family planning africa

While several studies have highlighted the decline in entry into marriage in West Africa and its impact on fertility decline, little attention has been given to the role of polygamy in maintaining high fertility and family planning use. 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. family planning This evidence is aimed at promoting the implementation and scale-up of task sharing programmes in SSA countries by WHO. 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]. Hum Resour Health. In the second instance, WHO country offices were contacted to identify and obtain key informants on task sharing for family planning programmes in the five aforementioned countries. Guttmacher Institute. LO conceptualized the study, developed the research methodology, analysed the data, and prepared the initial draft manuscript. For all countries studied, CHWs, midwives, and nurses were trained on the provision of contraceptive pills and LARC namely, Implants and IUCD. This decline in fertility rate continues to occur at a much slower pace in SSA as compared to the rest of the world. A total weighted sample of 175, 820 women of reproductive age who were married during the survey was used for Section 3 explores how trends in mCPR may influence trends in fertility, highlighting patterns unique to SSA. 2023 BioMed Central Ltd unless otherwise stated. To learn more, including how to change your settings, see our 2015, UNFPA, World Bank group and the united nations population division. 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. 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]. We love what we are seeing, she says. 2020;17:110. Geneva, Switzerland: WHO; 2018. 2018;7(4.34):1237. West Africa Finally Starting To Embrace Family Planning 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. New York: Division for Sustainable Development Goals; 2015. Maternal age and the risk of adverse pregnancy outcomes: a retrospective cohort study. 2016: Addis Ababa, Ethiopia. 2019. By using our website you agree to this. For example, Cote dIvoire was excluded from analysis due to substantial missing data. Obstetric Anesthesia Digest. 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. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003026, [2] United Nations, Department of Economic and Social Affairs, Population Division. The World Health Organization (WHO), like many other stakeholders, recognise task sharing as a promising strategy to address the serious lack of health care workers to provide reproductive, maternal and new-born care in less wealthy countries [19,20,21]. It is only proper for women to have direct influence over their lives. Les rsultats indiquent une augmentation des indicateurs de planification familiale pendant la priode de mise en uvre du partage des tches. Task sharing for family planning services, Burkina Faso. The countrys population growth rate is 2.6% per year and the total fertility rate is 2.3 births per woman in urban settings and 5.2 births in rural areas [31]. This is way lesser than the WHO doctor-population ratio of 1:1000. While unmet need for contraception was 19% in 2018, the country aims to attain 27% of contraceptive coverage by 2020 [36]. Office of Family Planning. Salaried and voluntary community health workers: exploring how incentives and expectation gaps influence motivation. We use cookies and other identifiers to help improve your online experience. The study applied the Rapid Programme Review (RPR) methodology to generate evidence on what WHO Regional Office for Africa and member countries can do to build on successes and tackle challenges with an aim to scale-up task sharing programmes for family planning region-wide. Accessed 22 Aug 2020 at 22:36 (GMT+2). 2020, F.P. 2018;18(1):18. In Malawi, for example, health workers are receiving training on providing sensitive and accurate information and services tailored to adolescents. Family planning is central to gender equality and womens empowerment, and it is a key factor 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. 2017; Springer. There may have been different naming based on country-specific contexts, but they all referred to the above three categories of healthcare providers. 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. 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). Groth H, and May JF. 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. Access to safe, voluntary family planning is a human right. Nobody is after you; it is your initiative to start work: a qualitative study of health workforce absenteeism in rural Uganda. Use of contraception advances the human right of people to determine the number and spacing of their children. WebIn this review we consider three factors which contribute to disparities in family planning outcomes: patient preferences and behaviors, health care system factors, and provider These methods have different mechanisms of action and effectiveness in preventing unintended pregnancy. 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. Women of reproductive age account for 24% of Ethiopias population [31]. Published: 23 January 2021 Towards achieving the family planning targets in the African region: a rapid review of task sharing policies Leopold Ouedraogo, Desire Notable challenges included data reporting, as routine paper-based reporting system was solely used, and financial constraints. 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]. Kim C, Sorhaindo A, Ganatra B. Google Scholar. 2019;17(1):59. Increasing knowledge about and access to modern contraception among adolescent girls is a crucial starting point for improving their long-term health. Results were disseminated through regional and sub-regional meetings in Burkina Faso, Ghana, Kenya, and Cote dIvoire. In other words, while it took 19years for fertility rates in Northern Africa and Western Asia to drop from 6 to 4 births per woman (1974 to 1993), a similar decline is expected to materialise after 34years (1995 to 2029) in SSA [2]. 