“Young or old, family planning should be a simple and personal decision made by informed individuals or couples regarding how often and when to have children,” Anne Alan Sizomu, the advocacy officer for Deutsche Stiftung Weltbevoelkerung’s (DSW) Uganda country office, writes in this post in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, published in partnership with Women Deliver as part of a series on youth perspectives to recognize World Contraception Day, observed annually on September 26. “In order to make informed decisions regarding their future, it is important for young people to have access to timely information and contraceptives,” she continues, adding, “Young people need to demand their reproductive health rights — including access to contraceptives and the ability to decide when to have children” (9/17).
Family Planning & Reproductive Health
As more people move into the urban slum areas surrounding Bangladesh’s capital, Dhaka, basic services such as water, sanitation and health care are being stretched to capacity by “[n]ew residents [who] are increasingly pushed out to the city’s fringes,” the Guardian reports. “According to health care workers, hospitals are already unable to meet the growing demand for treatment and services,” the newspaper writes, adding, “Dhaka’s largest hospital is operating at 50 percent staff capacity and trying to accommodate 3,000 patients in a facility with just 800 beds.” In addition, “no health care facilities are provided in the slums, [so] Dhaka’s newest — and poorest — residents are facing a health care black hole,” according to the Guardian. The news service says women and girls “most often fall through the cracks,” and describes one project “that aims to bridge this gap and prevent urbanization creating a free fall in maternal and infant mortality levels” (Kelly, 9/18).
The Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, in partnership with Women Deliver, on Friday published two posts on youth perspectives to celebrate World Contraception Day, observed annually on September 26. In the first post, Wanzala Martin, a social worker and co-founder of Allied Youth Initiative-Uganda, writes about access to contraceptives and sexual and reproductive health for young people with disabilities, saying, “The health of youth with disabilities is a human rights issue and is a fundamental pillar for progress on Africa’s road to achieving the Millennium Development Goals by 2015” (9/14). In the second post, Aiste Dackauskaite, an advocacy project coordinator at the Lithuanian Family Planning and Sexual Health Association, writes about barriers to and myths about contraceptives in Lithuania, which has the lowest levels of contraceptive use in Europe (9/14).
In this post in the Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, published in partnership with Women Deliver as part of a series on youth perspectives to recognize World Contraception Day, observed annually on September 26, youth activist Cecilia Garcia Ruiz writes, “For six years we’ve worked to shine a spotlight on these key issues, but some people still disregard the importance of providing universal access to quality contraceptive services and information to prevent unplanned pregnancies, especially among young people.” She discusses barriers to accessing contraceptive methods and information, and continues, “These problems not only undermine our well-being, but also hinder our possibilities to develop our full potential. Therefore, young people’s access to contraceptive information and services becomes a human rights issue” (9/13).
The Bill & Melinda Gates Foundation’s “Impatient Optimists” blog, in partnership with Women Deliver, on Wednesday published two posts on youth perspectives to celebrate World Contraception Day, observed annually on September 26. In the first, Yemurai Nyoni, a 22 year old youth advocate for sexual and reproductive health from Bulawayo, Zimbabwe, writes, “[A]s a young person living in Africa, it is often difficult for us to realize our sexual and reproductive health and rights, especially when it comes to family planning,” adding, “As we celebrate World Contraception Day, I call upon African leaders to engage their conscience, apply adequate reason, and take urgent actions to facilitate increased access to and utilization of family planning services by sexually active young people” (9/12). In the second, Janna Oberdorf, a journalist and communications specialist at Women Deliver, writes, “Young people have the right to access accurate and unbiased information about contraception and safe sex, which they need to prevent unwanted pregnancies, sexually transmitted infections (STIs), and improve their lives in a number of ways. … Access to quality health services and supplies and accurate information is a basic right, and young people around the world are beginning to mobilize” (9/12).
In a post on IntraHealth’s “Global Health Blog,” Rebecca Kohler, senior vice president of corporate strategy and development at IntraHealth, writes about an event held last week on the sidelines of the Democratic National Convention (DNC) that “focused on the vital role of women’s health in foreign policy.” She writes, “I was encouraged by the level of commitment to a robust global family planning program on the part of our U.S. Congresswomen and the convention delegates. But I also was inspired by the effective role the U.N. Foundation plays in informing, mobilizing, and activating Americans across the country about critical health and development challenges.” Noting that the Kaiser Family Foundation’s 2012 Survey of Americans on the U.S. Role in Global Health “shows that the more informed the public is about global health issues, and how U.S. foreign assistance is saving lives, the more likely they are to support increased funding for health beyond this country’s borders,” Kohler concludes, “Informed and activated Americans are a driving force for change, and the DNC advocacy event was a great reminder that despite the hyper focus on domestic issues during this campaign, people can and do care about global issues” (9/10).
“A report [.pdf] on Afghanistan backed by UNICEF shows the country still has leaps and bounds to go in the areas of maternal and child health and education,” GlobalPost’s “Rights” blog reports. “Nearly 46 percent of women between ages 20 and 24 gave birth to a child before their eighteenth birthday in the Western regions of Afghanistan, and one in four women in the country overall delivered a live birth before reaching adulthood,” the report states, according to the blog. “‘Alarmingly, two percent have had a live birth before the age of 15,’ says the report,” the blog writes, adding, “These women were child brides, sold or given to husbands before reaching maturity. The practice is illegal in Afghanistan, but the tradition remains firmly implanted in certain rural tribal regions of the country to the detriment of both mothers and children.”
“Kenya has launched an investigation after researchers claimed HIV-positive women were being routinely sterilized without their consent in government hospitals,” the Guardian reports. The African Gender and Media Initiative issued a report “based on interviews with 40 women, suggest[ing] the practice was widespread and ongoing,” according to the newspaper. “The report also includes examples of coercive tactics used by medical staff to obtain consent — for instance, threatening to withhold antiretroviral medication or baby milk if the woman did not agree to the procedure,” the newspaper writes. “‘These allegations are very serious and the Kenya Medical Practitioners and Dentists Board is going to investigate them before appropriate action is taken,’ Shariff Shahnaz, the director of public health, told the Daily Nation newspaper,” the Guardian reports (Mojtehedzadeh, 9/4).
“After 14 years in limbo,” legislation being considered by the Philippines Congress would “requir[e] the government to provide contraceptives, information on modern family planning methods at public health centers, and comprehensive reproductive health curriculum in schools,” CNN reports. “National surveys show 65-70 percent of Filipinos support the bill, but it faces fierce opposition by the country’s Roman Catholic Church leaders,” according to the news service (Lichauco de Leon, 9/4). “When Philippines President Benigno Aquino III delivered his annual state of the union address in July, he appealed to the country’s lawmakers to break a deadlock” on the reproductive health bill, Inter Press Service writes (Macan-Markar, 9/4).
Noting that a “thin place” is “a place or situation that Celtic Mystics believed to be a coming together of heaven and earth,” Gary Darmstadt, head of the Bill & Melinda Gates Foundation’s Family Health Division, and Wendy Prosser, a research analyst with the Family Health Division, write in the foundation’s “Impatient Optimists” blog, “The London Summit on Family Planning was a ‘thin place’ for the global health community and for millions of women around the world who want to plan their families. It was transformational for so many reasons.” They continue, “The Summit brought family planning back into the mainstream of global health conversations, a place it hasn’t been in decades. And it put the focus of that conversation on women and what they want — voluntary access to contraceptives and the ability to plan their families and their futures” (8/29).