Measurement of Access to Family Planning in Demographic and Health Surveys: Lessons and Challenges

Size: px
Start display at page:

Download "Measurement of Access to Family Planning in Demographic and Health Surveys: Lessons and Challenges"

Transcription

1 Measurement of Access to Family Planning in Demographic and Health Surveys: Lessons and Challenges Yoonjoung Choi, Madeleine Short Fabic, Jacob Adetunji U.S. Agency for International Development September 17, 2014 PFRH Seminar, JHSPH

2 Outline Presentation Background Methods Data Analysis Results Discussion Audience Participation Thoughts? Questions? Suggestions?

3 Access to Family Planning Background Driving paradigm in the programmatic and policy communities: FP2020: expanding access to family planning to an additional 120 million women and girls by 2020 Post-2015 agenda Widely studied over decades as a determinant of utilization, from observational studies to randomized controlled trials Complex concept Challenges in measurement in large-scale surveys (going back to World Fertility Surveys) Frameworks to define access to healthcare/fp Five As: Penchansky and Thomas (1981) Bertrand et. al. (1995) AAAQ: UN Committee on Economic, Social, and Cultural Rights (2000)

4 Elements of Access to FP Background Geographic accessibility to SDP Economic accessibility Administrative accessibility to/at SDP Service quality at SDP Cognitive accessibility Psychosocial accessibility Five As AAAQ Bertrand SDP: Service Delivery Points

5 Elements of Access to FP Background Geographic accessibility to SDP Economic accessibility Administrative accessibility to/at SDP Service quality at SDP Cognitive accessibility Psychosocial accessibility Five As AAAQ Bertrand Accessibility Accessibility* Geographic/Phys ical accessibility Affordability Accessibility* Economic accessibility Accommodation Availability Accountability Availability Accessibility* Accountability Quality Accessibility* Administrative accessibility Cognitive accessibility Psychosocial accessibility

6 Measurement of Access Background Needed Data: Policy, Service Delivery, Community, Individual To understand bottle necks of achieving full access, data at each level required Data from Population-Based Surveys: Individual-Level Information on barriers at the individual-level or individual understanding of barriers that originate from other levels Large scale surveys have collected data on contraceptive use and barriers to use Demographic and Health Surveys (DHS): on-going & oldest global survey program in low-income countries

7 Study Objectives Background Our Motivation 1) How is access to FP defined? 2) What is DHS s contribution to our measurement of access to FP? Study Objective: To understand the elements of FP access captured by DHS, and document their strengths and limitations Our Approach Catalogue the DHS questions that map to elements of access Pinpoint questions that elicit the most information on access Examine data derived from the questions: to document common barriers to access, discuss limitations of the data collected, and discuss potential improvements to the measurement of FP access

8 Demographic and Health Surveys (DHS) Methods Data Nationally representative household surveys Main scope: Reproductive Health/Family Planning, Maternal and Child Health, Nutrition, HIV/AIDS, Malaria, etc Household questionnaire, & Women s questionnaire Data collection by local implementing agency usually National Statistics Office with technical assistance from the DHS Program Sponsored by USAID, increasingly with other donors 300+ surveys in 90+ countries since 1984 Open data access

9 Questions Related to FP Access in DHS Methods Data Most directly related questions: Reasons for not using (1) Can you tell me why you are not using a method to prevent pregnancy? Counseling about side effects and potential other methods to use (6) At that time*, were you told about side effects or problems you might have with the method? At that time*, were you told by a health or FP worker about other methods of family planning that you could use? Awareness of methods/ Knowledge on source (2) Have you ever heard of [Method]? Do you know of a place where you can obtain a method of FP? FP outreach (4) In the last 12 months, were you visited by a fieldworker who talked to you about family planning? Reasons for discontinuation (Contraceptive calendar)

10 Questions Related to FP Access in DHS Methods Data Most directly related questions: Reasons for not using (1) Can you tell me why you are not using a method to prevent pregnancy? Counseling about side effects and potential other methods to use (6) At that time*, were you told about side effects or problems you might have with the method? At that time*, were you told by a health or FP worker about other methods of family planning that you could use? Awareness of methods/ Knowledge on source (2) Have you ever heard of [Method]? Do you know of a place where you can obtain a method of FP? FP outreach (4) In the last 12 months, were you visited by a fieldworker who talked to you about family planning? Reasons for discontinuation (Contraceptive calendar)

11 Questions Related to FP Access in DHS Methods Data Element of access Geographic Administrative Denominator Among all women Among users Among non-users Reasons for not using Service quality Counseling Economic Cognitive Method awareness, source knowledge, FP outreach Psychosocial Study Question

12 Eligible respondants Methods Data Eligibility for Reasons for Non-Use Open-ended question response coding categories: Question

13 Eligible respondants Methods Data Eligibility for Reasons for Non-Use Open-ended question response coding categories: Question

14 Reasons for Non-Use: Categories Methods Data Pre-structured coding categories Multiple reasons allowed

15 Reasons for Non-Use: Categories Methods Data Pre-structured coding categories Multiple reasons allowed knows no method knows no source not married* not having sex infrequent sex menopausal/hysterectomy Sub-fecund/infecund postpartum amenorrhea breastfeeding* respondent opposed husband/partner opposed others opposed religious prohibition lack of access/too far costs too much fear of side effects/health concerns* inconvenient to use interferes with body's processes preferred method not available no method available fatalistic other don't know

16 Analysis Methods - Data In-depth descriptive analyses around/of reasons for non-use question, using 4 selected surveys We examined: 1. Distribution across eligibility criteria 2. Background characteristics of women by eligibility 3. Among ineligible women, use of any contraception 4. Among eligible women, response pattern (number and type) 5. Among women who gave particular reasons, related data consistency Analysis for each country/survey separately, adjusted for sampling weight

17 Analysis Data Methods - Data Selected four surveys for illustrative purposes Zimbabwe Rwanda Ethiopia Senegal MCPR (%) Unmet need (%) Demand for FP satisfied with modern methods (%) Survey sample size (women years) 15,688 13,671 9,171 16,515

18 Results

19 Distribution of Women by Eligibility (%) Results 1 Zimbabwe Rwanda Ethiopia Senegal Total (All women yrs) Ineligible because: She never had sex She or her partner is sterilized She is currently pregnant When asked about future fertility intention, she: is undecided or does not know declares she cannot get pregnant wants a/another child in the next 24 mo wants a/another child after marriage wants a/another child but does not know when She uses a contraceptive method Eligible for the question

