Investing in Family Planning

Investment in family planning training, access and service has been proven again and again to be valuable – with improved health outcomes as well as economic and environmental benefits. The opposite has also been shown: restrict access, defund research, or censor voices and the health, economic and environmental consequences are easy to see.

The cost can be quite reasonable. $8 per person per year, according to Guttmacher Institute research, can give “a brighter, more empowered future for a woman in need of access to contraceptives and quality maternal care, meeting the global need for family planning and maternal and newborn health care in developing regions.”

The new acting head of the UNFPA, Natalia Kanem, notes that having fewer children, and lowering “the dependency ratio is a key element of the demographic dividend — that you have fewer dependents per working age population. It all is part of a piece: Better economy, better health, better nutrition, longevity.” The climate change benefits were noted this week as well in a Swedish study which says that having fewer children is the most effective way to improve the environment.

Nigerian Health Minister Isaac Adewole pledged more investment, calling family planning “one of the strongest anti-poverty strategies.” The Ugandan, Zambian and Zimbabwean governments announced higher family planning budgets as well. And news this week that Sweden will support efforts in Somalia to the tune of $8.5M.

One UK paper pleaded that 10 women a day die in Malawi during childbirth, surely a compelling defense “to safeguard the UK foreign aid budget.”

The Global Health Technologies Coalition noted the real economic benefits of global health innovation: “From 2007 to 2015 alone, $14 billion in US investments in global health innovations advanced numerous new technologies for fighting many dangerous diseases while attracting substantial private sector commitments and creating 200,000 new American jobs,” said GHTC Director Jamie Bay Nishi. “It’s hard to imagine many other investments of taxpayer dollars that have provided such impressive returns.”

The downside of cutting funding and ignoring investment is equally clear. As the Trump Administration hits its six-month mark, The Guardian accuses the White House of “signing a global death warrant for women,” and publishes five charts that exemplify the challenges. One aspect of a lack of women’s empowerment: The World Bank says that child marriage will cost developing countries “trillions of dollars by 2030.”

On the US domestic front, lack of access has led to the highest rate of maternal mortality in the developed world. ProPublica is on a quest to document maternal deaths, since “these deaths of women from causes related to pregnancy or childbirth are almost invisible.” In Texas, defunding Planned Parenthood “actually increased abortion rates.” An OB-Gyn shortage is already on the horizon for several cities, which could be exacerbated if legislatures eliminate abortion training at state universities, as is being considered in Wisconsin.

CIRHT!

You may be interested in two articles this week from the CIRHT website: One shows the way in which CIRHT’s founder Dr. Senait Fisseha and WHO Director-General Dr. Tedros Adhanom worked together first in Ethiopia and now on a global stage (more also on Dr Tedros’s vision for Universal Health Coverage); the other looks at the CIRHT partnership with the University of Gondar.

Complete News Review References:  

General/Global

How Trump signed a global death warrant for women, The Guardian, 21 Jul 2017

Grindr, virtual reality and vlogging: new ways to talk about sexual health, The Guardian, 21 Jul 2017

Putting women’s health and empowerment at the center of development, World Bank, 20 Jul 2017

Scientists Say Having Fewer Kids Is Our Best Bet To Reduce Climate Change, Forbes, 20 Jul 2017

These cities are on the front lines of a women’s health crisis, STAT news, 20 Jul 2017

Boots faces boycott over refusal to lower cost of morning-after pill, The Guardian, 20 July 2017

Q&A: UNFPA chief on why it pays to have healthy youth, Devex, 20 Jul 2017

Bid to ease Chile’s abortion ban hits roadblock, Reuters, 20 Jul 2017

Chile’s Senate Passes Abortion Bill, Center for Reproductive Rights, 19 Jul 2017

The Future of Family Planning – Podcast with Rachel Silverman, Center for Global Development, 19 Jul 2017

