Development of the Zimbabwe family planning program

Family planning was introduced in Zimbabwe as a voluntary movement in the 1950s. Volunteers formed a Family Planning Association in the mid-1960s. The government became interested in family planning in the late 1960s after analysis of the 1961 population census. It gave the Family Planning Association an annual grant, allowed contraceptives to be available through Ministry of Health facilities, and allowed nonmedical personnel to initiate and resupply family planning clients with condoms and pills. But before Zimbabwe achieved independence in 1980, family planning was viewed with great suspicion by the black majority, so the program's effectiveness was limited to the urban few. A new era began after independence. The new government took over theFamily Planning Association and changed its outlook completely. Through government and international donor support, the family planning program was restructured and expanded. The number of family planning personnel more than doubled in some units. More service delivery points were set up - particularly in rural areas. And the information, education, and communication and evaluation and research units were established. Through a World Bank-assisted project (with grant funding from Norway and Denmark), the Ministry of Health began strengthening its family planning capabilities. These efforts helped increase the contraceptive prevalence rate from about 14 percent in 1982 to 43 percent in 1988. But the program's growth is beginning to stall. More effort and resources are needed if the program is to grow or even maintain its present status. Particularly important are the following: designing innovative strategies to reach hard-to-reach populations; giving more emphasis to information, education, and communication, especially for men and youths, using multimedia; involving other sectors in the delivery of family planning services; broadening the mix of contraceptive methods (especially promoting long-term and permanent methods); making use of alternative family planning delivery systems, such as the use of depot holders, volunteers, and government extension workers; establishing a national population policy; and considering cost recovery and other measures for self-sustainment and program growth.Agricultural Knowledge&Information Systems,ICT Policy and Strategies,Gender and Health,Health Monitoring&Evaluation,Adolescent Health

Why Family Planning and Reproductive Health are Critical to the Well-Being of Youth

An unprecedented number of young people are entering their reproductive years, most of whom live in the developing world. U.S. policy makers should assist in effortS to ensure that youth worldwide are able to make informed decisions about their sexuality and receive the family planning and reproductive health care that they require. The U.S. should support these efforts by providing adequate funding for international family planning and reproductive health programs. Young people's access to family planning and reproductive health is a fundamental right. The international community recognizes that youth must have access to comprehensive, evidence-based, scientifically accurate, and youth friendly family planning and reproductive information, services, and supplies. The 1994 International Conference on Population and Development (ICPD) Programme of Action endorsed by 179 countries identifies young people's reproductive rights as a priority. Youth were also a key consideration in the 2009 review of the ICPD

Community-based financing of family planning in developing countries: A systematic review

In this systematic review, we gather evidence on community financing schemes and insurance programs for family planning in developing countries, and we assess the impact of these programs on primary outcomes related to contraceptive use. To identify and evaluate the research findings, we adopt a four‐stage review process that employs a weight‐of‐evidence and risk‐of‐bias analytic approach. Out of 19,138 references that were identified, only four studies were included in our final analysis, and only one study was determined to be of high quality. In the four studies, the evidence on the impact of community‐based financing on family planning and fertility outcomes is inconclusive. These limited and mixed findings suggest that either: 1) more high‐quality evidence on community‐based financing for family planning is needed before any conclusions can be made; or 2) community‐based financing for family planning may, in fact, have little or no effect on family planning outcomes.Funding from the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), a cosponsored program executed by the World Health Organization, is gratefully acknowledged. The authors thank members of the WHO technical working group on financing family planning for their valuable comments. In addition, the authors thank Iqbal Shah for his support throughout the review process and for his technical guidance on this manuscript. (UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP); World Health Organization)Published versio

Global knowledge/local bodies: Family planning service providers’ interpretations of contraceptive knowledge(s)

Contraceptive technologies and the knowledges that are constructed around them are simultaneously global and local. Family planning methods in the context of international development interventions are interpreted and understood as part of the relationship between meanings that are at once embodied and remote. While quality of care issues have been raised over nearly two decades, the interactive relationship between policy/program, supply, and interpersonal relations in forming identities has not been analyzed. This paper is based on two years of qualitative fieldwork conducted in Tanzania over a period between the mid-1990s and the mid-2000s. It will examine Tanzanian service providers’ perceptions of contraceptives to shed light on questions of local level dissemination of population knowledge(s) and shaping of identities. The findings suggest that the family planning program serves in a process of differentiation between two groups of “local†women: the service providers and their clients. This differentiation subsequently shapes the implementation of the family planning program.anthropological demography, contraceptives, family planning, foreign aid, international development, population, reproductive health, service providers