20 Distribution of Women by Eligibility (%) Results 1 Zimbabwe Rwanda Ethiopia Senegal Total (All women yrs) Ineligible because: She never had sex She or her partner is sterilized She is currently pregnant When asked about future fertility intention, she: is undecided or does not know declares she cannot get pregnant wants a/another child in the next 24 mo wants a/another child after marriage wants a/another child but does not know when She uses a contraceptive method Eligible for the question

21 Results 2 Modern Contraceptive Use by Eligibility Criterion (%) Zimbabwe Rwanda Ethiopia Senegal Ineligible because: She never had sex She or her partner is sterilized She is currently pregnant When asked about future fertility intention, she: is undecided or does not know declares she cannot get pregnant wants a/another child in the next 24 mo wants a/another child after marriage wants a/another child but does not know when She uses a contraceptive method Eligible for the question

22 Eligible women tend to be less educated & rural. In terms of union/sexual activity status Zimbabwe Rwanda Ethiopia Senegal Results 3 Who answers the question? Distribution of Background Characteristics by Eligibility (%) Ineligible Eligible Ineligible Eligible Ineligible Eligible Ineligible Eligible Residential area rural urban Education, highest level attended no education some primary some secondary > secondary Union/Sexual activity status in union single, SA, <1month single, SA, 1month single, never had sex

23 Results 3 Who answers the question? Distribution of Background Characteristics by Eligibility (%) Eligible women tend to be less educated & rural. In terms of union/sexual activity status Zimbabwe Rwanda Ethiopia Senegal Ineligible Eligible Ineligible Eligible Ineligible Eligible Ineligible Eligible Residential area rural urban Education, highest level attended no education some primary some secondary higher than secondary Union/Sexual activity status in union single, SA, <1month single, SA, 1month single, never had sex

24 Reasons for Not Using (%) Results 4 Zimbabwe Rwanda Ethiopia Senegal not married perceived no need no/infrequent sex sub/infecund postpartum* opposition knows no method or source method related method, quality** method, stock-out lack of access/too far costs too much fatalistic other don't know *breastfeeding, postpartum amenorrhea **fear of side effects/health concerns, inconvenient to use, interferes with body's processes

25 Reasons for Not Using (%) Results 4 Zimbabwe Rwanda Ethiopia Senegal not married perceived no need no/infrequent sex sub/infecund postpartum* opposition knows no method or source method related method, quality** method, stock-out lack of access/too far costs too much fatalistic other don't know *breastfeeding, postpartum amenorrhea **fear of side effects/health concerns, inconvenient to use, interferes with body's processes

26 Are responses valid? Internal Data Consistency for Selected Reasons Results 5 Zimbabwe Rwanda Ethiopia Senegal Among women with perceived no need due to no/infrequent sex sexually active <1 month (%) Among women with "perceived no need due to breastfeeding*/postpartum amenorrhea postpartum period (month) < 6-month postpartum (%) postpartum amenorrhea (%) meet part of LAM definition* (%) LAM: Lactation Amenorrhea Method. *6-month postpartum and amenorrhea, but without breastfeeding component

27 Discussion (Over to Madeleine)

28 DHS Data Challenges Discussion Reasons for Non-Use in DHS 1) Ineligible women include those with potential unmet need those who want a child after marriage, want a child but don t know when, are undecided, or are currently pregnant with an unintended pregnancy, introducing selection bias. 2) Interpretation of responses is challenging, especially for many common responses ( not married, breastfeeding, side effects ) 3) Interpretation of omissions is also challenging. Only a small percentage of reasons provided related to contraceptive cost or availability. Is this because they are not barriers or because the respondents haven t yet experienced these barriers? 4) Reporting inconsistency in selected reasons

29 DHS Data Challenges Discussion Reasons for Non-Use in DHS 1) Ineligible women include those with potential unmet need those who want a child after marriage, want a child but don t know when, are undecided, or are currently pregnant with an unintended pregnancy, introducing selection bias. 2) Interpretation of responses is challenging, especially for many common responses ( not married, breastfeeding, side effects ) 3) Interpretation of omissions is also challenging. Only a small percentage of reasons provided related to contraceptive cost or availability. Is this because they are not barriers or because the respondents haven t yet experienced these barriers? 4) Reporting inconsistency in selected reasons

30 DHS Data Challenges Discussion Reasons for Non-Use in DHS 1) Ineligible women include those with potential unmet need those who want a child after marriage, want a child but don t know when, are undecided, or are currently pregnant with an unintended pregnancy, introducing selection bias. 2) Interpretation of responses is challenging, especially for many common responses ( not married, breastfeeding, side effects ) 3) Interpretation of omissions is also challenging. Only a small percentage of reasons provided related to contraceptive cost or availability. Is this because they are not barriers or because the respondents haven t yet experienced these barriers? 4) Reporting inconsistency in selected reasons

31 DHS Data Challenges Discussion Reasons for Non-Use in DHS 1) Ineligible women include those with potential unmet need those who want a child after marriage, want a child but don t know when, are undecided, or are currently pregnant with an unintended pregnancy, introducing selection bias. 2) Interpretation of responses is challenging, especially for many common responses ( not married, breastfeeding, side effects ) 3) Interpretation of omissions is also challenging. Only a small percentage of reasons provided related to contraceptive cost or availability. Is this because they are not barriers or because the respondents haven t yet experienced these barriers? 4) Reporting inconsistency in selected reasons

32 Improving Measurement of Access Discussion Need to: 1) Arrive at a shared definition of access The elimination of barriers to contraceptive uptake and continuation among all who desire to prevent pregnancy, to stop childbearing, or to space their next birth. <for discussion> 2) Learn from our own history 3) Consider expanding DHS data on access 4) Better utilize household and facility-based data from non-dhs sources 5) Conduct qualitative research

33 Improving Measurement of Access Discussion Need to: 1) Arrive at a shared definition of access 2) Learn from our own history o Leadership of the 1970s and 1980s o World Fertility Survey Questions o Previous DHS Questions (older modules, country-specific adds) 3) Consider expanding DHS data on access 4) Better utilize household and facility-based data from non-dhs sources 5) Conduct qualitative research

