Posts Tagged ‘family planning’

Gates Annual Letter Focuses on Poorest of the Poor

Thursday, January 26th, 2012 by Christopher Lindahl

Today, Bill Gates published his annual letter, which this year focuses on improving the lives of the poorest of the poor through innovations in agriculture and promoting global health issues, including vaccines, polio, HIV/AIDS, and family planning.

 

On family planning, Gates writes:

Globally, more than 200 million women say they don’t want to have a child within the next two years but aren’t using contraceptives. If families that wanted to wait a longer period between births or have fewer children had access to the right tools, two things would happen. First, those families would have an easier time facing the challenges of poverty. Second, as national population growth rates came down gradually, governments would be able to better meet the needs of all their people.

 

A significant number of women indicate that they would use modern family planning tools if they were available. Unfortunately, the funding to buy these tools, to make them cheaper, and to provide high-quality information to poor families has been lacking.

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The Alliance for RMNH After One Year

Wednesday, December 14th, 2011 by Christopher Lindahl

Written by: Alliance for Reproductive, Maternal and Newborn Health

 

“It is an international scandal that more than 350,000 women die in the developing world every year from complications in pregnancy or child birth that can be easily prevented.” These words were spoken by Andrew Mitchell, the UK’s International Development Secretary, at the September 2010 launch of the Alliance for Reproductive, Maternal and Newborn Health. Responding to this need, four key organizations in international health established a unique public-private partnership aimed at accelerating progress towards MDG 4— reducing child mortality— and MDG 5—improving reproductive and maternal health.

 

The Alliance represents a collaborative effort between the Australian Agency for International Development (AusAID), the UK’s Department for International Development (DFID), the US Agency for International Development (USAID), and the Bill and Melinda Gates Foundation. According to USAID Administrator Raj Shah, “by bringing the comparative advantages of country partners and donors through this Alliance, we will bolster health outcomes in countries striving to improve the lives and health of its women, girls, and newborns.”

 

The work of the Alliance focuses on forging effective partnerships to improve reproductive, maternal and newborn health programs in ten of the world’s high-need countries— Bangladesh, Ethiopia, India, Indonesia, Kenya, Nepal, Nigeria, Pakistan, Tanzania, and Uganda. As Australia’s Minister of Foreign Affairs, Kevin Rudd notes, “collectively we need to support country leadership, and make the investment case for more resources in return for better results.“ Working with these countries and globally, by 2015 the Alliance will contribute to three ambitious targets:

 

Read the rest of this entry »

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Maternal Health Supplies Mapping Survey

Monday, November 28th, 2011 by Christopher Lindahl

Please take a moment to assist our colleagues at PATH who are conducting a survey on maternal health supplies in collaboration with Population Action International and the Maternal Health Supplies Working Group. Your input is critical:

PATH is undergoing an in-depth landscape analysis of the barriers, challenges, and needs surrounding availability of and access to essential maternal health supplies. PATH recognizes the challenges to the delivery of quality MH services and reduction in maternal mortality and morbidity are myriad and complex. The intent of this landscaping is to inform recent efforts by the broader maternal and reproductive health communities to advance maternal health supplies advocacy by building upon the lessons learned and structures created by the reproductive health supplies movement. Their specific focus on overcoming the financial, logistical, and policy-related barriers to ensuring contraceptive supplies has helped to mobilize global support for and increase access to family planning overall.

 

As a first step, PATH is surveying key stakeholders regarding their maternal health supplies interests and expertise, activities, and resources. Your opinions and views are very important to this process. Please complete the survey by Friday, December 16, 2011.

 

To take the survey, click here.

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A Population of 7 Billion

Friday, October 28th, 2011 by Christopher Lindahl

On Monday, October 31, the world’s population will reach and surpass seven billion. By some estimates, the population will be over 10 billion by the end of the century. This year’s State of the World’s Population from UNFPA addresses the needs of a growing population:

This year’s State of World Population report, People and Possibilities in a World of 7 Billion, looks at the the dynamics behind the numbers. It explains the trends that are defining our world of 7 billion and documents actions that people in vastly different countries and circumstances are taking in their own communities to make the most of their–and our–world.

