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Family Planning & Reproductive Health

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Family Planning Experts Launch Task Force In Support Of International Conference On Population And Development Goals

“Gathered at the Ford Foundation in New York Monday, international luminaries, family planning experts and women’s rights activists” gathered “to mark the launch of a new 26-member high-level task force to galvanize support behind the goals of the International Conference on Population and Development (ICPD),” Inter Press Service reports, adding, “That conference took place nearly two decades ago, in Cairo, Egypt in 1994” and “resulted in a Programme of Action that become the guiding document for the United Nations Population Fund, UNFPA.”

Reuters Examines Debate Over Proposed Reproductive Health Bill In The Philippines

Reuters examines how Philippine President Benigno Aquino is supporting “a reproductive health bill that will, if passed by the two houses of Congress, guarantee access to free birth control and promote sex education,” despite the “country’s powerful Catholic church.” According to the news service, “The predominately Catholic country has one of Asia’s fastest-growing populations together with significant levels of chronic poverty,” which has stunted economic growth. “Economists say high population growth is a primary factor for that, but the church … says population growth is not a cause of poverty and that people need jobs, not contraception,” Reuters writes. “But despite the arguments of the church and political opponents who decry using state funds to finance contraception, a poll last year showed about 70 percent of people support the bill,” according to the news service, which notes, “Its backers want it passed during the term of this congress, which ends in June” (Lema, 10/2).

Experts Worried Political Commitment, Health Services Delivery Still Lacking Despite Efforts To Improve Family Planning In Uganda

“Family planning advocates in Uganda have scored some major financial and policy wins this year, but experts remain concerned that inadequate political commitment and poor health services will continue to impede women’s and girls’ access to contraceptives,” IRIN reports. With one of the fastest growing populations in the world, Uganda’s “President Yoweri Museveni announced that his government would increase its annual expenditure on family planning supplies from $3.3 million to $5 million for the next five years” and he “pledged to mobilize an additional $5 million from the country’s donors,” the news service writes. In addition, the “Ministry of Health has laid out a roadmap for providing universal access to family planning, involving the integration of family planning into other health services,” the news service notes.

Key Themes Related To Integrating Reproductive Health, Other Health Services

Integrating reproductive health and other services, such as HIV care, “makes sense, and there is emerging evidence that it can be associated with a host of benefits, such as improved uptake of services, enhanced program efficiency, and even improved health outcomes when compared to separate services,” Gavin Yamey, who leads E2Pi in the Global Health Group at the University of California-San Francisco (UCSF), and Craig Cohen, a professor in-residence in the UCSF Department of Obstetrics, Gynecology and Reproductive Sciences, write in the PLoS blog “Speaking of Medicine.” They describe five key themes that emerged last month at the Integration for Impact conference, co-hosted by the Kenya Medical Research Institute, the Kenyan government, and UCSF. They write, “The emphasis was on presenting the latest research findings, exploring the policy implications of this evidence, and laying out the unanswered research questions,” and describe the five themes, including keeping human rights at the forefront and better defining and measuring integration (10/3).

IRIN Examines Unsafe Abortion, Access To Contraceptives In Kenya

IRIN examines unsafe abortion and access to contraceptives in Kenya, writing, “Despite the medical risks associated with unsafe abortions, many women in Kenya continue to seek these services. Experts say only a scale-up of access to, and promotion of, contraceptives among sexually active women can reduce it.” According to the news service, “[e]xperts say that for practical purposes, the government must do more to enable women and girls to prevent unwanted pregnancies.” The 2009 Kenya Demographic and Health Survey showed that about one-quarter of married women in Kenya “have an unmet need for family planning — they would like to space their children or stop having children but are not using any form of contraception,” IRIN notes. According to the news service, “Shahnaz Sharif, director of public health, told IRIN the government was working to increase awareness and uptake of contraceptives” (10/3).

