Family planning challenges in pakistan and south asia dr malik khalid mehmood ph_d-1


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Family planning challenges in pakistan and south asia dr malik khalid mehmood ph_d-1

  1. 1. Status of Family Planning in Pakistan Dr.MalikKhalidMehmoodPhD Chief Adviser Population Council UNFPA-ICOMPRegionalConsultation on Family Planning in Asia and the Pacific - Addressing the Challenges© [2010] The Population Council, Inc.
  2. 2. Fertility Levels in Pakistan and neighbouring countries
  3. 3. Shortfalls in ProgramNational Population program since 1965, but not anational priority?Missing political commitmentLack of broader recognition of population issuesTherefore too few players, too few services,minimal fundingFrequent administrative changes and lack ofdecentralization of program a hold back.
  4. 4. Developments post ICPD?Wider recognition of population issuesReproductive health stretches acrosssectors-the demand for services increasesFormulation of Population Policy 2002International funding shrinks -Governmentinvested its own funds in family planning
  5. 5. Contraceptive Prevalence Stagnating in the Last Decade, After Sharp Increase in the 90sSource: PDHS 1990-91 & 2006-07; PCPS 1994; PFFPS 1997; RHFPS 2001; SWRHS 2003
  6. 6. Three-Quarter Users Choose Modern Methods of Family Planning-2007Source: PDHS 2006-07
  7. 7. Singulate Mean Age at MarriageSource: Census 1961, 1972, 1981, PDHS 1990-91, PDS 2001, PDHS 2006-07
  8. 8. Stagnation in Progress
  9. 9. Unmet Need for Family planning is RisingSource: PDHS 1990-91, RHFPS 2000-01, PDHS 2006-07
  10. 10. Unwanted fertility is rising tooSource: PDHS 1990-91 and 2006-07
  11. 11. The Disconnect between the Demand and Supply of Family planning Services52 percent women want no more children, 20percent want to spaceOnly 30 percent practice family planningHigh unmet need over 25 percentAlmost two-fifth of pregnancies are unwantedAbortion rate of 30 per 1000 women
  12. 12. Increase in Inequalities
  13. 13. Inequalities in Wanted-Unwanted Fertility RatesSource: PDHS 2006-07
  14. 14. The Poor have a Strong Desire to Regulate Fertility, but Low CPR and thus High Unmet NeedSource: PDHS 2006-07
  15. 15. Private Sector is Taking on Greater Responsibility of Providing FPSource: PDHS 1990-91 and 2006-07
  16. 16. Access to Family planning Limited Private sector mostly located in Urban areas The poor , reside mainly in rural areas, have to travel four times the distance to access FP facilities Low womens low mobility and weak autonomy worsen access especially for young women
  17. 17. Fertility Decline Scenarios-Need to Revise course
  18. 18. Recommendations• A High Level body to steer population issues • Strong monitoring and oversight • Ensure contraceptive commodity availability and distribution • Ensure provincial ownership of family planning • Ensure coverage by public sector - FP services at all health outlets • Ensure service availability to poor and hard to reach women • Coordinate and provide standards for private sector
  19. 19. Expanding the role of Stakeholders• Investing in female education• Creating jobs for the fast expanding youthful labour force• Creating off-farm employment opportunities for women• Role of media and youth to take greater responsibility for burning social issues-bring political and administrative leadership to task
  20. 20. Thank YouFor yourattention!DrMalikKhalidMehmoodPhD