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. New York: Guttmacher Institute; 2016. Predictors of unmet need for contraception among adolescent girls and young women in selected high fertility countries in sub-Saharan Africa: a multilevel mixed effects analysis. Thirdly, we used Table 1 and collected data on key family planning indicators during the period of implementation of task sharing for family planning. Addis Ababa, Ethiopia, and Rockville: Central Statistical Agency (CSA); 2017. All key informants provided informed consent before participation in the study. In the highlands of West Pokot, Kenya, farming is the way of life. Family Planning This programme will enable the training of CHNs as Midwifery Assistants who will be sent across the country. Most importantly, in this region, the rate of unmet needs for family planning is about 21% among married women or those living in union [12]. All authors read and approved the final manuscript. Nigeria has allotted one percent of its health budget strictly for sexual and reproductive health (SRH). Methods This study used the nineteen demographic and health surveys (DHS) conducted between 2015 and 2020 in sub-Saharan Africa. Majority of Ethiopias population is made up of young people, with 45% representing those under 15years old and 71% under 30years old [32]. 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. PLoS ONE. Specifically, sexual and reproductive health. Family Planning | UNjobs Jobs for Family Planning First < Prev 1 - 25 of 166 Next > Last National Consultant (Programme Coordinator- Social Protection) SPEAR; (Only for Bangladeshi), Dhaka, Bangladesh BMJ Glob Health. UNFPA, World Bank Group and the United Nations Population Division. A couple of notable challenges concerned funding gaps and the uneven distribution of CHNs in task sharing. There were also adequate post-training follow-up and monitoring of the health workers. Americas Big City Brain Drain This threatens their ability to build a better future for themselves, their families and their communities. Ethiopia has committed to the FP2020 call to action that urges global health and development partners to adopt task sharing as a key solution for increasing access to contraception [33]. A total of 384 IUCDs, of which 238 were new users, were provided by newly trained midwives. When women and couples are empowered to plan whether and when to have children, and how many, women are better enabled to complete their education; womens autonomy within their households is increased; and their earning power is improved. A full list of countries that participated in the meeting is provided in Box 2. Yet in developing regions, an estimated 257 million women who want to avoid pregnancy are not using safe and effective family planning methods, for reasons ranging from lack of access to information or services to lack of support from their partners or communities. In Ethiopia, results from this study showed a doubling contraceptive prevalence rate with declining rates of total fertility and unmet needs for contraception. Towards achieving the family planning targets in the African region: a rapid review of task sharing policies, https://doi.org/10.1186/s12978-020-01038-y, https://www.un.org/en/development/desa/population/publications/pdf/family/Ten_key_messages%20for%20WFFP2020_highlights.pdf, https://www.unfpa.org/data/world-population-dashboard, https://www.who.int/workforcealliance/countries/bfa/en/, https://www.familyplanning2020.org/news/nigeria-fp2020-commitment, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/. In addition, geographical reach and the type of tasks and healthcare professionals involved were documented. PLoS Med 17(2):e1003026. Accessed 23 Aug 2020 at 00:37 (GMT+2). 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. 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. Choices and Challenges: Dynamics of Contraceptive Use, Interactive. , a boost in economic productivity that occurs when there are growing numbers of people in the workforce and falling numbers of dependents. Some barriers to successful implementation of task sharing include poor retention of lower cadre providers, inadequate documentation, and poor data systems. Terms and Conditions, Suite 520 Family Planning 2030 (FP2030) global partnership, Population bomb, bust or boon? Shortage of trained healthcare providers is an important contributor to increased unmet need for contraception in SSA. Other factors contributing to the robust increases in modern contraceptive prevalence rates are that proactive local programs have improved provider training, supply and distribution of contraceptives, and there has also been an increase in family planning content in massmedia. By using this website, you agree to our When autocomplete results are available use up and down arrows to review and enter to select. Project PACE: Policy, Advocacy, and Communication Enhanced for Population and Reproductive Health. Ghanas main next step in task sharing for family planning is to initiate a Midwifery Assistant programme. For every additional dollar that is invested in contraception, the cost of pregnancy-related care will be reduced by about three dollars, according to recent projections by UNFPA's partner Guttmacher. Syst Rev. A trend analysis was done alongside an overview of system-level implementation enablers and barriers to successful implementation of task sharing programmes in the African context. 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]. New York: United Nations. Fortunately, interventions such as modern contraception which space and limit pregnancies significantly improve the overall health of women of reproductive age [9]. From 2014, nurses, midwives, and CHEWs became responsible for the provision of the entire family planning arsenal except tubal ligation and vasectomy (Box 1). 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). Another explanation for the high growth rates is that countries are now committing more resources to familyplanning. Department of Economics and Social Affairs. 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. We also saw women who were affected by the lockdown face limited access to sexual and reproductive health services.. 1 below. 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. Family Planning in Sub-Saharan Africa | PRB Resource Library Strengthening Competitiveness and Fostering Strong Institutions: The Role of Family Planning in Sub-Saharan Africa This infographic shows how family planning contributes to national development by fostering strong institutions and global competitiveness. 