Many Factors Contribute To High Number Of Abortions In China, Scholars Say

The New York Times’ “IHT Rendezvous” blog examines factors contributing to the more than 13 million abortions that occur in China every year, the highest number of any country worldwide. Though China’s so-called “one-child policy” is a contributing factor, “with women coerced into aborting ‘out of plan’ children by the threat of heavy fines or the loss of a job — or, in some cases, physically forced to abort,” some “scholars are now pointing to a new factor — under-25 women who, if they are unmarried, do not directly fall within the remit of the family planners,” the blog writes. A recent survey by China’s Research Institute of the National Population and Family Planning Commission estimates six million abortions occur annually among this group, the blog adds. This highlights other issues, the blog notes, including young people’s increased sexual freedoms and a culture and tradition that remains reluctant to discuss sex education, leaving young women without the knowledge of how to use contraception. “Yet gradually, people are beginning to talk more openly about what had long often been discussed only in absolute privacy,” the blog writes and provides some examples (Tatlow, 10/19).

Blog Examines PEPFAR Restrictions Regarding Family Planning

“Though the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) has been touted as one of our nation’s most successful initiatives in global health (and certainly one of President George W. Bush’s most positive legacies) it continues to miss the mark” when it comes to family planning, global gender specialist and freelance writer Jessica Mack writes in KPLU 88.5’s “Humanosphere” blog. “The essential role of contraception, especially barrier methods, in preventing the spread of HIV/AIDS is intuitive, obvious, and also well documented,” she writes. “While earlier PEPFAR rules did not specifically dictate whether or not funding could be used for contraceptive supplies, the language over the last few years has become increasingly restrictive on this point,” she continues, noting that PEPFAR’s recently released 2013 country operational plan (COP) forbids the use of PEPFAR funds to purchase family planning commodities. Mack concludes, “PEPFAR is simply flying directly in the face of the Global Health Initiative’s vision and the stated objectives of the Obama Administration” (10/25).

Improving Global Maternal Mortality, Women's Health And Related U.S. Foreign Policy

In the Center for Strategic & International Studies’ (CSIS) “Smart Global Health” blog, Phillip Nieburg, senior associate of the CSIS Global Health Policy Center, discusses a recent report (.pdf) he wrote, titled “Improving Maternal Mortality and Other Aspects of Women’s Health: The United States’ Global Role,” “that addresses key challenges to improving maternal mortality and women’s health worldwide and talks about what the related priorities of U.S. foreign policy should be.” He says, “Rather than continuing what appears to me as a piecemeal approach to global aspects of reproductive health, with separate programs to address, e.g., gender-based violence, women and HIV/AIDS, maternal mortality, family planning, cervical cancer, girls’ education, etc., I argue in my report that the United States should develop and implement a comprehensive global plan for women’s health that includes males as well as females, using coordinated prevention and care programming for each stage of the reproductive health life cycle” (10/25).

Examining How Issue Of Abortion Portrayed In Kenyan Constitution

In an opinion piece in the Huffington Post’s “Global Motherhood” blog, David Olson, a global health communications consultant who worked as a communications adviser to the Reproductive Health and Rights Alliance in Kenya earlier this year, describes how “abortion rights [in the country] have been liberalized in certain cases in a Constitution approved in a public referendum two years ago.” He continues, “The new constitution says clearly that ‘the life of a person begins at conception’ and ‘abortion is not permitted unless…'” Olson writes, “And that innocuous ‘unless’ is what keeps the abortion issue alive in Kenya, almost two years after the constitutional referendum: ‘…unless, in the opinion of a trained health professional, there is need for emergency treatment, or the life or health of the mother is in danger, or if permitted by any other written law.'”

Uruguay's Congress Approves Bill To Legalize Abortion During First Trimester

“Uruguay’s Congress voted narrowly on Wednesday to legalize abortions during the first 12 weeks of pregnancy, a rare move in largely Catholic Latin America that underscores the country’s liberal leanings,” Reuters reports. “President Jose Mujica, a former leftist guerrilla fighter, has said he would sign the bill into law,” the news service notes (Castaldi, 10/17). “[T]he bill approved by Uruguay’s Senate came after a pointed debate among legislators, producing a compromise that disappointed both abortion-rights groups and opponents, who have vowed to carry out a referendum to overturn the legislation,” the New York Times writes, adding, “Legislators carefully worded the bill, describing it not as legalization of abortion but as a decriminalization measure.” The newspaper writes, “The bill effectively legalizes abortion in the first trimester, permits abortion through 14 weeks of pregnancy in cases of rape and allows later-term abortions when a woman’s health is at risk” (Romero et al., 10/17).