Skip to main content

Access to Family Planning and Women’s Health

  • Chapter
  • First Online:
Africa's Population: In Search of a Demographic Dividend
  • 1141 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 179.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

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.

    Article  Google Scholar 

  • Ahman, E., & Shah, I. H. (2011). New estimates and trends regarding unsafe abortion mortality. International Journal of Gynaecology and Obstetrics, 115(2), 121–126.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Cleland, J., & Ali, M. M. (2004). Reproductive consequences of contraceptive failure in 19 developing countries. Obstetrics and Gynecology, 104(2), 314–320.

    Article  Google Scholar 

  • Cleland, J., Bernstein, S., Ezeh, A., Faundes, A., Glasier, A., & Innis, J. (2006). Family planning: The unfinished agenda. The Lancet, 368(9549), 1810–1827.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Guttmacher Institute. (2012). Making abortion services accessible in the wake of legal reforms. In Brief (Series No. 1). New York: Guttmacher Institute.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Marston, C., & Cleland, J. (2003). Relationships between contraception and abortion: A review of the evidence. International Family Planning Perspectives, 29(1), 6–13.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Population Reference Bureau. (2014). 2014 World population data sheet. Washington, DC: Population Reference Bureau.

    Google Scholar 

  • Prata, N., Passano, P., & Sreenivas, A. (2010). Maternal mortality in developing countries: Challenges in scaling-up priority interventions. Womens Health, 6(2), 311–327.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Singh, S. (2006). Hospital admissions resulting from unsafe abortion: Estimates from 13 developing countries. The Lancet, 368(9550), 1887–1892.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Tietze, C., & Bongaarts, J. (1975). Fertility rates and abortion rates: Simulations of family limitation. Studies in Family Planning, 6, 114–120.

    Article  Google Scholar 

  • 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.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ndola Prata .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-46889-1_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-46887-7

  • Online ISBN: 978-3-319-46889-1

  • eBook Packages: Social SciencesSocial Sciences (R0)

Publish with us

Policies and ethics