Family Planning in Asia and the Pacific - International Council on ...

More documents

Recommendations

Info

<strong>and</strong> undertake <strong>in</strong> country quality assurancetechnical exchange <strong>and</strong> support to help local <strong>and</strong>generics manufacturers meet <strong>in</strong>ternational st<strong>and</strong>ardsencourage self reliance <strong>and</strong>, where applicable, encouragelocal production of commodities which meet WHOqualifications;streng<strong>the</strong>n logistics management <strong>in</strong>formation systems<strong>and</strong> develop an <strong>in</strong>formation system <strong>and</strong> strategy tocapture data for contraceptive usage <strong>and</strong> dem<strong>and</strong> for<strong>the</strong> total market.streng<strong>the</strong>n <strong>the</strong> distribution of contraceptives toespecially hard-to-reach areas;7. Ensur<strong>in</strong>g an adequate <strong>and</strong>equitably distributed supplyof skilled human resourcesto provide quality familyplann<strong>in</strong>g <strong>in</strong>formation <strong>and</strong>servicestra<strong>in</strong> health programme managers <strong>and</strong> planners on howto utilize relevant data to <strong>in</strong>form policy <strong>and</strong> practicethat affects disadvantaged;undertake tra<strong>in</strong><strong>in</strong>g of staff to enhance <strong>the</strong>ir managementskills, to improve <strong>the</strong>ir effectiveness <strong>and</strong> also enhancetransparency <strong>and</strong> encourage good governance practices;support capacity development of a critical mass ofsusta<strong>in</strong>able human resources to plan, provide <strong>and</strong>monitor:family plann<strong>in</strong>g services,commodity management;ensure that <strong>the</strong> tra<strong>in</strong><strong>in</strong>g of all medical <strong>and</strong> healthprofessionals <strong>in</strong>cludes sensitization on attitudes <strong>and</strong>behaviour towards all family plann<strong>in</strong>g clients, so thatclients’ rights to confidential, ethical <strong>and</strong> user-friendlyservices are respected;streng<strong>the</strong>n <strong>the</strong> capacity of family plann<strong>in</strong>g motivators<strong>and</strong> educators for reach<strong>in</strong>g underserved groups us<strong>in</strong>g aculturally <strong>and</strong> gender sensitive approach;review <strong>the</strong> curriculum at medical, nurs<strong>in</strong>g <strong>and</strong> midwiferytra<strong>in</strong><strong>in</strong>g <strong>in</strong>stitutions to <strong>in</strong>tegrate family plann<strong>in</strong>g as acompulsory element of <strong>the</strong> curriculum;provide appropriate tra<strong>in</strong><strong>in</strong>g courses, manuals <strong>and</strong>demonstration kits for premarital counsellors.promote task shift<strong>in</strong>g <strong>and</strong> <strong>the</strong> use of tra<strong>in</strong>ed non-medicalpersonnel to provide family plann<strong>in</strong>g services to areaswhere certified medical personnel are not available.,ensure equal distribution of family plann<strong>in</strong>g <strong>and</strong> healthpersonnel to all areas, <strong>in</strong>clud<strong>in</strong>g <strong>the</strong> hard-to-reach areas,<strong>and</strong> provide <strong>in</strong>centives to family plann<strong>in</strong>g <strong>and</strong> healthpersonnel work<strong>in</strong>g <strong>in</strong> hard-to-reach areas.sensitise providers about gender disparities <strong>and</strong> women'srights <strong>in</strong> <strong>the</strong> area of contraception.8. Streng<strong>the</strong>n<strong>in</strong>g partnerships<strong>and</strong> collaboration withstakeholders, <strong>in</strong>clud<strong>in</strong>gwomen’s groups, youthorganization <strong>and</strong> whenappropriate with <strong>in</strong>digenousgroup <strong>and</strong> religious leaders,for mak<strong>in</strong>g family plann<strong>in</strong>g<strong>in</strong>formation <strong>and</strong> servicesavailable, accessible,acceptable <strong>and</strong> affordable toalldevelop/streng<strong>the</strong>n national <strong>and</strong> sub-nationalmechanisms for coord<strong>in</strong>at<strong>in</strong>g organisations work<strong>in</strong>g<strong>in</strong> family plann<strong>in</strong>g <strong>and</strong> reproductive health commoditysecurity;support <strong>the</strong> development <strong>and</strong> implementation ofpolicies <strong>and</strong>/or strategies conducive to private-publicpartnerships that meet <strong>the</strong> needs of disadvantagedgroups, particularly <strong>the</strong> poor <strong>and</strong> <strong>the</strong> young. Theprivate sector participation will be with<strong>in</strong> <strong>the</strong> context ofcorporate social responsibility.encourage non-governmental organisations <strong>and</strong> <strong>the</strong>private sector to participate fully <strong>in</strong> <strong>in</strong>creas<strong>in</strong>g access tofamily plann<strong>in</strong>g <strong>in</strong>formation, services <strong>and</strong> commoditiesby provid<strong>in</strong>g services particularly <strong>in</strong> areas of comparativeadvantage;engage <strong>in</strong> South South Cooperation <strong>and</strong> North SouthCooperation for build<strong>in</strong>g systems <strong>and</strong> capacity <strong>in</strong>family plann<strong>in</strong>g advocacy, with knowledge shar<strong>in</strong>gof lesson learned <strong>and</strong> best practices management <strong>and</strong>service delivery <strong>in</strong> <strong>the</strong> region, particularly for reach<strong>in</strong>gunderserved <strong>and</strong> those with greatest needs;streng<strong>the</strong>n partnerships with organisations for<strong>in</strong>troduc<strong>in</strong>g or fur<strong>the</strong>r streng<strong>the</strong>n<strong>in</strong>g social market<strong>in</strong>gof family plann<strong>in</strong>g methods promotion, especially forunderserved groups;streng<strong>the</strong>n public <strong>and</strong> private sector partnership formonitor<strong>in</strong>g supply cha<strong>in</strong> management <strong>and</strong> usage of allfamily plann<strong>in</strong>g commodities;engage, sensitize, groom <strong>and</strong> develop l<strong>in</strong>kages withmedia as partners;8
engage journalists <strong>and</strong> media outlets to raise awarenessof disparities <strong>in</strong> access to family plann<strong>in</strong>g <strong>in</strong>formation,services <strong>and</strong> commodities, particularly among married<strong>and</strong> unmarried adolescents;create a supportive environment for family plann<strong>in</strong>gthrough public <strong>in</strong>formation <strong>and</strong> communications basedon appropriate language <strong>and</strong> techniques <strong>and</strong> methodssuch as development <strong>the</strong>atre; behaviour changecommunication <strong>and</strong> o<strong>the</strong>r <strong>in</strong>digenous <strong>in</strong>formation,education, communication activities that will targetilliterate <strong>and</strong> disadvantaged groups;mobilize <strong>the</strong> community, especially women, men <strong>and</strong>youth, <strong>and</strong> o<strong>the</strong>r appropriate organizations to supportFP;demystify <strong>the</strong> language used <strong>in</strong> family plann<strong>in</strong>g sothat political leaders, media persons <strong>and</strong> <strong>the</strong> generalpopulation can relate to language;engage <strong>the</strong> active participation of national leaders,parliamentarians, women leaders, youth leaders, religiousleaders, traditional leaders <strong>and</strong> o<strong>the</strong>r community leadersto support family plann<strong>in</strong>g <strong>and</strong> advocat<strong>in</strong>g for improvedaccess to family plann<strong>in</strong>g services <strong>and</strong> commodities.9. Exp<strong>and</strong> <strong>and</strong> improveknowledge based policydialogue for programmemonitor<strong>in</strong>g <strong>and</strong> servicedeliveryimprove & develop health <strong>in</strong>formation systems <strong>and</strong>streng<strong>the</strong>n a consistent st<strong>and</strong>ard <strong>in</strong> <strong>in</strong>formation