A New Front in the War Over Reproductive Rights: ‘Abortion-Pill Reversal’, The New York Times, 18 Jul 2017

Ethiopia-Michigan Collaboration on a Global Scale, CIRHT, 17 Jul 2017

All roads lead to universal health coverage – Dr. Tedros, The Lancet Global Health, 17 Jul 2017

Investing In Women’s Reproductive Health: The Value Of $8, Huffington Post/Universal Access Project, 17 Jul 2017

Major University Mulls Eliminating Abortion Training For Doctors, Daily Caller, 17 Jul 2017

Texas slashed funding for Planned Parenthood and ended up with more teen abortions, Think Progress, 17 Jul 2017

Lost Mothers, ProPublica, 17 Jul 2017

Life and death in Texas: abortion frontline of America – video, The Guardian, 17 Jul 2017

Q&A: Menstrual Equity Champion Jennifer Weiss-Wolf on Fighting for the Reproductive Health of Incarcerated Women, Ms. Magazine, 17 Jul 2017

UW-Madison warns anti-abortion bill could worsen OB-GYN shortage, Madison.com, 17 Jul 2017

Why Donald Trump is bad for the health of the world – in five charts, The Guardian, 17 Jul 2017

10 women a day die during childbirth in Malawi… surely there’s no more compelling a case to safeguard the UK’s aid budget?, Sunday Post, 16 Jul 2017

Birth Control Problems Science Has Yet To Solve, Romper, 16 Jul 2017

This documentary shows how close we are to a real-life “Handmaid’s Tale”, Salon, 15 Jul 2017

Texas Study Shows How Defunding Planned Parenthood Actually Increased Abortion Rates, Common Dreams, 14 Jul 2017

Leaders round the world commit support for voluntary family planning, UNFPA, 14 Jul 2017

Having Fewer Children – a Solution for Climate Change?, Deutsche Welle, 14 Jul 2017

Nutrition International brings nutrition into the spotlight at global family planning conference, Nutrition International, 14 Jul 2017

Child Marriage Will Cost Developing Countries Trillions of Dollars by 2030, Says World Bank/ICRW Report, The World Bank, 27 Jun 2017

My Gynecologist Wouldn’t Give Me an Elective Abortion—So I Broke Up With Her, Self, 20 Jun 2017

Delivering SRHR services in fragile contexts, Cordaid, June 2017

Academic

Progress and priorities for reproductive, maternal, newborn, and child health in Kenya: a Countdown to 2015 country case study, The Lancet Global Health, August 2017

Updated Guidelines on Managing Complications in Pregnancy and Childbirth, MHTF, 19 Jul 2017

Return on innovation: Why global health R&D is a smart investment for the United States, Global Health Technologies Coalition, June 2017

Benin

UNICEF Goodwill Ambassador Angélique Kidjo and Benin’s music stars say NO to child marriage!, UNICEF, 20 Jul 2017

Cameroon

After devastating birth injuries, 33 women’s lives transformed, UNFPA, 14 Jul 2017

Ethiopia

University of Gondar confers CIRHT with “Best Partner of the Year” award, CIRHT, 19 Jul 2017

Gambia

Youth trained on sexual reproductive health, The Point, 20 Jul 2017

National Capacity Building Workshop for Scaling Up Good Practice Kicks Off, Daily Observer, 18 Jul 2017

Ghana

Make Sexual and Reproductive Health Education a core subject – Lecturer, Joy Online, 20 Jul 2017

Kenya

Achieving progress for mothers, babies, and children in Kenya, The Lancet Global Health, August 2017

Technology milestone to curb Kenya maternal deaths, CAJ News, 13 Jul 2017

Liberia

30 Midwives Trained As Mentors, The News, 18 Jul 2017

Maternal health gets a new boost in Liberia, UN Women, 17 Jul 2017

Namibia

Expectant mothers scorn shelter at Engela, New Era, 20 Jul 2017

How health clinics in Namibia are destigmatizing HIV and boosting efficiency, UNFPA, 6 Jul 2017