 

The report makes the case for sound planning and investing in people.

 

The UK Department for International Development (DFID) is also marking the milestone by ensuring that families have access to family planning methods and that women have control over their bodies:

The lack of choice women and girls have over their own lives and bodies is a major cause of poverty and contributes to rapid population growth.

 

For the millions of girls who are still children themselves, pregnancy means giving up school and the chance of an education that would allow them to support themselves and their families.

 

Today, 215 million women who would like to delay or avoid having children are unable to do so. Globally meeting this need for family planning could avoid around a third of maternal deaths and a fifth of newborn deaths, and save an estimated $5.1 billion dollars.

 

Over the next four years, British aid is changing lives by making it possible for at least 10 million more women to use modern methods of family planning so that they can decide for themselves whether, when and how many children to have.

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Water and sanitation linkages to MH and FP

Thursday, October 27th, 2011 by Christopher Lindahl

Earlier this year, we ran a series of posts exploring linkages between water, sanitation and maternal health. WASH for Mothers included issues such as health systems, integrating maternal care and water delivery, and infection prevention, among others.

 

This week, GlobalPost interviewed Ambassador Jan Eliasson, the former President of the United Nations General Assembly and Sweden’s former Minister for Foreign Affairs, about a growing population and the MDGs. One of the prominent topics involved clean water and maternal health:

I see progress on water, but I see great problems on sanitation. At the rate we’re going, countries may have to wait for over 100 years for the sanitation MDG goals to be achieved. Toilets are more of a taboo than clean drinking water. But if we expand access to clean drinking water, then maternal health will improve dramatically. So many women are dying in childbirth because of lack of clean water.

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Can MH services be an avenue for family planning?

Wednesday, August 31st, 2011 by Christopher Lindahl

Increasing access to modern contraceptive methods is a priority in many countries. However, how best to reach women and provide family planning is not always clear. A new report from MEASURE Evaluation suggests that maternal health services, particularly antenatal care visits may provide an opportunity to for mothers to receive family planning services:

This study examines the associations between the use of maternal health care (including ANC and PNC services) and postpartum modern FP practice in Kenya and Zambia. The study results indicate a positive association between the intensity of ANC and PNC services and postpartum use of modern contraception in both countries. The more intensively women use ANC and PNC services, the more likely they go on to adopt a modern method of contraception after the index childbirth…In addition, we found that when maternal health care was disaggregated into ANC and PNC services, only the use of ANC services was found to be significantly related to postpartum modern contraceptive use.

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Reproductive health in conflict settings

Thursday, July 28th, 2011 by Christopher Lindahl

During conflicts and displacement, the need for reproductive health services does not disappear. A new paper in BMC Health and Conflict reports on baseline findings from surveys of women in conflict settings in Uganda, Sudan, and the DRC.

The authors conclude:

Family planning services are a critical means of meeting women’s and men’s health needs and human rights in all countries of the world, including those affected by conflict. Data show a demand for spacing and limiting births among women in these sites, just as elsewhere in Africa; however, in these sites, the demand has far outstripped the available services. To fill this gap, family planning programs must be strengthened in sub-Saharan Africa, and refugees and displaced people must be included in national and donors’ health and development plans. Moreover, all parties must maintain a longterm perspective, particularly in conflict-affected states, since history shows that progress in meeting communities’ reproductive health needs has been slow even in countries at peace.

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Esther Duflo at the Pop Council

Thursday, May 26th, 2011 by Christopher Lindahl

Yesterday, we had the opportunity to go to the Population Council’s New York office for a Poverty, Gender and Youth Seminar with Esther Duflo from MIT. As a coauthor (along with Abhijit V. Banerjee) of the recently published Poor Economics: A Radical Rethinking of the Way to Fight Global Poverty, Duflo discussed the chapter of the book that focuses on population and family. She argued that many of the family planning and population policies internationally and at the country level are based on two assumptions, for which, the evidence is perhaps not as strong as we think.