systems<strong>in</strong> health, sub-nationally <strong>and</strong> <strong>in</strong>tegrate it fully <strong>in</strong>to <strong>the</strong>national monitor<strong>in</strong>g of contraceptive prevalence <strong>and</strong>evaluation of family plann<strong>in</strong>g services;develop, implement <strong>and</strong> improve <strong>the</strong> exist<strong>in</strong>g monitor<strong>in</strong>gsystem to evaluate <strong>the</strong> efficiency <strong>and</strong> effectiveness offamily plann<strong>in</strong>g programmes <strong>and</strong> use <strong>the</strong> results to<strong>in</strong>form improvements <strong>in</strong> policies <strong>and</strong> programmes;facilitate fur<strong>the</strong>r analysis of facilities based householdsurveys, <strong>in</strong>clud<strong>in</strong>g DHS <strong>and</strong> <strong>in</strong> country surveys <strong>and</strong>monitor progress <strong>and</strong> trends <strong>in</strong> <strong>in</strong>equity <strong>in</strong> reduc<strong>in</strong>gunmet need for family plann<strong>in</strong>g;support efforts to ma<strong>in</strong>ta<strong>in</strong> <strong>and</strong> fur<strong>the</strong>r streng<strong>the</strong>n<strong>Asia</strong> <strong>and</strong> <strong>Pacific</strong> regional, sub-regional, national <strong>and</strong>sub-national data collection, analysis <strong>and</strong> report<strong>in</strong>g ofdisaggregated family plann<strong>in</strong>g data <strong>in</strong>clud<strong>in</strong>g MDG5b;build capacity for data collection <strong>and</strong> analysis at national,sub-national <strong>and</strong> local levels for data <strong>in</strong>terpretation <strong>and</strong><strong>in</strong>formation shar<strong>in</strong>g about family plann<strong>in</strong>g dem<strong>and</strong>with<strong>in</strong> m<strong>in</strong>istries <strong>and</strong> also between Governments,NGOs <strong>and</strong> all health professional associations;build capacity at regional level (such as SAARCfor South <strong>Asia</strong>n countries, ASEAN <strong>and</strong> for <strong>Pacific</strong>Isl<strong>and</strong>s) <strong>in</strong>clud<strong>in</strong>g data analysis, software <strong>and</strong> tra<strong>in</strong><strong>in</strong>g<strong>in</strong> <strong>the</strong> areas of service statistics, <strong>in</strong>ventory/logisticsmanagement <strong>and</strong> f<strong>in</strong>ance/accounts,engage relevant stakeholders, <strong>in</strong>clud<strong>in</strong>g civil society,<strong>in</strong> plann<strong>in</strong>g, monitor<strong>in</strong>g <strong>and</strong> evaluation of familyplann<strong>in</strong>g programme, especially those aimed at reach<strong>in</strong>gdisadvantaged groups.10. Undertak<strong>in</strong>g operations <strong>and</strong>socio-cultural research toimprove knowledge basefor policy <strong>and</strong> programm<strong>in</strong>greformssupport research, both technically <strong>and</strong> f<strong>in</strong>ancially,to assess <strong>the</strong> effects of <strong>in</strong>terventions such as healthcommunication, community-based distribution,<strong>in</strong>tegrated/l<strong>in</strong>ked services, on reduc<strong>in</strong>g <strong>in</strong>equities <strong>in</strong>family plann<strong>in</strong>g access <strong>and</strong> use;undertake cross-country comparisons <strong>and</strong> <strong>in</strong>tra-countrystudies to address l<strong>in</strong>ger<strong>in</strong>g barriers;undertake operations research for:access (method availability, affordability, <strong>in</strong>equity,adolescents, males, for-profit sector provision)quality of service provision <strong>and</strong> care (method choice,counsell<strong>in</strong>g, method discont<strong>in</strong>uation <strong>and</strong> failure)cost<strong>in</strong>g <strong>and</strong> cost-effectivenessundertake social research on elim<strong>in</strong>at<strong>in</strong>g unmet need(cultural, economic, behavioural) on:contraception <strong>and</strong> abortion decision <strong>and</strong> choicereligion, culture, authorityadolescent sexual <strong>and</strong> reproductive health<strong>in</strong>stitute regional program for data <strong>in</strong>formation/resources/systems9
