Abstract
Family planning is one o f the most cost-effective health interventions to reduce maternal mortality. In addition, the benefits of family planning can be seen in the reduction of infant and child mortality as well as poverty, and in the empowerment of women to exercise their reproductive choices. In many parts of the developing world, organized family planning programs have been effective in reducing fertility and affecting population growth. During fertility declines, the resulting changes in the age structure of the population can provide countries with a demographic window of opportunity, which can help them grow economically if able to benefit from a first demographic dividend (DD). This is exactly what should be happening in sub-Saharan Africa. However, the region’s population continues to grow rapidly and access to family planning is still limited or totally unavailable to many women. As a result, sub-Saharan Africa (SSA) has the highest fertility in the world, the lowest contraceptive prevalence rates, and the poorest women’s health indicators . Only realistic access to correct information and expansion of the range of available contraceptive methods can accelerate fertility decline and bring changes in the age structure composition of the population, thus allowing countries to capture a first DD. At the same time, this would also help to improve women’s health in SSA and allow societies to develop at a faster pace.
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References
Adler, A. J., Filippi, V., Thomas, S. L., & Ronsmans, C. (2012). Incidence of severe acute maternal morbidity associated with abortion: A systematic review. Tropical Medicine & International Health, 17(2), 177–190.
Ahman, E., & Shah, I. H. (2011). New estimates and trends regarding unsafe abortion mortality. International Journal of Gynaecology and Obstetrics, 115(2), 121–126.
Campbell, M., Sahin-Hodoglugil, N. N., & Potts, M. (2006). Barriers to fertility regulation: A review of the literature. Studies in Family Planning, 37(2), 87–98.
Cleland, J., & Ali, M. M. (2004). Reproductive consequences of contraceptive failure in 19 developing countries. Obstetrics and Gynecology, 104(2), 314–320.
Cleland, J., Bernstein, S., Ezeh, A., Faundes, A., Glasier, A., & Innis, J. (2006). Family planning: The unfinished agenda. The Lancet, 368(9549), 1810–1827.
Darroch, J. E., & Singh, S. (2013). Trends in contraceptive need and use in developing countries in 2003, 2008, and 2012: An analysis of national surveys. The Lancet, 381(9879), 1756–1762.
Guttmacher Institute. (2012). Making abortion services accessible in the wake of legal reforms. In Brief (Series No. 1). New York: Guttmacher Institute.
Kassebaum, N. J., Bertozzi-Villa, A., Coggeshall, M. S., Shackelford, K. A., Steiner, C., et al. (2014). Global, regional, and national levels and causes of maternal mortality during 1990–2013: A systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 384(9947), 980–1004.
Marston, C., & Cleland, J. (2003). Relationships between contraception and abortion: A review of the evidence. International Family Planning Perspectives, 29(1), 6–13.
Mbizvo, M. T., & Say, L. (2012). Global progress and potentially effective policy responses to reduce maternal mortality. International Journal of Gynaecology and Obstetrics, 119(Suppl. 1), 9–12.
Population Reference Bureau. (2014). 2014 World population data sheet. Washington, DC: Population Reference Bureau.
Prata, N., Passano, P., & Sreenivas, A. (2010). Maternal mortality in developing countries: Challenges in scaling-up priority interventions. Womens Health, 6(2), 311–327.
Sedgh, G., Singh, S., & Hussain, R. (2014). Intended and unintended pregnancies worldwide in 2012 and recent trends. Studies in Family Planning, 45(3), 301–314.
Shah, I. H., Ahman, E., & Ortayli, N. (2014). Access to safe abortion: Progress and challenges since the 1994 International Conference on Population and Development (ICPD). Contraception, 90(6 Suppl), 39–48.
Singh, S. (2006). Hospital admissions resulting from unsafe abortion: Estimates from 13 developing countries. The Lancet, 368(9550), 1887–1892.
Souza, J. P., Widmer, M., Gülmezoglu, A. M., Lawrie, T. A., Adejuyigbe, E. A., et al. (2014). Maternal and perinatal health research priorities beyond 2015: An international survey and prioritization exercise. Reproductive Health, 11, 61.
Speidel, J. J., Harper, C. C., & Shields, W. C. (2008). The potential of long-acting reversible contraception to decrease unintended pregnancy. Contraception, 78(3), 197–200.
Tietze, C., & Bongaarts, J. (1975). Fertility rates and abortion rates: Simulations of family limitation. Studies in Family Planning, 6, 114–120.
Upadhyay, U. D., Gipson, J. D., Withers, M., Lewis, S., Ciaraldi, E. J., Fraser, A., Huchko, M. J., & Prata, N. (2014). Women’s empowerment and fertility: A review of the literature. Social Science and Medicine, 115, 111–120.
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Prata, N. (2017). Access to Family Planning and Women’s Health. In: Groth, H., May, J. (eds) Africa's Population: In Search of a Demographic Dividend. Springer, Cham. https://doi.org/10.1007/978-3-319-46889-1_14
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DOI: https://doi.org/10.1007/978-3-319-46889-1_14
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