34 Improving Measurement of Access Discussion Need to: 1) Arrive at a shared definition of access 2) Learn from our own history 3) Consider expanding DHS data on access o Hone response categories to Q709 by adding additional probes following reasons that are vague o Expand eligibility criteria to Q709 o Add questions to current contraceptive users to assess their challenges experienced to uptake and continuation o Add questions to better assess side effects 4) Better utilize household and facility-based data from non-dhs sources 5) Conduct qualitative research

35 Improving Measurement of Access Discussion Need to: 1) Arrive at a shared definition of access 2) Learn from our own history 3) Consider expanding DHS data on access 4) Better utilize household and facility-based data from non-dhs sources o Service Provision Assessments o PMA2020 5) Conduct qualitative research

36 Improving Measurement of Access Discussion Need to: 1) Arrive at a shared definition of access 2) Learn from our own history 3) Consider expanding DHS data on access 4) Better utilize household and facility-based data from non-dhs sources 5) Conduct qualitative research o Coordinated multi-site/multi-country qualitative research

37 Audience Participation Suggestions for taking our analysis further? Lessons from historic experience? (e.g., WFS, CPS, RHS) Lessons from other fields or health areas? Definition of access? Other key data sources to measure access? Suggestions for improvements to existing data sources?

38 Thank you very much! Questions and comments: Views and opinions expressed in this paper are the authors. They do not necessarily represent the views and opinions of the US Agency for International Development

39 DHS Data Challenges Discussion Measuring Access among FP Users in DHS Access barriers are not only experienced by non-users; they are also experienced by current contraceptive users. Soapbox: The FP community must also recognize that FP access is of concern to both FP users and non-users, and examine access-related data from both groups.

Measurement of Access to Family Planning Services: What do we measure? What do we want to measure? How do we get there?

Measurement of Access to Family Planning Services: What do we measure? What do we want to measure? How do we get there? Measurement of Access to Family Planning Services: What do we measure? What do we want to measure? How do we get there? (Working Paper for presentation and discussion at the PAA 2014 Annual Meeting) Madeleine

More information

NONUSE OF FAMILY PLANNING AND INTENTION TO USE

NONUSE OF FAMILY PLANNING AND INTENTION TO USE NONUSE OF FAMILY PLANNING AND INTENTION TO USE 7 Improvement in the quality of contraceptive use is an important goal of Egypt s family planning program. The rate at which users discontinue using a method

More information

5.1. KNOWLEDGE OF CONTRACEPTIVE METHODS

5.1. KNOWLEDGE OF CONTRACEPTIVE METHODS CHAPTER 5. FAMILY PLANNING This chapter presents results from the 2007 RMIDHS regarding aspects of contraceptive use, knowledge, attitudes, and behavior. Although the focus is on women, some results from

More information

Married Young Women and Girls Family Planning and Maternal Heath Preferences and Use in Ethiopia

Married Young Women and Girls Family Planning and Maternal Heath Preferences and Use in Ethiopia SEPTEMBER 2017 TECHNICAL BRIEF Married Young Women and Girls Family Planning and Maternal Heath Preferences and Use in Ethiopia Approximately one-third of Ethiopia s population is between the ages of 10-24

More information

SDG 2: Target 3.7: Indicators Definitions, Metadata, Trends, Differentials, and Challenges

SDG 2: Target 3.7: Indicators Definitions, Metadata, Trends, Differentials, and Challenges SDG 2: Target 3.7: Indicators 3.7.1 Definitions, Metadata, Trends, Differentials, and Challenges UNFPA, Technical Division The Sustainable Development Goals and its Adaptation at the Regional and Country

More information

Access to reproductive health care global significance and conceptual challenges

Access to reproductive health care global significance and conceptual challenges 08_XXX_MM1 Access to reproductive health care global significance and conceptual challenges Dr Lale Say World Health Organization Department of Reproductive Health and Research From Research to Practice:

More information

FERTILITY AND FAMILY PLANNING TRENDS IN URBAN NIGERIA: A RESEARCH BRIEF

FERTILITY AND FAMILY PLANNING TRENDS IN URBAN NIGERIA: A RESEARCH BRIEF Your Resource for Urban Reproductive Health FERTILITY AND FAMILY PLANNING TRENDS IN URBAN NIGERIA: A RESEARCH BRIEF BACKGROUND Rapid urbanization in Nigeria is putting pressure on infrastructure and eroding

More information

Contraceptive Prevalence and Plans for Long Acting Methods. Bonus Makanani Johns Hopkins Project 1 st October 2012

Contraceptive Prevalence and Plans for Long Acting Methods. Bonus Makanani Johns Hopkins Project 1 st October 2012 Contraceptive Prevalence and Plans for Long Acting Methods Bonus Makanani Johns Hopkins Project 1 st October 2012 THE MALAWI EXPERIENCE Malawi Demographics Population estimated at 14 million 82%; christians

More information

What it takes: Meeting unmet need for family planning in East Africa

What it takes: Meeting unmet need for family planning in East Africa Policy Brief May 2018 What it takes: Meeting unmet need for family planning in East Africa Unmet need for family planning (FP) exists when a woman who wants to postpone pregnancy or stop having children

More information

Contraceptive Counseling Challenges in the Arab World. The Arab World. Contraception in the Arab World. Introduction

Contraceptive Counseling Challenges in the Arab World. The Arab World. Contraception in the Arab World. Introduction 26-06- 2013 Contraceptive Counseling Challenges in the Arab World 1 Introduction 2 Contraception is a cornerstone in reproductive health (RH) One of the main fertility determinants in any community is

More information

FP2020 CORE INDICATOR ESTIMATES UGANDA

FP2020 CORE INDICATOR ESTIMATES UGANDA FP2020 CORE INDICATOR ESTIMATES UGANDA Published November 2014 Decision-makers require accurate and timely information in order to shape interventions, take stock of progress, and, when necessary, improve

More information

Monitoring MDG 5.B Indicators on Reproductive Health UN Population Division and UNFPA

Monitoring MDG 5.B Indicators on Reproductive Health UN Population Division and UNFPA Monitoring MDG 5.B Indicators on Reproductive Health UN Population Division and UNFPA 9-13 July 2012 UNSD/ESCAP Workshop on MDG Monitoring, Bangkok MDG 5. Improve maternal health Target 5.B: Achieve, by

More information

Key Results Liberia Demographic and Health Survey

Key Results Liberia Demographic and Health Survey Key Results 2013 Liberia Demographic and Health Survey The 2013 Liberia Demographic and Health Survey (LDHS) was implemented by the Liberia Institute of Statistics and Geo-Information Services (LISGIS)