Nigeria

‘Why Nigeria is investing more in family planning’, The Nation, 21 Jul 2017

Examining the “Urban Advantage” in Lagos, Nigeria: Geographic Disparities in Maternal Mortality, MHTF, 21 Jul 2017

Gynaecologist Tasks Govt, Healthcare Providers on Prevention of Maternal Mortality, This Day, 20 Jul 2017

Family Planning: The untold stories, Gistmaster, 20 Jul 2017

Saraki, Others Back Family Planning as Nigeria Marks World Population Day, This Day, 20 Jul 2017

Why poor exclusive breastfeeding persists in Nigeria – Official, Premium Times, 19 Jul 2017

Maternal Health Care Gaps Denies Women Their Rights To Reproductive Health Services, AIT, 18 Jul 2017

Nigerian Pro-life Leader Speaks Out Against Melinda Gates’ Push for Contraception in Africa, Town Hall, 18 Jul 2017

Knubwada – the Story of Niger District Where Only Women Rule, Daily Trust, 17 Jul 2017

Nigeria allocates $4m annually for contraceptives, Vanguard, 17 Jul 2017

Journalists Trained On How To Report Adolescent SRH, PM News, 15 Jul 2017

Early, exclusive breastfeeding can reduce neonatal mortality — Consultant, Premium Times, 2 Jul 2017

Rwanda

My govt will only allow three children per family – Mpayimana, New Times, 21 Jul 2017

C-Section – What You Should Know About This Birth Option, New Times, 17 Jul 2017

Sierra Leone

PPASL Executive Director wins award, Awoko, 21 Jul 2017

Teenage girls are dying from unsafe abortions and risky pregnancies, The Guardian, 20 Jul 2017

End of Ebola sparks crisis for Sierra Leone’s teen mums, The Guardian, 16 Jul 2017

Children and young people need reproductive health education, Awoko, 14 Jul 2017

Somalia

Sweden grants $8.5M for maternal health care in Somalia, Agence de Presse Africaine, 19 Jul 2017

South Africa

Another foetus found in the west, Pretoria Moot Rekord, 19 Jul 2017

Men just keep on Trumping women’s rights, News24, 16 Jul 2017

Sudan

Woman Dies Giving Birth, Care Lacking in Jebel Marra, Radio Dabanga, 14 Jul 2017

Uganda

Fearless in Uganda: Young Public Health Ambassadors in Action, Exposure, 19 Jul 2017

UNFPA donates reproductive health kits to seven districts, Grejeen, 18 Jul 2017

Youth offer solutions to global problems, if leaders take action now, UNFPA, 18 Jul 2018

My husband forbid me to use family planning, New Vision, 18 Jul 2017

Person-Centered Group Antenatal Care in Eastern Uganda: Reaching Women Through Pregnancy Clubs, MHTF, 18 Jul 2017

Contraceptives among patients on anti-retroviral therapy, New Vision, 18 Jul 2017

Pain rural Bugisu women go through during pregnancy, Daily Monitor, 18 Jul 2017

Person-Centered Group Antenatal Care in Eastern Uganda: Reaching Women Through Pregnancy Clubs, MHTF, 18 Jul 2017

What could kill you during pregnancy?, Daily Monitor, 16 Jul 2017

Uganda to improve family planning services, Daily Monitor, 15 Jul 2017

Leaders around the world commit support for voluntary family planning, UNFPA, 14 Jul 2017

Zambia

Family planning programme with a budget, Times of Zambia, 16 Jul 2017

Zimbabwe

Mash Central tops on teenage pregnancies, The Herald, 20 Jul 2017

Govt Commits US$177 Million Towards Increasing Family Planning Uptake, 263chat, 17 Jul 2017

Zim’s donor dependency for family planning bemoaned, ZBC, 15 Jul 2017