It is only proper for women to have direct influence over their lives. 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. Obstetric Anesthesia Digest. 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. Burkina Faso vowed to build on successes to strengthen task sharing programmes through the recruitment and training of lay- and auxiliary-level healthcare providers by the Ministry of Health. Ghanas main next step in task sharing for family planning is to initiate a Midwifery Assistant programme. WHO Recommendations on antenatal care for a positive pregnancy experience: summary. Implant users increased from 11 users per provider in 2013 to 18 users per provider as of 2018 (DHIMS2). This can lead to higher rates of unintended pregnancy, increased risk of HIV and other STIs, limited choice of contraceptive methods, and higher levels of unmet need for family planning. Moreover, they share common priorities: advocacy, capacity building, and financial pledge for impact sustainability. Adverse circumstances were limited to a small number of poor-performing family planning providers. Notable challenges included data reporting, as routine paper-based reporting system was solely used, and financial constraints. BMJ Glob Health. SEOUL . Towards achieving the family planning targets in the African region: a rapid review of task sharing policies. Pills taken to prevent pregnancy up to 5 days after unprotected sex. Bull World Health Organ. 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. Majority of Ethiopias population is made up of young people, with 45% representing those under 15years old and 71% under 30years old [32]. family planning This evidence corroborates our findings. , a boost in economic productivity that occurs when there are growing numbers of people in the workforce and falling numbers of dependents. Only one contraceptive method, condoms, can prevent both a pregnancy and the transmission of sexually transmitted infections, including HIV. Kietpeerakool C, et al. UNFPA never promotes abortion as a form of family planning. UNFPA is a key partner in the Family Planning 2030 (FP2030) global partnership,which aims to achieve voluntary modern contraceptive use by anyone who wants it. National Statistics Council Burkina Faso, Burkina Faso Health Statistical Yearbook 2010. 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. That is why we (FP2030) are in Africa today.. This threatens their ability to build a better future for themselves, their families and their communities. Ces donnes factuelles visent promouvoir la mise en uvre et l'extension des programmes de partage des tches dans les pays d'Afrique sub-saharienne par l'OMS. When autocomplete results are available use up and down arrows to review and enter to select. Addis Ababa, Ethiopia, and Rockville: Central Statistical Agency (CSA); 2017. 2018;18(1):18. Partial results showed an increase in new users. Provision of Implanon was shifted from healthcare facility level to community level. SECTION 2 Program Progress, Resilience, and Innovation Digital Health Compendium: Harnessing the Power of Digital Health Technology for Family Planning and Reproductive Health, American Community Survey (ACS) Data Users Group, MOMENTUM: A Global Partnership for Health and Resilience, PACE (Policy, Advocacy, and Communication Enhanced). An additional 70 million women are projected to be added by 2030 [5]. In the late 1980s and 1990s, periods of The implication of the shortage of health workforce specialist on universal health coverage in Kenya. Section 4 examines the extent to which family planning programs have reached women regardless of economic status, enriching our understanding of whether poverty is affecting family planning use. Each participating village received two community health workers (CHWs) trained to provide injectable contraception (Sayana press) in addition to contraceptive pills. 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. Secondly, data on the type of task sharing intervention packages were collected. 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. 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. Choices and Challenges: Dynamics of Contraceptive Use, Interactive. Self-care: Meeting contraception needs in Africa Licence: CC BY-NC-SA 3.0 IGO. With all of the projects that Ripple Africa is involved with in Malawi fish conservation, forest conservation, education or healthcare the major problems arise because of the rapid population growth. 2016;41(1):1. The small sample size of key informants who provided information to the RPR could be considered a limitation to the study. Obstetric Fistula Strategic Plan 2022 - Regional Office for Africa Effectiveness of methods is measured by the number of pregnancies per 100 women using the method per year. 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.. WebFP2020 is a global partnership to empower women and girls by investing in rights-based family planning. The World Health Organization (WHO) recommends task sharing as an important strategy to improve access to sexual and reproductive healthcare services by addressing shortage of healthcare providers. The study team used data from Performance Monitoring for Action (PMA) surveys, formerly Performance and Accountability 2020 (PMA2020), all undertaken since 2012, which involved women ages 15 49. physicians) to lay- and mid-level healthcare professionals (i.e. WHO guidelines and the role of the physician in task sharing in safe abortion care. New York: United Nations. 