More information

PMA2020: Progress & Opportunities for Advocacy AFP Partners Meeting & Gates Institute 15 th Anniversary Event

PMA2020: Progress & Opportunities for Advocacy AFP Partners Meeting & Gates Institute 15 th Anniversary Event Bill & Melinda Gates Institute for Population and Reproductive Health PMA2020: Progress & Opportunities for Advocacy AFP Partners Meeting & Gates Institute 15 th Anniversary Event May 21, 2014 PMA 2020

More information

Population and Reproductive Health Challenges in Eastern and Southern Africa: Policy and Program Implications

Population and Reproductive Health Challenges in Eastern and Southern Africa: Policy and Program Implications Population and Reproductive Health Challenges in Eastern and Southern Africa: Policy and Program Implications Eliya Msiyaphazi Zulu REGIONAL MEETING OF SOUTHERN AN D EASTERN AFRICA PARLIAMENTARY ALLIANCE

More information

Key Indicators Report Jordan Population and Family Health Survey (JPFHS)

Key Indicators Report Jordan Population and Family Health Survey (JPFHS) Key Indicators Report 2017-18 Jordan Population and Family Health Survey (JPFHS) The 2017-18 Jordan Population and Family Health Survey (2017-18 JPFHS) was implemented by the Department of Statistics (DOS)

More information

Implanon scale up & IUCD revitalization in Ethiopia

Implanon scale up & IUCD revitalization in Ethiopia Implanon scale up & IUCD revitalization in Ethiopia Presented at the Long Acting & Permanent Methods: PROGRESS Research Findings and Next Steps Meeting in Washington DC, 02-11-2013 Sintayehu Abebe, Ag.

More information

Reasons for unmet need for family planning, with attention to the measurement of fertility preferences in Kenya and Bangladesh

Reasons for unmet need for family planning, with attention to the measurement of fertility preferences in Kenya and Bangladesh Reasons for unmet need for family planning, with attention to the measurement of fertility preferences in Kenya and Bangladesh Joyce Mumah, African Population and Health Research Center, APHRC Project

More information

Trends in Modern Contraceptive Prevalence Rate among Currently Married Women in Uganda:

Trends in Modern Contraceptive Prevalence Rate among Currently Married Women in Uganda: Trends in Modern Contraceptive Prevalence Rate among Currently Married Women in Uganda: 1988-2006 Joseph KB Matovu Makerere University School of Public Health International Family Planning Conference Speke

More information

Malawi. Population & Development Progress through Family Planning. By Dr. Chisale Mhango. Director, Reproductive Health Services Ministry of Health

Malawi. Population & Development Progress through Family Planning. By Dr. Chisale Mhango. Director, Reproductive Health Services Ministry of Health Malawi Introduction Population & Development Progress through Family Planning By Dr. Chisale Mhango Director, Reproductive Health Services Ministry of Health Photo by Gunnar Salvarsson 2 Malawi National

More information

An Illustrative Communication Strategy for Contraceptive Implants

An Illustrative Communication Strategy for Contraceptive Implants An Illustrative Communication Strategy for Contraceptive Implants: Step 1 (Analyze the Situation) 1 An Illustrative Communication Strategy for Contraceptive Implants Step 1: Analyze the Situation Health

More information

1. Which of the following is an addition to components of reproductive health under the new paradigm

1. Which of the following is an addition to components of reproductive health under the new paradigm Population Change and Public Health Exercise 11A 1. Which of the following is an addition to components of reproductive health under the new paradigm A. Safe motherhood B. Provision of family planning

More information

Pay ATTENTION to Reproductive INTENTION:

Pay ATTENTION to Reproductive INTENTION: Photo by E. Uphoff / EngenderHealth Pay ATTENTION to Reproductive INTENTION: Limiters Have Needs Too Lynn M. Van Lith JHU CCP Rose s Story Photo by B. Jones / EngenderHealth Grace s Story Photo by B. Jones

More information

Promoting FP/RH-HIV/AIDS Integration: A Summary of Global Health Initiative Strategies in Ethiopia, Kenya, Tanzania, and Zambia

Promoting FP/RH-HIV/AIDS Integration: A Summary of Global Health Initiative Strategies in Ethiopia, Kenya, Tanzania, and Zambia Promoting FP/RH-HIV/AIDS Integration: A Summary of Global Health Initiative Strategies in Ethiopia, Kenya, Tanzania, and Zambia The Global Health Initiative (GHI) is an integrated approach to global health

More information

Burkinabe Men s Engagement in Family Planning

Burkinabe Men s Engagement in Family Planning Burkinabe Men s Engagement in Family Planning Photo source: fotolia, author: vystekimages Innovation Lab, October 10-13, 2017 Pre-Read 2 Contents 1 2 3 The state of family planning The role of men Potential

More information

Lao PDR. Maternal and Child Health and Nutrition status in Lao PDR. Outline

Lao PDR. Maternal and Child Health and Nutrition status in Lao PDR. Outline Maternal and Child Health and Nutrition status in Lao PDR Outline Brief overview of maternal and child health and Nutrition Key interventions Challenges Priorities Dr. Kopkeo Souphanthong Deputy Director

More information

PROMOTING VASECTOMY SERVICES IN MALAWI

PROMOTING VASECTOMY SERVICES IN MALAWI PROMOTING VASECTOMY SERVICES IN MALAWI The Family Planning 2020 (FP2020) movement began in 2012, when more than 150 political leaders at the London Summit on Family Planning committed to provide 120 million

More information

To Tie the Knot or Not: A Case for Permanent Family Planning Methods

To Tie the Knot or Not: A Case for Permanent Family Planning Methods To Tie the Knot or Not: A Case for Permanent Family Planning Methods Presented at the GH Mini-University Washington, D.C., October 8, 2010 By Lynn Bakamjian, MPH Project Director, RESPOND/EngenderHealth

More information

The What-nots and Why-nots of Unmet Need for FP Global Health Mini-University, September 14, 2012

The What-nots and Why-nots of Unmet Need for FP Global Health Mini-University, September 14, 2012 The What-nots and Why-nots of Unmet Need for FP Global Health Mini-University, September 14, 2012 Scott Radloff, USAID Roy Jacobstein, EngenderHealth Modern contraceptive use worldwide increased 5-fold

