This programmatic brief explores how to expand HIV and STI prevention and contraceptive method options in contraceptive services and, thus, to reduce HIV and STI incidence among adolescent girls and... women. It focuses on settings with extremely high HIV prevalence and incidence. This brief complements existing guidance on HIV prevention and sexual and reproductive health and rights (SRHR), amplifies calls for action and outlines more comprehensive approaches to integration of SRHR and HIV services. It also emphasizes the importance of SRHR for women living with HIV. It aligns with updated WHO recommendations for contraceptive eligibility for women at high risk of HIV and other HIV guidance for adolescent girls and young women.
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Strategy for Increasing the use of Modern Contraceptives in Nigeria
Accessed Online June 2018 | Single-page summary highlighting trends in modern contraceptive prevalence in Rwanda using data from the Demographic & Health Surveys.
Accessed on 03.03.2020
Relever le Taux de Prévalence Contraceptive (TPC) au Sénégal à 45% et réduire les Besoins Non satisfaits (BNS) à 10% selon une approche inclusive, holistique au sein d’une instance de coordination multisectorielle f...onctionnelle chargée des questions de dividende démographique et incluant la participation de tous sans laisser personne en rade notamment les adolescents/jeunes, les femmes non mariées incluant les jeunes femmes seront pris en compte mais dans le respect des normes sociales; avec la contribution dans les financements de l’Etat notamment par un accroissement de l’ allocation budgétaire pour l’achat des produits contraceptifs portée à 500 millions de francs d’ici à 2020, mais aussi du secteur privé, des partenaires techniques et financiers et tout cela dans le respect des principes de bonne gouvernance en associant les organisations de la société civile, les religieux, les collectivités locales, les parlementaires, les médias et en améliorant les cadres réglementaires et légaux , principalement la signature du décret d’application de la loi SR et la révision de certains textes facilitant l’ accès universel à la planification familiale dans le pays.
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4th edition 2022 of the Handbook includes new WHO recommendations that expand contraceptive choices. Also, guidance on starting ongoing contraception following emergency contraception is provided.
Drawing on lessons from rec...ent outbreaks, this new edition details tangible measures for frontline health workers to protect access to family planning services during emergencies, such as wider access to self-administered contraceptives and the use of digital technologies by providers. It also expands guidance for women and young people at high risk of HIV.
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DHS Working Papers No. 94 - This study described the family planning initiatives in Rwanda and analyzed the 2005 and 2010 RDHS data to identify factors that contribute to the increase in contraceptive use. The Blinder-Oaxaca technique was used to de...compose the contributions of women’s characteristics and their effects.
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High quality of care in family planning (FP) services has been found to be associated with increased and continued use of contraceptive methods. The interpersonal skills and technical competence of the provider is one of the main components of quali...ty of care. To study the process component of quality of care, the distribution of the FP counseling topics was examined by client, provider and facility characteristics. To assess the outcomes of quality of care, client satisfaction and their knowledge of their method’s protection from STIs were used. This study examined the factors associated with these outcomes with a focus on provider counseling and training.
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Sixty-four mayors in nine regions across Senegal are now budgeting locally for family planning—a transformation in prioritizing access to contraceptives for women there. Mayors only recently obtained the authority to budget for family planning due... to a change in national law in 2014. Advocates acted quickly and strategically to capitalize on this new authority: from 2014 to 2017, 64 mayors budgeted a total of 73.8 million West African CFA francs (XOF), about US $125,000. Although many are seemingly small amounts, typically about $2,000, these commitments reflect important, first-time contributions from these local leaders—and a strong indicator of growing local ownership for family planning.
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La présente analyse du projet HPP a pour objectifs spécifiques de documenter (1) les sources d’approvisionnement existantes des contraceptifs ; (2) l’implication des agents par catégorie dans la proposition de médicaments et de ...attribute-to-highlight medbox">contraceptifs ; (3) les politiques et les directives actuelles du gouvernement concernant la distribution des contraceptifs et (4) les suggestions des participants pour améliorer le partage des tâches des services de planification familiale à base communautaire et les produits de PF.
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The Blueprint is intended to guide programming, resource allocation, and commitments to achieve the national objective of a contraceptive prevalence rate (CPR) of 36 percent by 2018.
In this edition, medicines used in ICU, haemodialysis and chemotherapy unit has also been added under NEML. The medicines under disinfectants and antiseptics, intrauterine devices and barrier methods under contraceptives has been deleted and move...d to medical supplies and equipment list. A section on traditional essential medicines list is also included at the end of the NEML
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DHS Further Analysis Reports No. 107 - This report, based largely on the 2014-15 national survey in Rwanda, focuses on changes and trends in reproductive behavior since 2010. In the 4-5 years after the 2010 survey, fertility continued its decline to 4.2 births per woman as ...highlight medbox">contraceptive prevalence increased slightly. However, the earlier downward trend in number of children desired appears stalled. This is clearly evident from an increase in the proportions of married women and men who say they want more children. Child mortality has significantly declined and remains strongly related to fertility; while age at marriage has continued to increase. The demographic goals specified in the 1998-99 plan for development, Rwanda Vision 2020, appear on track, but the annual rate of population growth remains high, currently 2.5%, because fertility is high. Furthermore, large numbers of young people are now entering their child-bearing years. Although most trends seem encouraging, especially compared with other countries in sub-Saharan Africa, significant population growth is expected in Rwanda, from 12 to 16 million people by 2030, and to 22 million people by mid-century, even with assumed reductions of fertility.