Page 1: Family Pla
Page 7 and 8: ForewordThe Asia <
Page 11: Part 1Part 1Asia <
Page 14 and 15: Ensuring that <str
Page 16 and 17: of methods for all, in</str
Page 21 and 22: Report on the Regi
Page 23 and 24: SESSION 1: Changin
Page 25 and 26: that improving <st
Page 31: at a hospital would be offered post
Page 35: Bounkoung Phichit, Deputy M
Page 38 and 39: medicines
Page 40 and 41: Thus, while knowledge of modern met
Page 42 and 43: Hon. Mr. Malakai Tabar, Chairman, P
Page 44 and 45: curricula. If the
Page 47: dialogue as well as regional <stron
Page 51: BackgroundGlobal development effort
Page 54 and 55: TableTable1EventNational policyYear
Page 56 and 57: A third observation is that reporte
Page 58 and 59: TableTable2Current Contraceptive Pr
Page 60 and 61: Figure(-1.2), Cook Island</
Page 62: FigureTableTable3Trends in<
Page 65 and 66: Nam. Nearly all economies i
Page 67: 2008 2009% Bilateral % Multilateral
Page 70 and 71:
family planning wi
Page 73 and 74:
IntroductionFamily
Page 75 and 76:
The advent of the
Page 77 and 78:
FigureFigure1Oceania and</s
Page 79 and 80:
next 25 years, however, TFR fluctua
Page 81 and 82:
FigureFigureFigure2Total fertility
Page 83 and 84:
family planning pr
Page 85 and 86:
esponsible for the
Page 87 and 88:
that estimates of CPR for earlier p
Page 90 and 91:
Figuremarried at an older age compa
Page 92 and 93:
As previously mentioned most <stron
Page 94 and 95:
FigureFigure945Relationship between
Page 96 and 97:
The concept of “unmet need” has
Page 98 and 99:
TableTable8Percentage of th
Page 100 and 101:
TableTable9Percentage of reasons fo
Page 102 and 103:
family planning pr
Page 104 and 105:
As far as the supp
Page 106 and 107:
Socio-cultural challenges tofamily
Page 108 and 109:
likely to use contraception than yo
Page 110 and 111:
15 Tests of statistical significanc
Page 112 and 113:
of the South <stro
Page 114 and 115:
104
Page 116:
Figurewill exceed the</stro
Page 119 and 120:
in urban (67%) tha
Page 121 and 122:
ased service delivery poin<
Page 123 and 124:
Most FWAs who were recruited two to
Page 125 and 126:
are considered, unmet need for effe
Page 127 and 128:
Households pay the
Page 129 and 130:
Effective public-private partnershi
Page 131 and 132:
ConclusionThe Bangladesh Fa
Page 133 and 134:
the Family
Page 135 and 136:
National Institute for Population R
Page 137 and 138:
IndiaIndiaFamily <
Page 139:
IntroductionThe use of contraceptiv
Page 142 and 143:
TableTable2Indicators of tra<strong
Page 144 and 145:
FigureFigureFigure1Contraceptive pr
Page 146 and 147:
TableTable5Indicators of contracept
Page 148 and 149:
TableTable6Adjusted odds ratios for
Page 150 and 151:
FigureFigure3Contraceptive prevalen
Page 152 and 153:
TableTable7Adjusted and</st
Page 154 and 155:
the north
Page 156 and 157:
TableTable10Differences between nor
Page 158 and 159:
TableTable11 Total fertility rate <
Page 160 and 161:
End Note1The first camp was success
Page 162 and 163:
152
Page 164 and 165:
154
Page 166 and 167:
Figure1980s and ex
Page 168 and 169:
health care and ed
Page 170 and 171:
assistance from UNFPA and</
Page 172 and 173:
in CPR. Likewise,
Page 174 and 175:
International supp
Page 176 and 177:
in development has
Page 178 and 179:
__________ (2007). Population <stro
Page 180 and 181:
170
Page 182 and 183:
TableTable2What has the</st
Page 184 and 185:
174
Page 186 and 187:
per cent of women reported us<stron
Page 188 and 189:
is provider bias that such methods
Page 190 and 191:
TableTable7skewed distribution of h
Page 192 and 193:
TableTable8TableTable9182
Page 194 and 195:
that of the nation
Page 196 and 197:
TableTable12 7some policies that ex
Page 198 and 199:
The system guides the</stro
Page 200 and 201:
FigureFigure4Total donor expenditur
Page 202 and 203:
FigureFigureagain
Page 204 and 205:
Impact of family plannin</s
Page 206 and 207:
marketing of contr
Page 208 and 209:
United States Agency for In
Page 210 and 211:
200
Page 212 and 213:
acceptable. From an NGO perspective
Page 214 and 215:
FigureThis trend of limited donor f
Page 216 and 217:
Figureto have the
Page 218 and 219:
FigureFigure5Percentage change <str