More information

Sayana Press Introduction In Senegal: Strategies, Opportunities and Challenges

Sayana Press Introduction In Senegal: Strategies, Opportunities and Challenges Sayana Press Introduction In Senegal: Strategies, Opportunities and Challenges Dr Papa Chimère Diaw Head of Family Planning Division Ministry of Health of Senegal Family Planning in Senegal Population:

More information

FAMILY PLANNING KNOWLEDGE OF CONTRACEPTIVE METHODS

FAMILY PLANNING KNOWLEDGE OF CONTRACEPTIVE METHODS FAMILY PLANNING 5 This chapter focuses on women who are sexually active since these women have the greatest risk of exposure to pregnancy and consideration for regulating their fertility. However, results

More information

India Factsheet: A Health Profile of Adolescents and Young Adults

India Factsheet: A Health Profile of Adolescents and Young Adults India Factsheet: A Health Profile of Adolescents and Young Adults Overview of Morbidity and Mortality With a population of 1.14 billion people, the more than 200 million youth aged 15-24 years represent

More information

II. Adolescent Fertility III. Sexual and Reproductive Health Service Integration

II. Adolescent Fertility  III. Sexual and Reproductive Health Service Integration Recommendations for Sexual and Reproductive Health and Rights Indicators for the Post-2015 Sustainable Development Goals Guttmacher Institute June 2015 As part of the post-2015 process to develop recommendations

More information

Family Planning in East Africa: Trends and Dynamics

Family Planning in East Africa: Trends and Dynamics January Family Planning in East Africa: Trends and Dynamics Family planning in East Africa: trendsfrederick and dynamics Chimaraoke Izugbara. Wekesah. Tizta Tilahun. Joshua Amo-Adjei. Zacharie Tsala i

More information

Fears, Misconceptions, and Side Effects of Modern Contraception in Kenya: Preliminary Findings

Fears, Misconceptions, and Side Effects of Modern Contraception in Kenya: Preliminary Findings Fears, Misconceptions, and Side Effects of Modern Contraception in Kenya: Preliminary Findings G EETA N A N D A J A N E A LAII C A T A L INA R A M IREZ C-Change End-of-Project Meeting September 19, 2012

More information

FERTILITY REGULATION 5

FERTILITY REGULATION 5 FERTILITY REGULATION 5 5.1 KNOWLEDGE OF FAMILY PLANNING METHODS Information on knowledge of family planning methods was collected by asking female respondents to name ways or methods by which a couple

More information

Maldives and Family Planning: An overview

Maldives and Family Planning: An overview Maldives and Family Planning: An overview Background The Republic of Maldives is an archipelago in the Indian Ocean, located 600 kilometres south of the Indian subcontinent. It consists of 92 tiny islands

More information

Abstract Background Aims Methods Results Conclusion: Key Words

Abstract Background Aims Methods Results Conclusion: Key Words Association between socio-demographic factors and knowledge of contraceptive methods with contraceptive use among women of reproductive age: a cross-sectional study using the 2013 Liberia DHS Tara Rourke

More information

Method-specific attributes that influence choice of future contraception among married women in Nairobi s informal settlements

Method-specific attributes that influence choice of future contraception among married women in Nairobi s informal settlements Method-specific attributes that influence choice of future contraception among married women in Nairobi s informal settlements Joyce Mumah, African Population and Health Research Center (APHRC) John Casterline,

More information

Bill & Melinda Gates Institute for Population and Reproductive Health

Bill & Melinda Gates Institute for Population and Reproductive Health Bill & Melinda Gates Institute for Population and Reproductive Health Using new technologies to track access, choice, and quality dimensions of service delivery Accountability Workshop, EuroNGO Conference

More information

Contraceptive. Ready Lessons II. What Can a Contraceptive Security Champion Do?

Contraceptive. Ready Lessons II. What Can a Contraceptive Security Champion Do? Contraceptive Lesson Security Ready Lessons II Expand client choice and contraceptive security by supporting access to underutilized family planning methods. What Can a Contraceptive Security Champion

More information

INTRODUCING THE PROGESTERONE CONTRACEPTIVE VAGINAL RING IN SUB-SAHARAN AFRICA

INTRODUCING THE PROGESTERONE CONTRACEPTIVE VAGINAL RING IN SUB-SAHARAN AFRICA SEPTEMBER 2016 project brief INTRODUCING THE PROGESTERONE CONTRACEPTIVE VAGINAL RING IN SUB-SAHARAN AFRICA Research supports the introduction of the Progesterone Vaginal Ring (PVR), a user-controlled method

More information

PMA2014/UGANDA-R1 SOI SNAPSHOT OF INDICATORS

PMA2014/UGANDA-R1 SOI SNAPSHOT OF INDICATORS PMA2014/UGANDA-R1 SOI SNAPSHOT OF INDICATORS Summary of the sample design for PMA2014/Uganda-R1: PMA2014/Uganda, the first round of data collection in Uganda, used a two- stage cluster design with urban/rural

More information

Institutional information. Concepts and definitions

Institutional information. Concepts and definitions Goal: 5 Achieve gender equality and empower all women and girls Target 5.6: Ensure universal access to sexual and reproductive health and reproductive rights as agreed in accordance with the Programme

More information

Indonesia and Family Planning: An overview

Indonesia and Family Planning: An overview Indonesia and Family Planning: An overview Background Indonesia comprises a cluster of about 17 000 islands that fall between the continents of Asia and Australia. Of these, five large islands (Sumatra,

More information

Estimation of contraceptive prevalence and unmet need for family planning in Africa and worldwide,

Estimation of contraceptive prevalence and unmet need for family planning in Africa and worldwide, Estimation of contraceptive prevalence and unmet need for family planning in Africa and worldwide, 1970-2015 Leontine Alkema, Ann Biddlecom and Vladimira Kantorova* 13 October 2011 Short abstract: Trends

More information

The Effect of HIV/AIDS on Fertility: What Role Are Proximate Determinants Playing? J. Alice Nixon University of Maryland

The Effect of HIV/AIDS on Fertility: What Role Are Proximate Determinants Playing? J. Alice Nixon University of Maryland The Effect of HIV/AIDS on Fertility: What Role Are Proximate Determinants Playing? J. Alice Nixon University of Maryland 1 The global fertility rate has dropped significantly over the past 50 years from