 

1. Big families are bad
Because of the easy to see association between fertility rates and gross domestic product per capita, assumptions are made that smaller families will lead to richer people. However, there isn’t evidence that the causal relationship is in that direction. It’s possible that getting richer leads to smaller families. Duflo discussed two types of studies (”fertility shocks”1 and study on China’s one-child policy2) to provide evidence as to why big families are not necessarily bad for children. However, given that a fixed number of resources must be spread out between a larger number of people, they suggest that it is, in fact, mothers who often lose out as family size grows. Larger families sizes are associated with a reduced opportunity for women to work and control finances within the family.

 

2. Lack of access to contraceptives leads to large families
Duflo argued that low usage of contraceptives is not necessarily an indication of a lack of access to contraceptives.3,4 She and Banerjee conclude on the topic: “Contraceptive access may make people happy by giving them a much more convenient way to control their fertility than the available alternative. But it appears to do, in itself, little to reduce fertility” (110).

 

Duflo and Banerjee argue that some of the major causes of large families are cultural norms, the fact that children are “financial instruments” who may care for parents in old age, and a lack of agency within the family for women.

 

Overall, the book and discussion challenge assumptions we have about the poor and how to improve the lives of the poor. While getting policies, institutions and systems right can be extremely difficult, Duflo and Banerjee identify a number of surprising interventions that can improve people’s lives. Taken as a whole, the book shows the interconnectedness of many factors relating to poverty alleviation. The chapter on population concludes that proper policies and interventions that will most effectively address population having little to do with it directly:

The most effective population policy might therefore be to make it unnecessary to have so many children (in particular, so many male children). Effective social safety nets (such as health insurance or old age pensions) or even the kind of financial development that enables people to profitably save for retirement could lead to a substantial reduction in fertility and perhaps also less discrimination against girls (125).

 


1. Joshua Angrist, Victor Lavy, and Analia Schlosser, “New Evidence on the Causal Link Between the Quantity and Quality of Children,” NBER Working Paper W11835 (2005).
2. Nancy Qian, “Quantity-Quality and the One Child Policy: The Positive Effect of Family Size on School Enrollment in China,” NBER Working Paper W14973 (2009).
3. Mark Pitt, Mark Rosenzweig, and Donna Gibbons, “The Determinants and Consequences of the Placement of Government Programs in Indonesia,” World Bank Economic Review 7(3) (1993): 319-348.
4. Lant H. Pritchett, “Desired Fertility and the Impact of Population Policies,” Population and Development Reivew 20(1) (1994): 1-55.

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Weekend Reading

Friday, April 29th, 2011 by Christopher Lindahl

This week on the MHTF blog:

  1. We wrote about the connection between malaria and maternal health
  2. A film about maternal health will be featured by The Economist Film Project
  3. Reports from a hospital in Libya
  4. More on stillbirths from The Lancet
  5. A post about stillbirths and maternal mental health

Some reading for the weekend:

  1. Reducing maternal mortality in remote settings
  2. Using information and data to improve health
  3. Attempting to understand the lives of the poor
  4. A number of takes on family planning and US foreign policy
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Small Grants to Support Research in Family Planning Request for Proposals

Friday, April 8th, 2011 by Christopher Lindahl

The MEASURE Evaluation Population & Reproductive Health Associate Award (PRH) is pleased to announce its second call for proposals for its small grants program to increase the evidence base in family planning (FP). The primary objectives of this program are threefold:

  1. To support research efforts of developing country researchers and research institutions to provide needed information that informs FP policy and programmatic decision-making.
  2. To increase use of existing data that informs local and/or global FP programs. Such data sources may include the DHS, SPA, BSS, and high-quality, country-specific data.
  3. To increase use of research findings by policy and programmatic decision-makers not traditionally involved in the research process.

 

The small grants are intended to support primary and secondary data analysis – especially national program or policy evaluation – and data use activities based on research findings. Small grant recipients are expected to produce a publishable manuscript and complete a data use activity.

 

For more information and to learn how to apply, visit the MEASURE Evaluation site.

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