For many developing countries, investments in health have proved a great success. The Lancet Commission “Global health 2035: a world converging within a generation” and the 2014 Gates annual letter envision the possibility of a “grand convergence” by which more countries will have a child mortality rate as low as 15 per 1000 livebirths in 20 [...]Read More Download PDF
Climate change will disproportionately affect the poor in the future, nowhere more so than in the fragile ecological zone known as the Sahel. The Sahel has been plagued with droughts, decreasing crop yields, and increasing environmental degradation (World Bank, 2013). This paper will empirically demonstrate that an integrated intervention, coupling access to family planning (FP) [...]Read More Download PDF
After a generation of partial neglect, renewed attention is being paid to population and voluntary family planning. Realistic access to family planning is a prerequisite for women's autonomy. For the individual, family, society, and our fragile planet, family planning has great power.
Published in Global Health: Science and Practice 2014; 2(2), 145-51.
Women's empowerment has become a focal point for development efforts worldwide and there is a need for an updated, critical assessment of the existing evidence on women's empowerment and fertility. We conducted a literature review on studies examining the relationships between women's empowerment and several fertility-related topics. Among the 60 studies identified for this review, [...]Read More Download PDF
Abstract: We reviewed existing evidence of the efficacy of postpartum family planning interventions targeting women in the 12 months postpartum period in low- and middle-income countries. We searched for studies from January 1, 2004 to September 19, 2015, using the US Preventive Services Task Force recommendations to assess evidence quality. Our search resulted in 26 [...]Read More Download PDF
Abstract: Family planning programs have made vast progress in many regions of sub-Saharan Africa in the last decade, but francophone West Africa is still lagging behind. More emphasis on male engagement might result in better outcomes, especially in countries with strong patriarchal societies. Few studies in francophone West Africa have examined attitudes of male involvement in family planning from the perspective of men themselves, yet this evidence is necessary for development of successful family planning projects that include men. This qualitative study, conducted in 2016, explored attitudes of 72 married men ages 18–54 through 6 focus groups in the capital of Togo, Lomé. Participants included professional workers as well as skilled and unskilled workers. Results indicate that men have specific views on family planning based on their knowledge and understanding of how and why women might use contraception. While some men did have reservations, both founded and not, there was an overwhelmingly positive response to discussing family planning and being engaged with related decisions and services. Four key findings from the analyses of focus group responses were: (1) socioeconomic motivations drive men’s interest in family planning; (2) men strongly disapprove of unilateral decisions by women to use family planning; (3) misconceptions surrounding modern methods can hinder support for family planning; and (4) limited method choice for men, insufficient venues to receive services, and few messages that target men create barriers for male engagement in family planning. Future attempts to engage men in family planning programs should pay specific attention to men’s concerns, misconceptions, and their roles in family decision making. Interventions should educate men on the socioeconomic and health benefits of family planning while explaining the possible side effects and dispelling myths. To help build trust and facilitate open communication, family planning programs that encourage counseling of husbands and wives in their homes by community health workers, trusted men, or couples who have successfully used or are currently using family planning to achieve their desired family size will be important.Read More Download PDF
Abortion history and its association with current use of modern contraceptive methods in Luanda, Angola
Conclusion: History of induced abortion was associated with use of a modern contraceptive method in our study population. The most common contraceptive used by women with a history of induced abortion was condoms, indicating that despite adoption of a modern method, many women are still at risk for an unintended pregnancy. Further research is needed to understand the causal factors underlying women’s postabortion contraceptive choices.Read More Download PDF
Climate Change & Women’s Health
Climate Change is an immense issue which leaves neither humans nor habitats unaffected by its breadth. That said, it will affect vulnerable groups disproportionately. The New York Times article “Study Warns of Cascading Health Risks from the Changing Climate” pays attention to vulnerable populations, like the [...]
Ndola Prata, MD, MSC, presented at the Stanford WHSDM Women's Global Health Forum. Dr. Prata is a Professor in Residence, Maternal Child and Adolescent Health at the University of Californina, Berkeley; Fred H. Bixby Endowed Chair in Population and Family Planning, Director, Bixby Center for Population, Health and Sustainability, Co-Director, Innovations for Youth (I4Y) School [...]Read More
It is imperative to make family planning more accessible in low resource settings. The poorest couples have the highest fertility, the lowest contraceptive use and the highest unmet need for contraception. It is also in the low resource settings where maternal and child mortality is the highest. Family planning can contribute to [...]