More information

CHAPTER 4 CONTRACEPTIVE KNOWLEDGE, EVER USE, ACCEPTABILITY, AVAILABILITY, AND REASONS FOR NONUSE

CHAPTER 4 CONTRACEPTIVE KNOWLEDGE, EVER USE, ACCEPTABILITY, AVAILABILITY, AND REASONS FOR NONUSE CHAPTER 4 CONTRACEPTIVE KNOWLEDGE, EVER USE, ACCEPTABILITY, AVAILABILITY, AND REASONS FOR NONUSE 4.1 Introduction A major focus of the experimental questionnaire is the subject of contraception. For the

More information

Natural Family Planning (NFP) Research Study

Natural Family Planning (NFP) Research Study Natural Family Planning (NFP) Research Study David Fine Karen Dluhosh Sarah Goldenkranz Center for Health Training Seattle, WA January, 2009 Study Aims/Goals Exploratory and descriptive study which aims

More information

Myanmar and Birth Spacing: An overview

Myanmar and Birth Spacing: An overview Myanmar and Birth Spacing: An overview Background Myanmar is bordered by three of the world s most populous countries: China, India and Bangladesh. The total population of Myanmar is 59.13 million and,

More information

Elements of Reproductive Health

Elements of Reproductive Health SEXUAL& REPRODUCTIVE HEALTH and HIV/AIDS INTEGRATION: Issues for consideration Dr. Chris Baryomunsi, MP Parliament of Uganda Elements of Reproductive Health Safe motherhood Family Planning Prevention and

More information

CHAPTER 4 CONTRACEPTION

CHAPTER 4 CONTRACEPTION CHAPTER 4 CONTRACEPTION Talaibek S. Builashev, Jumabubu A. Doskeeva and Maken S. Mysyraliev A primary function of family planning programs is to advocate conscious entry into parenthood for both men and

More information

DHS WORKING PAPERS. Changes in Contraceptive Use Dynamics in Egypt: Analysis of the 2008 and 2014 Demographic and Health Surveys

DHS WORKING PAPERS. Changes in Contraceptive Use Dynamics in Egypt: Analysis of the 2008 and 2014 Demographic and Health Surveys DHS WORKING PAPERS Changes in Contraceptive Use Dynamics in Egypt: Analysis of the 2008 and 2014 Demographic and Health Surveys Mona Khalifa Wafaa Abdel Aziz Hussein Soliman Ehab Sakr 2017 No. 132 July

More information

Global Resources Required to Expand Family Planning Services in Low- and Middle-Income Countries. John Stover, Eva Weissman, September 2010 John Ross

Global Resources Required to Expand Family Planning Services in Low- and Middle-Income Countries. John Stover, Eva Weissman, September 2010 John Ross Global Resources Required to Expand Family Planning Services in Low- and Middle-Income Countries John Stover, Eva Weissman, September 2010 John Ross Purpose and Approach Purpose To understand the resources

More information

Visionary Development Goal on Sexual and Reproductive Health & Rights

Visionary Development Goal on Sexual and Reproductive Health & Rights Visionary Development Goal on Sexual and Reproductive Health & Rights Sexual and reproductive health and rights (SRHR) are inter-linked to all key development agendas and are central to human health and

More information

Supporting Agency Coordination and Cooperation in the Development of Contraceptive Methods Appropriate for Provision and Use in Low Resource Settings

Supporting Agency Coordination and Cooperation in the Development of Contraceptive Methods Appropriate for Provision and Use in Low Resource Settings Supporting Agency Coordination and Cooperation in the Development of Contraceptive Methods Appropriate for Provision and Use in Low Resource Settings Judy Manning, PhD Office of Population & Reproductive

More information

KNOWLEDGE AND USE OF CONTRACEPTION AMONG MARRIED WOMEN

KNOWLEDGE AND USE OF CONTRACEPTION AMONG MARRIED WOMEN Academic Voices A Multidisciplinary Journal Volume 5, N0. 1, 2015 ISSN 2091-1106 KNOWLEDGE AND USE OF CONTRACEPTION AMONG MARRIED WOMEN Raj Kumar Yadav Department Population Education, TU, Thakur Ram Multiple

More information

CHAPTER 5 FAMILY PLANNING

CHAPTER 5 FAMILY PLANNING CHAPTER 5 FAMILY PLANNING The National Family Welfare Programme in India has traditionally sought to promote responsible and planned parenthood through voluntary and free choice of family planning methods

More information

Why do we need male contraceptive methods?

Why do we need male contraceptive methods? Why do we need male contraceptive methods? Kirsten M Vogelsong UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP) World Health Organization

More information

HIV/AIDS MODULE. Rationale

HIV/AIDS MODULE. Rationale HIV/AIDS MODULE Rationale According to WHO HIV/AIDS remains one of the world's most significant public health challenges, particularly in low- and middle-income countries. As a result of recent advances

More information

Does your family planning program need a Reality Check? Leah Jarvis, MPH Program Associate for Monitoring, Evaluation, and Research

Does your family planning program need a Reality Check? Leah Jarvis, MPH Program Associate for Monitoring, Evaluation, and Research Does your family planning program need a Reality Check? Leah Jarvis, MPH Program Associate for Monitoring, Evaluation, and Research Objectives By the end of the session, participants will be able to: Recognize

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations DP/FPA/CPD/NGA/7 Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 18 July2013

More information

Contraceptive Security for Long-Acting and Permanent Contraception (LA/PMs), & the Compelling Case for the Postpartum IUD

Contraceptive Security for Long-Acting and Permanent Contraception (LA/PMs), & the Compelling Case for the Postpartum IUD Contraceptive Security for Long-Acting and Permanent Contraception (LA/PMs), & the Compelling Case for the Postpartum IUD Roy Jacobstein, MD, MPH, and Jane Wickstrom, MA, EngenderHealth Global Health Mini-University,

More information

CONTRACEPTIVES SAVE LIVES

CONTRACEPTIVES SAVE LIVES CONTRACEPTIVES SAVE LIVES Updated with technical feedback December 2012 Introduction In the developing world, particularly in Sub-Saharan Africa and South Asia, progress in reducing maternal and newborn

More information

Hormonal Implants Technical Update June 23, Jeff Spieler Senior Technical Advisor for Science and Technology GH/PRH

Hormonal Implants Technical Update June 23, Jeff Spieler Senior Technical Advisor for Science and Technology GH/PRH Hormonal Implants Technical Update June 23, 2009 Jeff Spieler Senior Technical Advisor for Science and Technology GH/PRH TOPICS: Elements of Successful FP Programs LAPMs Implants Introduction to the Implant

