In 2021, FHI 360 committed an estimated US$85 million over five years to support the goals of Family Planning 2030 (FP2030), a global movement dedicated to advancing the rights of people everywhere to access reproductive health services safely and on their own terms. As this effort advances, together we must reflect on the question: What is the future of family planning?
Improving adolescent sexual and reproductive health in Bangladesh through the Sustainable Development GoalsWritten by
In mid-June, we had the opportunity to attend a national consultation with members of Parliament in Bangladesh on integrating sexual and reproductive health and rights into the proposed Sustainable Development Goals (SDGs). The consultation was hosted by the Family Planning Association of Bangladesh with support from the International Planned Parenthood Federation.
Bangladesh has made impressive strides toward achieving the Millennium Development Goals. It has met the gender parity goals for primary and secondary education and is on track to fulfill the tertiary education goals. Bangladesh has also met the under-five mortality-reduction rate goal and is likely to reach the goal of reducing maternal mortality.
Sexual and reproductive health, which includes access to family planning and HIV prevention and treatment, is increasingly being linked to progress across all areas of development. As the United Nations Open Working Group (OWG) on Sustainable Development comes closer to finalizing the post-2015 global development goals, a growing crescendo of voices is commenting on where we stand with regard to meeting the sexual and reproductive health needs of the world’s girls, women and couples and is offering ideas on how to move ahead. We are also seeing important shifts in policy.
There are many examples that illustrate the lively dialogue that is now happening on sexual and reproductive health.
An article in the journal Contraception acknowledges that although significant, measurable progress on sexual and reproductive health has been made in the two decades since the International Conference on Population and Development (ICPD), momentum on key areas of family planning has slowed in recent years.
New commentaries in the Bulletin of the World Health Organization and The Lancet summarize the evidence for why universal access to family planning should be a key component of the post-2015 development agenda. Additional commentaries in The Lancet and Global Health: Science and Practice Journal offer actionable recommendations for meeting global demand for family planning. Finally, Womenatthecenter.org, an exciting new website, is sharing “inspiring, interconnected stories of women’s reproductive health and rights, empowerment and environmental sustainability.”
In honor of this year’s World Population Day, the theme of which is youth engagement and the sustainable development agenda, we are reflecting on youth — our future leaders, parents, entrepreneurs and citizens. Today’s generation of young people is the largest in history: there are 1.8 billion people between the ages of 10 and 24 on the planet. In many countries, more than half of the population is under age 25, creating opportunities for national economic growth but also underscoring the need for greater investment in their health — with consequences that will affect the world’s social, environmental and economic well-being for generations.
Investment in young people’s sexual and reproductive health in particular ensures that young people are not only protected from HIV and other STIs, but also that they have the number of children they desire, when and if they wish to have them. The ability to control one’s fertility increases individuals’ productive capacity and can lead to a decline in a country’s dependency ratio (number of working citizens compared to nonworking citizens). When the dependency ratio declines in conjunction with adequate investments in youth education and economic opportunity, per capita income can increase — a phenomenon known as the demographic dividend.
Unfortunately, many young people do not have access to the critical sexual and reproductive health information and services required to stay healthy and avoid unintended pregnancy. Many young women report not wanting to become pregnant, but the level of unmet need for contraception among adolescents is more than twice that of adults. In some regions of the world, the unmet need for contraception among adolescents is as high as 68 percent. Fulfilling the unmet need for contraceptives among adolescents alone could prevent an estimated 7.4 million unintended pregnancies annually.
Youth voices series: Perspectives on sexual and reproductive health
Implementing youth-friendly health services in Malawi
Barwani Msiska, a youth advocate from Malawi, discusses the critical role of policy change in the improvement of youth sexual and reproductive health.Read More
Why I choose to be a youth advocate for family planning
Burcu Bozkurt, a youth advocate, explains why she is so passionate about the sexual and reproductive health of young people.Read More
One youth’s quest to improve reproductive health in Nigeria
Isaiah Owolabi, a participant in the Interagency Youth Working Group online forum, Following through on the 2013 ICFP: Youth, SRHR and policy change, offers his views on youth sexual and reproductive health.Read More
A version of this post originally appeared on The Huffington Post. Reposted with permission.
This year’s International Conference on Family Planning (ICFP) saw the largest youth delegation in its history. Approximately 300 young people between the ages of 18 and 25 attended, doubling the number who participated in 2011. These young family planning activists moderated panels, delivered plenary presentations and assisted in launching ground-breaking publications, such as the United Nations Population Fund’s State of World Population 2013 report on adolescent pregnancy and the International HIV/AIDS Alliance’s paper on young people living with and affected by HIV. Young people’s needs were a major focus of conference presentations, events and press coverage. Government officials publically recognized the importance of young people and encouraged their active participation as emerging leaders in the field of family planning and reproductive health.
The attention to the unique needs of this population could not be more timely. Every day, 20,000 girls under the age of 18 in developing countries give birth. That is roughly 833 girls every hour, or 14 girls each minute. Of the 7.3 million girls who give birth each year, two million are under the age of 15 (UNFPA). Adolescent mothers face devastating social, educational, economic and health outcomes. Girls who become pregnant confront discrimination within their communities and are often forced to drop out of school or get married. Pregnancy during adolescence increases the risk of anemia, postpartum hemorrhage, prolonged obstructed labor, obstetric fistula, malnutrition and mental health disorders. Complications from pregnancy and childbirth are the leading cause of death for 15- to 19-year-old girls (UNFPA). Furthermore, adolescent mothers are more likely to have a lower income and have more children at shorter intervals throughout their lifetime.