Page 220 and 221:
FigureFigure6Desire to limit childb
Page 222 and 223:
coordination betwe
Page 224 and 225:
the 1980s
Page 226 and 227:
Policy Management.__________ (n.d.,
Page 228 and 229:
218
Page 230 and 231:
Population Activities (UNFPA) for a
Page 232 and 233:
where family plannin</stron
Page 234 and 235:
Thus an objective assessment of <st
Page 236 and 237:
226
Page 238 and 239:
Figureeconomic growth durin
Page 240 and 241:
TableTable1TableTable2For spac<stro
Page 242 and 243:
eflect a provider bias (e.g., <stro
Page 244 and 245:
The Indonesian delegation was very
Page 246 and 247:
than in ensur<stro
Page 248 and 249:
in-country <strong
Page 250 and 251:
(Ministry of Healt
Page 252 and 253:
242
Page 254 and 255:
244
Page 256 and 257:
FigureTrends and p
Page 258 and 259:
TableTable3Unmet need for contracep
Page 260 and 261:
TableTable5TableTable6TableTable725
Page 262 and 263:
TableTable8TableTable9Malaysia, abo
Page 264 and 265:
previously mentioned is based on fo
Page 266 and 267:
TableTable16births and</str
Page 268 and 269:
FigureFigure3TRF54.5Scatter plots o
Page 270 and 271:
ReferencesAng, Eng Suan (2007). Stu
Page 272 and 273:
Demographic data sheet: population
Page 274 and 275:
population size, with just 336,000
Page 276 and 277:
NuptialityIn Myanmar nuptiality is
Page 278 and 279:
FigureIn Myanmar, birth-spac<strong
Page 280 and 281:
Scope of coverage and</stro
Page 282 and 283:
FigureIn Myanmar, out of six select
Page 284 and 285:
equirements. The Min</stron
Page 286 and 287:
according to <stro
Page 288 and 289:
Adolescent sexual and</stro
Page 290 and 291:
FigureHIV/AIDS. An HIV-positive wom
Page 292 and 293:
National Population PolicyMyanmar i
Page 294 and 295:
Linkages with o<st
Page 296 and 297:
TableTable4Achievements of Myanmar
Page 298 and 299:
monitoring <strong
Page 300 and 301:
Nay Pyi Taw, 26 October 2010.53 Sit
Page 302 and 303:
292
Page 304 and 305:
294
Page 306 and 307:
TableTableA296
Page 308 and 309:
dispense and adm<s
Page 310 and 311:
(1) I am against a
Page 312 and 313:
FigureFigureFigure3Use of modern co
Page 314 and 315:
FigureFigure7Traditional method use
Page 316 and 317:
Figureprojection, and</stro
Page 318 and 319:
Figure 11 summarizes the</s
Page 320 and 321:
correlating <stron
Page 322 and 323:
Figurethe use of c
Page 324 and 325:
FigureFigure15Sexual behaviour <str
Page 326 and 327:
track the distribu
Page 328 and 329:
Figureservices, which should <stron
Page 330 and 331:
FigureFigureFigure18 Population <st
Page 332 and 333:
National Statistics Office, <strong
Page 334 and 335:
Page 336 and 337:
TableTable11326
Page 338 and 339:
Page 340 and 341:
TableTable19Laws and</stron
Page 342 and 343:
worker and hours w
Page 344 and 345:
334
Page 346 and 347:
336
Page 348 and 349:
includin</
Page 350 and 351:
TableTable1Contraceptive prevalence
Page 352 and 353:
These results suggest that about 70
Page 354 and 355:
2 The (period) TFR is the</
Page 356 and 357:
346
Page 358 and 359:
FigureThe existence of traditional
Page 360 and 361:
Guinea case by <st
Page 362 and 363:
The establishment of provin
Page 364 and 365:
provide family plannin</str
Page 366 and 367:
Figurelegal requirement nor a condi
Page 368 and 369:
FigureTableTable5TableTable6Figure4
Page 370 and 371:
modern method and
Page 372 and 373:
married or in unio
Page 374 and 375:
Figureolder. Both the</stro
Page 376 and 377:
TableTable15The immediate past Nati
Page 378 and 379:
out that the “ne
Page 380 and 381:
Commodity securitySupply cha<strong
Page 382 and 383:
is able to achieve. In Papua New Gu
Page 384 and 385:
Qualitative assessments by a number
Page 386 and 387:
increasin<
Page 388 and 389:
service delivery poin</stro
Page 390 and 391:
Population: Views from Men
Page 392 and 393:
1545-1730Day 2: December 9Session 2
Page 394 and 395:
Day 3, December 10Session 50830-100
Page 396 and 397:
15Mr. Tong Sithen1
Page 398 and 399:
54Ms. Shadiya IbrahimAssistant Repr
Page 400 and 401:
93Mr. Melkie AntonProject OfficerUn
Page 402 and 403:
131Dr. John P. SkibiakDirectorRepro
Page 404:
International <str
show all

Family Planning in Asia and the Pacific - International Council on ...

Create successful ePaper yourself

Delete template?

Save as template?