More information

HEATH COMMUNICATION COMPONENT. Endline Survey: Summary of Key Results

HEATH COMMUNICATION COMPONENT. Endline Survey: Summary of Key Results HEATH COMMUNICATION COMPONENT Endline Survey: Summary of Key Results Contact: Johns Hopkins Center for Communication Programs 111 Market Place, Suite 310 Baltimore, MD 21202 USA Telephone: +1-410-659-6300

More information

Uganda Actions for Acceleration FP2020

Uganda Actions for Acceleration FP2020 Uganda Actions for Acceleration FP2020 Other modern 2.7% Country Snapshot Country Snapshot Modern Contraceptive Method Mix Condoms (m) 13.7% Pills 8.2% Injection 51.8% Sterilization (f) 5.9% IUD 1.2% Sterilization

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 12 July 2011 Original:

More information

Vasectomy Overview. If Vasectomy Is Such a Good Method and It Is Why Has It Fared So Poorly in Our Family Planning Programs the Past 30 Years?

Vasectomy Overview. If Vasectomy Is Such a Good Method and It Is Why Has It Fared So Poorly in Our Family Planning Programs the Past 30 Years? Vasectomy Overview If Vasectomy Is Such a Good Method and It Is Why Has It Fared So Poorly in Our Family Planning Programs the Past 30 Years? Roy Jacobstein MD, MPH Long-Acting and Permanent Methods Community

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 25 April 2014 Original:

More information

National Family Health Survey-2. Bihar FAMILY PLANNING AND QUALITY OF CARE

National Family Health Survey-2. Bihar FAMILY PLANNING AND QUALITY OF CARE 1998-99 Bihar FAMILY PLANNING AND QUALITY OF CARE Family Planning and Quality of Care Knowledge Use Source Informed Choice and Follow-Up Unmet Need for Family Planning Trends in Knowledge of Contraceptive

More information

Marie Stopes International A human rights-based approach to reduce preventable maternal mortality and morbidity

Marie Stopes International A human rights-based approach to reduce preventable maternal mortality and morbidity Marie Stopes International A human rights-based approach to reduce preventable maternal mortality and morbidity Marie Stopes International (MSI) exists to support a woman s right to choose if and when

More information

FERTILITY AND FAMILY PLANNING TRENDS IN URBAN KENYA: A RESEARCH BRIEF

FERTILITY AND FAMILY PLANNING TRENDS IN URBAN KENYA: A RESEARCH BRIEF Your Resource for Urban Reproductive Health FERTILITY AND FAMILY PLANNING TRENDS IN URBAN KENYA: A RESEARCH BRIEF BACKGROUND Rapid urbanization in Kenya is putting pressure on infrastructure and eroding

More information

Contraception for Women and Couples with HIV. Knowledge Test

Contraception for Women and Couples with HIV. Knowledge Test Contraception for Women and Couples with HIV Knowledge Test Instructions: For each question below, check/tick all responses that apply. 1. Which statements accurately describe the impact of HIV/AIDS in

More information

Ethiopia Atlas of Key Demographic. and Health Indicators

Ethiopia Atlas of Key Demographic. and Health Indicators Ethiopia Atlas of Key Demographic and Health Indicators 2005 Ethiopia Atlas of Key Demographic and Health Indicators, 2005 Macro International Inc. Calverton, Maryland, USA September 2008 ETHIOPIANS AND

More information

the africa we want Why adolescent sexual and reproductive health is key for Africa s development

the africa we want Why adolescent sexual and reproductive health is key for Africa s development the africa we want Why adolescent sexual and reproductive health is key for Africa s development what unfpa strives for: Imagine a world where all adolescents and young people are healthy, productive and

More information

Rapid Assessment of Sexual and Reproductive Health

Rapid Assessment of Sexual and Reproductive Health BOTSWANA Rapid Assessment of Sexual and Reproductive Health and HIV Linkages This summary highlights the experiences, results and actions from the implementation of the Rapid Assessment Tool for Sexual

More information

Targeting Resources and Efforts to the Poor

Targeting Resources and Efforts to the Poor Targeting Resources and Efforts to the Poor Applying the EQUITY Framework A Case Study of Jharkhand, India Photo credits: Suneeta Sharma, Futures Group Dr. Rajna Mishra Improving Financial Access to Health

More information

Fertility management options for women in Azerbaijan

Fertility management options for women in Azerbaijan Fertility management options for women in Azerbaijan Nabat Mursagulova November 2006 Boston, MA Annual APHA Conference Republic of Azerbaijan RUSSIA Caspian Sea Area 86,600 km2 Population 8.3 million IRAN

More information

CARE S PERSPECTIVE ON THE MDGs Building on success to accelerate progress towards 2015 MDG Summit, September 2010

CARE S PERSPECTIVE ON THE MDGs Building on success to accelerate progress towards 2015 MDG Summit, September 2010 CARE S PERSPECTIVE ON THE MDGs Building on success to accelerate progress towards 2015 MDG Summit, 20-22 September 2010 MDG Goal 5: Improve Maternal Health Target 1: Reduce by three-quarters, between 1990

More information

Tajikistan - Demographic and Health Survey 2012

Tajikistan - Demographic and Health Survey 2012 Microdata Library Tajikistan - Demographic and Health Survey 2012 Statistical Agency - Republic of Tajikistan, Ministry of Health - Republic of Tajikistan Report generated on: June 8, 2017 Visit our data

More information

Investing in Family Planning/ Childbirth Spacing Will Save Lives and Promote National Development

Investing in Family Planning/ Childbirth Spacing Will Save Lives and Promote National Development Investing in Family Planning/ Childbirth Spacing Will Save Lives and Promote National Development Fact Sheet prevents Nigerian families and, in particular, the poor from using FP to improve their well-being.

