning services into primary health care, so that women and girls are able to access information and contraceptives no matter what health facility they visit. 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. Geneva, Switzerland: WHO; 2018. Furthermore, the risk of a woman in a LMIC dying from a maternal-related cause during her lifetime is about 33 times higher compared to her counterpart in a high-income country [8]. 2017. Family Planning Ahinkorah BO. 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. Significantly, more women are focusing their attention on another angle - deciding when they are ready to have a family. New UNFPA report debunks 8 myths about a world of 8 billion, Six UNFPA programmes around the world ensuring health for all in a world of 8 billion, Child brides fight back against gender-based violence in Bangladesh, Ending unmet need for family planning in a world of 8 billion: The innovations enabling access for all, Strengthening supply chains so that contraceptives reach those who need them, Ensuring that family planning services and supplies have sustained funding support, Improving the quality of care in family planning service. The findings indicate mainly the involvement of community health workers, midwives and nurses in the task sharing programmes with training in provision of contraceptive pills and long-acting reversible contraceptives (LARC). Beyond a period of two weeks, the data was confirmed as missing information. We also saw women who were affected by the lockdown face limited access to sexual and reproductive health services.. 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. On-line support and resources to Family Task sharing in family planning. We also documented system-level levers and challenges that played an important role in the successful/unsuccessful implementation of task sharing programmes. Most family planning Nigeria has allotted one percent of its health budget strictly for sexual and reproductive health (SRH). Prevents pregnancy by avoiding unprotected vaginal sex during most fertile days, Prevents pregnancy by avoiding unprotected vaginal sex during most fertile, Prevents or delays the release of eggs from the ovaries. For the above reason, WHO Regional Office for Africa, in partnership with member countries and other key players such as the Ouagadougou Partnership for Family Planning Coordination Unit (UCPO), the West Africa Health Organisation (WAHO), and the United Nations Population Fund (UNFPA), organized a regional consultation meeting on task sharing in September 2016 with the aim of aiding nine pilot countries in developing action plans for the implementation of task sharing recommendations. Article LO conceptualized the study, developed the research methodology, analysed the data, and prepared the initial draft manuscript. Another Africa The method allows a rapid and progressive learning with conscious exploration and flexible use of methods without following a blueprint programme [25]. Results are mainly presented as text boxes of country overviews. Reproductive Health and Family Planning Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF; 2019. In Burkina Faso, LARC uptake increased by greater than three times within a period of six months with 232.9% new implant users and 163.0% new IUCD users. Your privacy choices/Manage cookies we use in the preference centre. Moreover, they share common priorities: advocacy, capacity building, and financial pledge for impact sustainability. Towards achieving the family planning targets in the African family planning Best Pract Res Clin Obstet Gynaecol. 2019;9(12):e031666. 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. Fighting sexual and gender-based violence is not the only agenda Nigeria's family planning advocates have eyes on. Task sharing for family planning services, Burkina Faso. [6] Family Planning: A Global Handbook for Providers. Moreover, in 2019, family planning averted 11.56% of expected pregnancies (comparison of expected and real pregnancies in 2019). Three Successful Sub-Saharan Africa Family Planning Cumulatively, these benefits contribute to poverty reduction and global development. 2019;4(Suppl 9):e001115. Their babies also face a higher risk of dying than the babies of older women. 2 Although family planning family planning Reprod Health 18, 22 (2021). A total of 384 IUCDs, of which 238 were new users, were provided by newly trained midwives. There were also adequate post-training follow-up and monitoring of the health workers. 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). Some African countries have taken extra measures to lessen the blow that the pandemic has had on women's choices. DH facilitated data collection and proofread the initial draft manuscript. Webbeing from Africa. https://www.guttmacher.org/sites/default/files/report_pdf/ib_2-02.pdf. Nobody is after you; it is your initiative to start work: a qualitative study of health workforce absenteeism in rural Uganda. Ouedraogo, L., Habonimana, D., Nkurunziza, T. et al. Ethiopia has a total population of 100 million people of whom 83.6% live in rural areas [31]. Privacy WebHome Family planning Access to safe, voluntary family planning is a human right. As policymakers, advocates, and program implementers consider the future of family planning programs in sub-Saharan family planning
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