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Family Planning:
the “Best Buy” of development
         investments
Education         In Kenya, invest $1 in:

Water
Environment
Maternal Health                                Family
                     Education      or
                                              Planning
Malaria
Economic                  $1                     $1.61
  Development       improvement             improvement
                     in Education            in Education
Child Health
HIV/AIDs
                  Source: USAID
Education
Water
Environment       35.9 million dollars saved in
                     water and sanitation
Maternal Health
                         expenditures
Malaria
Economic           8% reduction of the overall
  Development               budget
Child Health
HIV/AIDs
                  Source: USAID
Invest $1 M to reduce carbon emissions
Education
                                                                   Tonnes of Co2 Saved
Water              250,000

                   200,000
Environment
                   150,000
Maternal Health    100,000

                    50,000
Malaria
                         0




                                                                                                                                                                                                                  Power plant biomass…
                                                                                                                                                                Reforestation of…




                                                                                                                                                                                                                                         Carbon Capture and…
                                                                                                                                                                                                                                                               Carbon Capture and…
                                               Reduce slash and…



                                                                                                            Energy efficient…
                                                                                                                                Pastureland…
                                                                   Pasture management




                                                                                                                                                                                                          Solar
                                                                                                                                               Nuclear energy
                             Family planning



                                                                                        Geothermal energy




                                                                                                                                                                                    Plug-in hybrid cars
Economic
  Development
Child Health
HIV/AIDs
                   Source: Center for Global Development, 2009
Education         Family planning services:
                  Delaying motherhood, spacing births, avoiding un-
                  intended pregnancies and abortions, and stopping
Water             childbearing when women have reached their desired
                  family size
Environment
Maternal Health
                                     Prevents
Malaria
Economic
                            one in three
                              maternal deaths
  Development
Child Health
HIV/AIDs
                  Source: World Health Organization
Education         In Kenya:

Water
Environment
                              15% savings
Maternal Health
Malaria           in Malaria prevention costs in a 10
                             year period.
Economic
  Development
Child Health
HIV/AIDs
                  Source: USAID
Education         Research from 45 countries shows:

Water
Environment       0.5% decrease in crude birth
                   rate brings
Maternal Health
Malaria
Economic          33% decrease in people living
  Development      in poverty

Child Health
HIV/AIDs
                  Source: World Health Organization
Education         Babies spaced less than two years apart are -

Water                          2x more likely to die*
Environment
                      than those spaced more than two years
Maternal Health                       apart.

Malaria
Economic
  Development
Child Health
                  *in their first year
HIV/AIDs
                  Source: Population Ref. Bureau
Data from 14 countries shows:
Education
Water
Environment
                      1$ on Family Planning
Maternal Health
Malaria
Economic
                  25$ savings on HIV/AIDs
  Development           care and treatment*
Child Health
HIV/AIDs          *on average
                  Source: USAID
Education
Water
Environment
Maternal Health
Malaria
Economic
  Development
Child Health
HIV/AIDs
1 in 4
Kenyan women have an unmet need
        for family planning
Penda Health:
Meeting the unmet need.

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A Pitch for Family Planning

  • 1. Family Planning: the “Best Buy” of development investments
  • 2. Education In Kenya, invest $1 in: Water Environment Maternal Health Family Education or Planning Malaria Economic $1 $1.61 Development improvement improvement in Education in Education Child Health HIV/AIDs Source: USAID
  • 3. Education Water Environment 35.9 million dollars saved in water and sanitation Maternal Health expenditures Malaria Economic 8% reduction of the overall Development budget Child Health HIV/AIDs Source: USAID
  • 4. Invest $1 M to reduce carbon emissions Education Tonnes of Co2 Saved Water 250,000 200,000 Environment 150,000 Maternal Health 100,000 50,000 Malaria 0 Power plant biomass… Reforestation of… Carbon Capture and… Carbon Capture and… Reduce slash and… Energy efficient… Pastureland… Pasture management Solar Nuclear energy Family planning Geothermal energy Plug-in hybrid cars Economic Development Child Health HIV/AIDs Source: Center for Global Development, 2009
  • 5. Education Family planning services: Delaying motherhood, spacing births, avoiding un- intended pregnancies and abortions, and stopping Water childbearing when women have reached their desired family size Environment Maternal Health Prevents Malaria Economic one in three maternal deaths Development Child Health HIV/AIDs Source: World Health Organization
  • 6. Education In Kenya: Water Environment 15% savings Maternal Health Malaria in Malaria prevention costs in a 10 year period. Economic Development Child Health HIV/AIDs Source: USAID
  • 7. Education Research from 45 countries shows: Water Environment 0.5% decrease in crude birth rate brings Maternal Health Malaria Economic 33% decrease in people living Development in poverty Child Health HIV/AIDs Source: World Health Organization
  • 8. Education Babies spaced less than two years apart are - Water 2x more likely to die* Environment than those spaced more than two years Maternal Health apart. Malaria Economic Development Child Health *in their first year HIV/AIDs Source: Population Ref. Bureau
  • 9. Data from 14 countries shows: Education Water Environment 1$ on Family Planning Maternal Health Malaria Economic 25$ savings on HIV/AIDs Development care and treatment* Child Health HIV/AIDs *on average Source: USAID
  • 11. 1 in 4 Kenyan women have an unmet need for family planning

Editor's Notes

  1. Find original citation
  2. Girls are the first ones to be taken out of schools when families are resource constrainedBuilding additional school for governments is incredibly expensiveGirls who don’t go to school have higher rates of unintended pregnancies and so the cycle perpetuates with a higher population level
  3. Increasing demand for water is also directly related to population growth, mainly through the extra water needed to grow more food. About a third of the world’s population live under conditions of moderate or high water stress, a categorisation implying that water availability is already, or is becoming, a limiting factor. This proportion is bound to rise and could reach two-thirds by 2025.39
  4. How does this work?
  5. Young mothers are more likely to die due to under-developed hip structures among other thingsHaving children close together increases odd of maternal death by…Older mothers more likely to experience complications(Martine Collumbien, MakedaGerressu, and John Cleland, “Non-Use and Use of Ineffective Methods of Contraception,” in Comparative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Factors, ed. MajidEzzati et al. (Geneva: World Health Organization, 2004): 1255-1320. )
  6. Achieving theMillenniumDevelopment Goals:The contribution of fulfillingthe unmet need for familyPlanningUSAID
  7. How does this work?
  8. Family planning saves lives. Fourth edition. Rhona Smith, Lori Ashford, Jay Gribble, Donna Clifton. Population Reference Bureau.
  9. Researchers found a potential savings of almost US$25 for every dollar spent on family planning at HIV/AIDS care and treatment facilities funded under the U.S. PEPFAR program.Reduced costs of Mother to Child transmission HIV+ pregnancies are inredibly expensiveChildren more with HIV start the cycle againARE COST SAVINGS INCURRED BY OFFERING FAMILY PLANNING SERVICES AT EMERGENCY PLAN HIV/AIDS CARE AND TREATMENT FACILITIES?John Stover, Leanne Dougherty, Margaret HamiltonJanuary 2006
  10. 3.79 benefit-cost ratio
  11. They say they don’t want to have another kid in the next two years or that they do not want to any additional children, but they are taking no preventative action