More information

41% HOUSEHOLD DECISIONMAKING AND CONTRACEPTIVE USE IN ZAMBIA. Research Brief. Despite Available Family Planning Services, Unmet Need Is High

41% HOUSEHOLD DECISIONMAKING AND CONTRACEPTIVE USE IN ZAMBIA. Research Brief. Despite Available Family Planning Services, Unmet Need Is High Research Brief NOVEMBER 2013 BY KATE BELOHLAV AND MAHESH KARRA HOUSEHOLD DECISIONMAKING AND CONTRACEPTIVE USE IN ZAMBIA Unmet need is the percentage of women who do not want to become pregnant but are

More information

ZIMBABWE: Humanitarian & Development Indicators - Trends (As of 20 June 2012)

ZIMBABWE: Humanitarian & Development Indicators - Trends (As of 20 June 2012) ZIMBABWE: Humanitarian & Development Indicators - Trends (As of 20 June Indicators Sub-Saharan Africa DEMOGRAPHY Population (million 842 (2012, UNDP Africa HDR) Zimbabwe Current Value (Data Date, Source)

More information

Swaziland Demographic and Health Survey

Swaziland Demographic and Health Survey Child Health and Nutrition One child in twelve born in Swaziland dies before reaching his fifth birthday; 70 percent of these deaths take place during the child s first year. The infant mortality rate

More information

Strategic Communication Framework for Hormonal Contraceptive Methods and Potential HIV-Related Risks. Beth Mallalieu October 22, 2015

Strategic Communication Framework for Hormonal Contraceptive Methods and Potential HIV-Related Risks. Beth Mallalieu October 22, 2015 Strategic Communication Framework for Hormonal Contraceptive Methods and Potential HIV-Related Risks Beth Mallalieu October 22, 2015 SHC vs. SBCC Strategic health communication (SHC) and social and behavior

More information

At a glance. 16 million adolescent girls between 15 and 19 are mothers every year

At a glance. 16 million adolescent girls between 15 and 19 are mothers every year At a glance 16 million adolescent girls between 15 and 19 are mothers every year Adolescent pregnancies are most common among poor and less educated girls and those living in rural areas Despite progress,

More information

LAO PDR. at a. April Country Context. Lao PDR: MDG 5 Status

LAO PDR. at a. April Country Context. Lao PDR: MDG 5 Status Reproductive Health at a GLANCE April 211 LAO PDR Country Context Lao PDR has made notable progress towards achieving some of its MDG goals thanks to a remarkable growth rate that averaged 7 percent during

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Executive Board of the Development Programme, the Population Fund and the United Nations Office for Project Services Distr.: General 31 July 2014 Original: English Second regular session 2014 2 to 5 September

More information

Meeting Unmet Need and Increasing Contraceptive Options and Services with Postpartum Family Planning

Meeting Unmet Need and Increasing Contraceptive Options and Services with Postpartum Family Planning Meeting Unmet Need and Increasing Contraceptive Options and Services with Postpartum Family Planning Roy Jacobstein, MD, MPH EngenderHealth FIGO panel, Post-partum contraception with a focus on post-partum

More information

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services

Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services United Nations Executive Board of the United Nations Development Programme, the United Nations Population Fund and the United Nations Office for Project Services Distr.: General 15 April 2011 Original:

More information

Integration of Contraceptive Counseling into HIV Services for Youth:

Integration of Contraceptive Counseling into HIV Services for Youth: Integration of Contraceptive Counseling into HIV Services for Youth: Findings and Future Directions Donna McCarraher, FHI Outline I. Brief overview of integration research in clinical settings II. YouthNet

More information

XVII INTERNATIONAL AIDS CONFERENCE MEXICO CITY, 3-8 August 2008 SCALING-UP NATIONAL PMTCT PROGRAM

XVII INTERNATIONAL AIDS CONFERENCE MEXICO CITY, 3-8 August 2008 SCALING-UP NATIONAL PMTCT PROGRAM XVII INTERNATIONAL AIDS CONFERENCE MEXICO CITY, 3-8 August 2008 SCALING-UP NATIONAL PMTCT PROGRAM Phasing more efficacious ARV regimen for PMTCT in resource limited setting Lessons Learned from RWANDA

More information

CALL FOR EXPRESSION OF INTEREST

CALL FOR EXPRESSION OF INTEREST CALL FOR EXPRESSION OF INTEREST Title: Domain: Organizational Unit: Type of contract: Duration of contract : Early and Unintended Pregnancy Campaign Development HIV and Health Education UNESCO Regional

More information

How Family Planning Saves the Lives of Mothers and Children and Promotes Economic Development

How Family Planning Saves the Lives of Mothers and Children and Promotes Economic Development ZIMBABWE How Family Planning Saves the Lives of Mothers and Children and Promotes Economic Development Ministry of Health and Child Care Zimbabwe National Family Planning Council Zimbabwe Cover photo:

More information

World Health Organization. A Sustainable Health Sector

World Health Organization. A Sustainable Health Sector World Health Organization A Sustainable Health Sector Response to HIV Global Health Sector Strategy for HIV/AIDS 2011-2015 (DRAFT OUTLINE FOR CONSULTATION) Version 2.1 15 July 2010 15 July 2010 1 GLOBAL

More information

Family planning service utilization in Mojo town, Ethiopia: A population based study

Family planning service utilization in Mojo town, Ethiopia: A population based study Journal of Geography and Regional Planning Vol. 4(6), pp. 355-363, June 2011 Available online at http://www.academicjournals.org/jgrp ISSN 2070-1845 2011 Academic Journals Full Length Research Paper Family

More information

Demographic and Health Profile. Ethiopia. Nigeria. Population is currently 73 million, annual growth rate is 2.4%

Demographic and Health Profile. Ethiopia. Nigeria. Population is currently 73 million, annual growth rate is 2.4% Adebola Adedimeji Demographic and Health Profile Nigeria Population is currently 150 million, annual growth rate is 2% Political structure- Federal Republic; 36 states, almost 800 local governments Multi-ethnic,

More information

الحمد هلل رب العالمين والصالة والسالم علي محمد الصادق الوعد األمين اللهم أخرجنا من ظلمات الجهل والوهم إلى نور المعرفة والعلم..

الحمد هلل رب العالمين والصالة والسالم علي محمد الصادق الوعد األمين اللهم أخرجنا من ظلمات الجهل والوهم إلى نور المعرفة والعلم.. الحمد هلل رب العالمين والصالة والسالم علي محمد الصادق الوعد األمين اللهم أخرجنا من ظلمات الجهل والوهم إلى نور المعرفة والعلم.. سيدنا 11/6/2013 1 Goals of Family Planning services : 1- Enable women and

More information

Understanding the Pattern of Contraceptive Discontinuation in India

Understanding the Pattern of Contraceptive Discontinuation in India Understanding the Pattern of Contraceptive Discontinuation in India Kiran Agrahari 1 Introduction The use of contraception among currently married women in India has increased from 41 percent in 1992-93

More information