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 . One of the key barriers to the availability and accessibility of family planning services in sub-Saharan Africa is the critical dearth of qualified health care providers. Africa High rate of unplanned pregnancy in the context of integrated family planning and HIV care services in South Africa. Part of 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. This is a welcome development given the increase in unwanted sex, a key aspect of sexual and gender-based violence. 2019;9(12):e031666. EH validated the content and edited the manuscript before submission. 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. Moreover, contraceptive prevalence rate has doubled every five years from 2000 (CPR=6.1%) to 2019 (CPR=41%). Access to safe, voluntary family planning is a human right. 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. 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. 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]. This escalation indicates Africas growing fertility rate [2]. Family planning can also help countries realize a demographic dividend, a boost in economic productivity that occurs when there are growing numbers of people in the workforce and falling numbers of dependents. family planning It stood out that the strong commitment and stewardship of health authorities from the top to the bottom levels, the expansion of contraceptive options, the community involvement, and the improved financial and geographic accessibility of family planning services played an important facilitating role. 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. Webrole the promotion of literacy, family planning, immunizations, and other economic development activities. Google Scholar. Kumar S, Kumar N, Vivekadhish S. Millennium development goals (MDGS) to sustainable development goals (SDGS): Addressing unfinished agenda and strengthening sustainable development and partnership. 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. Amidst the stories to change, one is fast becoming a favourite - family planning. family planning Acommitment maker since 2012 and a member of both the Ouagadougou Partnership and SWEDD (Sahel Womens Empowerment and Demographic Dividend project), Burkina Faso has taken its FP2020 commitment seriously through its 20172020 RH/FP strategy, which incorporates task sharing for family planning [30]. 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. Accessed 23 Aug 2020 at 00:37 (GMT+2). Given the availability of enough data-points, baseline and midterm data were used to trace an indicator trend line. 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]. Abuja, Nigeria, and Rockville, Maryland, USA: NPC and ICF; 2019. statement and In Ghana and Nigeria, there has been an increase in the number of new users with a significant uptake of Implants and IUCDs. A full list of countries that participated in the meeting is provided in Box 2. L'Organisation mondiale de la Sant (OMS) recommande le partage des tches comme stratgie importante pour amliorer l'accs aux services de sant sexuelle et reproductive en sattaquant la pnurie des prestataires de soins de sant. Based on WHO recommendations in Box 1, however, it is not recommended for lay-level health workers to insert and remove IUCD. 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. A couple of notable challenges concerned funding gaps and the uneven distribution of CHNs in task sharing. Terms and Conditions, 2017;127:1324. Salaried and voluntary community health workers: exploring how incentives and expectation gaps influence motivation. Date: Wednesday, 31 May 2023. Reprod Health. This 1.4 percent benchmark is considered ambitious because it is substantially higher than the historical rate of annualincrease. Your privacy choices/Manage cookies we use in the preference centre. Owing to the limited number of data-points (often only two data-points), a trend line was only possible for Ghana and Nigeria. New York: Division for Sustainable Development Goals; 2015. Data was analysed in two steps. WebThis second edition of Family Planning Methods and Practice: Africa is the product of collaboration between African and American colleagues, the Centers for Disease 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/. PLoS ONE. 2018: Accra. If a bottle of Coca Cola can reach a woman in the village, why can't family planning reach that same woman?. The Future of Family Planning in Africa | PRB The Nigerian government has created a multiplier effect in years to come with this investment. UNFPA works to support family planning by: ensuring a steady, reliable supply of quality contraceptives; strengthening national health systems; advocating for policies supportive of family planning; and gathering data to support this work. Family Planning Services in Africa: The Successes and Challenges
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