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DHS Further Analysis Reports No. 90 - In Rwanda, between 2005 and 2010, there have been radical declines in the desired number of children, actual fertility, and child mortality along with a large increase in contraceptive prevalence. This study rev...iews trends in some of these measures. Multivariate analyses evaluate the relative importance for
the desired number of children of years of schooling, wealth, urban residence, media exposure, child mortality, and attitudes toward gender equality. Variations in reproductive preferences, the total fertility rate, and unmet need for family planning are mapped for the 30 districts of Rwanda. The explanations for the rapid changes in reproductive attitudes and behavior are clearly related to the concerns of the country, the rapid rate of population growth, and its implications for economic development and reproductive health.
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In recent years, Rwanda has been on the fast track to achieve major health improvements for its entire population. With the support of government agencies and various non-governmental partners, the Ministry of Health (MoH) has endeavored to decentralize Rwanda’s health system and bring health serv...ices closer to the people. Guided by multitude of national and international development frameworks, Rwanda’s healthcare successes include the establishment of a community health insurance scheme (mutuelle de santé), a system of cooperative-financed community health workers in every village, and interventions for researching, preventing, and treating diseases like HIV/AIDS, TB, and malaria.
As the MoH continues to design innovative means to reach and surpass its prescribed health outcome targets, it will hold as core principles the integration of service provision, the increase in healthcare capacity, and the attainment of sustainable funding sources. Rwanda is committed to achieving the Millennium Development Goals by 2015 and has declared Family Planning (FP) a national priority for poverty reduction and socioeconomic development of the country. Modern contraceptive use has more than quadrupled from 2005 to 2010, rising from 10% to 45%, but the government’s Economic Development and Poverty Reduction Strategy calls for an increase the modern contraceptive prevalence to 70% by 2016. While structural changes in health care and supply chains have led to noteworthy improvements in FP and other services, there are still many challenges that must be overcome. As such, a strategic plan is needed to coordinate FP efforts around a well-defined set of objectives and responsibilities.
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his course provides an overview of the basic information relevant to FP programs and services, including rationale for voluntary FP, contraceptive method considerations, contraceptive options (inclu...ding short-acting, long-acting, and permanent methods), and FP for clients with special needs. It also addresses quality of services and access to care, as well as contraceptive security. Finally, the course highlights key tools to facilitate service delivery, client counseling, and provider training.
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Предоставление современных противозачаточных средств длительного и короткого действия,
информации, консультаций и услуг (включая экстренную контрацепцию) спаса...ет жизнь и
должно быть доступным и в наличии при реагировании на пандемию КОВИД-19.
Sexual and Reproductive Health and Rights: Modern Contraceptives and Other Medical Supply Needs, Including for COVID-19 Prevention, Protection and Response. also available in: english, spanish , arabic
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Regulation of the minister of health of the Republic of Indonesia number 97 of 2014 on pre-pregnancy health services, pregnancy, childbirth, and postpartum, contraceptive service and sexual health services
This Teaching Short describes a woman’s monthly cycle and shows and tells how pregnancy happens.
The videos present up-to-date standards on these important topics: contraceptive methods; family planning learning aids; ...ghlight medbox">contraceptive method skills (“how-to” films); counseling; reproductive health; and clinic-based infection prevention and control
The video is available in English, French, Spanish
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Christian Connections for International Health (CCIH), a U.S.-
based nonprofit membership organization commissioned a
Family Planning (FP) survey of faith-based facility-based private
not-for-profit (FB-PNFP) health facilities in Uganda in 2013.
Country-wide health facilities of the Uganda Ortho...dox Church
Medical Bureau (UOMB), the Uganda Muslim Medical Bureau
(UMMB), the Uganda Catholic Medical Bureau (UCMB), and the
Uganda Protestant Medical Bureau (UPMB) were contacted by
phone and interviewed with established questions related to
family planning, contraceptive security, maternal and newborn
health.
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From 2000 to 2010, Rwanda implemented comprehensive health sector reforms to strengthen the public health system, with the aim of reducing maternal and newborn deaths in line with Millennium Development Goal 5, among many other improvements in national health. Based on a systematic review of the lit...erature, national policy documents and three Demographic & Health Surveys (2000, 2005 and 2010), this paper describes the reforms and the policies they were based on, and provides data on the extent of Rwanda’s progress in expanding the coverage of four key women’s health services. Progress took place in 2000–2005 and became more rapid after 2006, mostly in rural areas, when the national facility-based childbirth policy, performance-based financing, and community-based health insurance were scaled up. Between 2006 and 2010, the following increases in coverage took place as compared to 2000–2005, particularly in rural areas, where most poor women live: births with skilled attendance (77% increase vs. 26%), institutional delivery (146% increase vs. 8%), and contraceptive prevalence (351% increase vs. 150%). The primary factors in these improvements were increases in the health workforce and their skills, performance-based financing, community-based health insurance, and better leadership and governance. Further research is needed to determine the impact of these changes on health outcomes in women and children.
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