In the article below, Sharon Camp, PhD. President and CEO of the Guttmacher Institute, and Babatunde Osotimehin, United Nations Under-Secretary-General and Executive Director of the United Nations Population Fund, team up to write an overview of the state of family planning in sub-Saharan Africa.
Africa: Leaders Renew Their Commitment to Family Planning
On July 11, at the London Summit on Family Planning, leaders from 18 African countries made unprecedented commitments – financially and politically – to strengthen their family planning programs.
The Summit, sponsored by the British government and the Bill and Melinda Gates Foundation, with support from UNFPA, the United Nations Population Fund, focused attention on the ongoing lack of family planning services for millions of women in the developing world and garnered extraordinary global support and resources to enable 120 million more women to use contraceptives by 2020. The Summit exceeded its target, raising pledges of $4.6 billion over eight years. And this call to action came not a moment too soon.
In Sub-Saharan Africa alone, approximately 53 million women have an unmet need for modern contraceptives, meaning they want to avoid pregnancy but are not using a modern method. A new study by the Guttmacher Institute and UNFPA shows there has been minimal progress in addressing the contraceptive needs of African women during the past four years. What’s worse, in the 39 poorest countries in the region, the number of women with an unmet need has actually increased since 2008.
Among all sexually active women of reproductive age in Sub-Saharan Africa, 42% want to avoid pregnancy but only 17% are using a modern contraceptive. Across the continent, progress in meeting the demand for contraceptive services has been uneven. The situation of married women–who represent the bulk of women with contraceptive needs–is telling. Between 2008 and 2012, the proportion of married women using modern contraceptives increased from 20% to 27% in East Africa and from 54% to 58% in Southern Africa. However, in West Africa and Central Africa, there was no progress during that time, and contraceptive use among married women remains low at 9% and 7 %, respectively.
A matter of life and death
Not being able to plan their pregnancies can have devastating consequences for women. In 2012, more than 160,000 are expected to die in Sub-Saharan Africa from pregnancy-related causes – 62,000 of them did not want to be pregnant in the first place, a sobering statistic. The benefits of improving and expanding family planning programs in Sub-Saharan Africa would be dramatic: There would be 14 million fewer unintended pregnancies; maternal deaths would decline by 29%, saving the lives of 48,000 women; and infant deaths would drop by 555,000 annually. Plus, if women spaced their births by three years, which many would like to do, deaths among children aged five and under would drop significantly.
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