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. Therefore, from 2019, Nigeria embarked on rolling out the pilot project at country level. of Family Planning 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. Common reasons why women do not use reliable, modern contraceptives include logistical problems, such as difficulty travelling to health facilities or stock outs at health clinics, and social barriers, such as opposition by partners or families. Another lever was the ability of majority of CHEWs to fast-learn and absorb training materials. https://www.guttmacher.org/sites/default/files/report_pdf/ib_2-02.pdf. 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. United Nations. Some of the board members who sit on the board of FP2030 hail from Nigeria and they galvanise that energy to make sure these commitments are created and supported. The review triangulated data from secondary sources with information from key informants in four countries which have already piloted the task sharing programmes for family planning. In December 2019, a second regional advocacy meeting was held to expand the task sharing policies to an additional 11 English-speaking countries. Results indicate an increase in family planning indicators during the task shifting implementation period. Their babies also face a higher risk of dying than the babies of older women. 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 . TF validated the content and edited the manuscript before submission. To summarise, despite countries being at different stages in terms of promotion and implementation of task sharing policies, they have some achievements in common. Africa Competency of Level-4 Health Extension Workers to provide Long acting reversible contraceptives: a task shifting initiative in Ethiopia. Effectiveness of methods is measured by the number of pregnancies per 100 women using the method per year. 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. WebDepartment of Health Care Services. 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. In each box, we summarised findings on the country background, described existing task sharing intervention packages, quantified midterm programme impact, analysed system-level enablers and barriers, and suggested ways forward. Step Two consisted of a trend analysis of key family planning indicators. 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. We found that task sharing programmes mainly involved community health workers, midwives and nurses. Estimates by WHO, UNICEF. The family planning community created the Family Planning 2020 (FP2020) initiative at the 2012 London Summit. By: Royal Uche. The small sample size of key informants who provided information to the RPR could be considered a limitation to the study. Ouagadougou Partnership for Family Planning Coordination Unit, Economic Community of West African States. Access to contraceptive information is central to achieving gender equality. 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. Obstetric Fistula Strategic Plan 2022 - Regional Office for Africa 2020. NK validated the content and edited the manuscript before submission. Population growth and economic development in developing and developed countries. The method allows a rapid and progressive learning with conscious exploration and flexible use of methods without following a blueprint programme [25]. Following WHO recommendations on Optimizing the roles of health personnel through the delegation of tasks to improve access to maternal and new-born health interventions (2012), regions including the Regional Office for Africa have started to mobilise local efforts with an aim to initiate and expand task sharing policies for family planning across respective member countries. Contraceptives prevent unintended pregnancies, reduce the number of abortions, and lower the incidence of death and disability related to complications of pregnancy and childbirth. Lastly, each country provided information on the next steps with concrete actions to be undertaken in the near future with regards to task sharing for family planning. Such trends represent barriers to the achievement of universal access to sexual and reproductive healthcare services including for family planning by 2030 in SSA, as stipulated in the third and fifth Sustainable Development Goals (SDGs) targets: 3.1, 3.7, 3.8, and 5.6 [13, 14]. Family Planning and the 2030 Agenda for Sustainable Development. statement and 2017;127:1324. 2 Although family planning Instead, CHWs increased uptake of IUCD utilisation in Rwanda [41] and in Ethiopia [42]. The trend in Implants (Jadelle and Implanon) utilisation is depicted in Fig. Evidence summaries: the evolution of a rapid review approach. Nigeria has an estimated population of 200 million with 45 million women of reproductive age [36]. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. On cover: 2000 edition--special section on AIDS. Given the availability of enough data-points, baseline and midterm data were used to trace an indicator trend line. 2016;36:14555. Beyond a period of two weeks, the data was confirmed as missing information. Evidence from this RPR is helpful in elaborating country policies and scale-up of task sharing for family planning programmes. 2018). Therefore, we recommend additional studies that can statistically attribute outcomes to the task sharing intervention. WebFamily planning is going to happen in West Africa. Use of contraception prevents pregnancy-related health risks for women, especially for adolescent girls, and when births are separated by less than two years, the infant mortality rate is 45% higher than it is when births are 2-3 years apart and 60% higher than it is when births are four or more years apart [4]. 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. In Nigeria, there was collaboration with professional bodies which enhanced acceptance and ownership of task sharing programmes. This report examines the status of family planning programs in 22 countries in sub-Saharan Africa since the 2016 release ofFostering Economic Growth, Equity, and Resilience in Sub-Saharan Africa: The Role of Family Planning. WebFamily planning in Africa can be a challenge as there are lots of misconceptions surrounding them. The two-day virtual regional convening aimed to facilitate learning and sharing of best practices for promoting family planning and reproductive health in Eastern Africa. While this may seem insignificant to some, experts like Dr Dube think differently. 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.

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