Topic
Contraceptive security
About: Contraceptive security is a research topic. Over the lifetime, 72 publications have been published within this topic receiving 638 citations.
Papers published on a yearly basis
Papers
TL;DR: The secular trend of increasing rates of modern contraceptive use has not resulted in a decrease of the gap in use for those living in absolute poverty, with sub-Saharan Africa exhibiting the lowest national rates of use, South and Southeast Asia the highest use among the poor, and Latin America the largest inequalities in use.
Abstract: Background
The widespread increase in the use of contraception, due to multiple factors including improved access to modern contraception, is one of the most dramatic social transformations of the past fifty years. This study explores whether the global progress in the use of modern contraceptives has also benefited the poorest.
Methods and Findings
Demographic and Health Surveys from 55 developing countries were analyzed using wealth indices that allow the identification of the absolute poor within each country. This article explores the macro level determinants of the differences in the use of modern contraceptives between the poor and the national averages of several countries. Despite increases in national averages, use of modern contraception by the absolute poor remains low. South and Southeast Asia have relatively high rates of modern contraception in the absolute poor, on average 17% higher than in Latin America. Over time the gaps in use persist and are increasing. Latin America exhibits significantly larger gaps in use between the poor and the averages, while gaps in sub-Saharan Africa are on average smaller by 15.8% and in Southeast Asia by 11.6%.
Conclusions
The secular trend of increasing rates of modern contraceptive use has not resulted in a decrease of the gap in use for those living in absolute poverty. Countries with large economic inequalities also exhibit large inequalities in modern contraceptive use. In addition to macro level factors that influence contraceptive use, such as economic development and provision of reproductive health services, there are strong regional variations, with sub-Saharan Africa exhibiting the lowest national rates of use, South and Southeast Asia the highest use among the poor, and Latin America the largest inequalities in use.
131 citations
1 May 2010
TL;DR: A firm commitment from the Kagame Government to expand access to voluntary family planning services led to improvements in the supply and quality of services in the country and recognition among the Rwandan people as an essential element of a successful development strategy.
Abstract: In less than 10 years Rwanda increased contraceptive use at one of the most rapid rates worldwide. The statistics clearly demonstrate the rapid acceleration: The 1992 Demographic and Health Survey (DHS) found that 13 percent of married women were using modern contraceptive methods. Following the 1994 genocide modern method use dropped to only four percent (DHS 2000) and increased gradually to 10 percent by 2005. Less than three years later in early 2008 this rate nearly tripled reaching 27 percent. This rapid progress was achieved in spite of daunting challenges the country faced in rebuilding its health system after the period of genocide. At the time Rwanda also faced tremendous social and cultural barriers that inhibited the expansion of voluntary family planning programs. "The government was shy to talk about family planning because so many families had lost loved ones" explained one donor. The culture had always been strongly pronatalist and the Catholic Church was a vocal critic and barrier to using modern methods of family planning. A firm commitment from the Kagame Government to expand access to voluntary family planning services led to improvements in the supply and quality of services in the country. Family planning gained recognition among the Rwandan people as an essential element of a successful development strategy in one of the most densely populated countries in Africa. With 355 people per square kilometer "there is no spare meter where you wont meet a person" noted one donor. Family planning was also recognized as essential to reducing the high levels of infant and maternal mortality both of which had increased post genocide. (Excerpts)
66 citations
TL;DR: In this paper, the importance of long-acting and permanent methods (LA/PMs) and why they are neglected in many national contraceptive security strategies and family planning programs is discussed.
Abstract: This commentary reviews the importance of long-acting and permanent methods (LA/PMs) and considers why they are neglected in many national contraceptive security strategies and family planning programs. It also proposes recommendations for broadening method choice to include LA/PMs more fully and thereby increasing the ability of women and men to achieve their reproductive intentions.
35 citations
TL;DR: This paper analyzes data from six sub-Saharan African countries that have participated four or more times in the Demographic and Health Surveys program to investigate recent increases in prevalence of injectable contraceptives and identify factors that drive the increase.
Abstract: Injectable contraceptives are fast becoming the method of choice among married women in sub-Saharan Africa. In several countries in the region, the proportion of women using injectable methods has surpassed the proportion of women using the pill. This is true even in some countries where the pill had been the most popular modern method in the 1980s and 1990s. This paper analyzes data from six sub-Saharan African countries that have participated four or more times in the Demographic and Health Surveys program to investigate recent increases in prevalence of injectable contraceptives and identify factors that drive the increase. It discusses the programmatic implications of this trend for the region, especially in terms of contraceptive security and sustainability.
30 citations
TL;DR: This paper provides an overview of policy processes, strategies, and tools that can be used in developing countries to create an enabling environment for greater private sector participation, foster complementary public-private sector roles, and enhance the contribution of the private sector to contraceptive security.
25 citations
Related Topics (5)
Performance Metrics
| Year | Papers |
|---|---|
| 2021 | 2 |
| 2020 | 1 |
| 2018 | 1 |
| 2017 | 2 |
| 2016 | 1 |
| 2015 | 2 |