Superstition, family planning, and human development

Are wanted and unwanted children treated equally by their parents? To address this question, the authors rely on the observation that, according to Vietnamese astrology, dates of birth are believed to be determinants of success, luck, character, and good match between individuals. They then examine fertility decisions made in Vietnam between 1976 and 1996. The authors find that birth cohorts in auspicious years are significantly larger than in other years. Children born in auspicious years moreover do better both in health and education. While parental characteristics seem to affect fertility choices and human development simultaneously, their analysis suggests that family planning is one key mechanism leading to the observed differences in outcomes: in a society in which superstition is widespread, children born in auspicious years are more likely to have been planned by their parents, thus benefiting from more favorable financial, psychological, or emotional conditions for better human development.Health Monitoring&Evaluation,Youth and Governance,Adolescent Health,Population Policies,Gender and Social Development

Ethical approaches to family planning in Africa

Africa has historically provided the geographical flashpoint of ethical issues relating to family planning programs. Until recently in Sub-Saharan Africa, advocacy of family planning by non-Africans was unacceptable and by Africans politically inadvisable. This has changed in the 1980s. The health rationale for family planning is backed by strong evidence, especially in Africa, where infant and maternal mortality and morbidity rates are high. Population growth in many African countries impedes development, which cannot keep up with needs. Earlier attempts to offer family planning aid were often politically inept and endangered the needed partnership between donor and developing countries. Theoretical arguments and abstract demographic projections are less persuasive than carefully designed programs geared to the health and well-being of communitities that help plan them. Increased cooperation between donor and developing countries has helped resolve some of the ethical difficulties that beset family planning programs. This report summarizes many of the practical, ethical and cultural considerations in making family planning aid acceptable.Health Monitoring&Evaluation,Adolescent Health,Agricultural Knowledge&Information Systems,Gender and Health,Early Child and Children's Health

Policy and Practice Brief: Supporting the Employment Outcomes of SSI and SSDI Beneficiaries in Section 8 or Subsidized Housing; A Model of Policy Supporting Effective Employment Practice

This brief provides an overview of the Family Self-Sufficiency Program administered by Housing and Urban Development. Comparisons and contrasts between Family Self- Sufficiency, and the Ticket to Work and Benefits Planning are drawn as is a template for combining these important employment resources to affect successful employment outcomes

Family planning, growth and income distribution in Rwanda: SAM multiplier and graph-theoretic path analysis

This paper examines the linkages among family planning, sectoral growth and income distribution in Rwanda. Drawing on the 2006 SAM accounting multipliers, macroeconomic e¤ects of alternative income policies are evaluated. Furthermore, the high and low-income gain pathways are identi�ed by applying the graph-theoretic path analysis. The following �ndings are noted. The rural income gain spreads over the entire economy, whereas the urban income gain largely remains within urban areas, suggesting relatively larger income multiplier e¤ects of rural development policies. Second, investing in education, health and family planning promises a signi�cant increase in agricultural production, which in turn creates considerable employment in rural areas. Targeted rural development policies thus seem to be the best strategy to bring growth and harmoniously improve income distribution. Third, a unit increase in the demand for family planning-health commodities generates 60% more income for the urban-Kigali households than rural households. Finally,a unit increase in the family planning-health demand raises agricultural production by 1.3 unit, which is followed by 1.2 unit increase in service production and by 0.74 unit increase in manufacturing production. To sum up, investing in family planning-health is a viable strategy to promote agricultural growth and reduce poverty through employment created in the rural sector.Family planning; growth; income distribution; Rwanda; SAM multiplier; Graph-theoretic path analysis

International Women's Reproductive Health: Supporting Local Advocacy in Sub-Saharan Africa

This paper describes the Global Development and Population Program's sub-strategy for strengthening the quality and effectiveness of advocacy by locally-based, indigenous groups targeting national or sub-national family planning and reproductive health decision-makers