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Achieving Equity in Family Planning:
           Getting Beyond the Rhetoric
                                      Session 1.2.11

        Karen Foreit1, Janine Barden-O'Fallon2, Jessica Dietrich3,
                    Cheikh Seck4, Suneeta Sharma1


                 1Futures  Group, USA
                 2University of North Carolina, USA
                 3International Planned Parenthood Federation WHR, USA
                 4Initiative Senegalaise de Sante Urbaine, Senegal




Achieving Equity in Family Planning
Why equity?

 Neglected topic in family planning
 Inequities in access to services violate
  principles of human rights
 May prevent countries from reaching health
  and development goals




Achieving Equity in Family Planning
What is an equity approach?

 Addresses differences in access to and use of
  quality family planning services that are:
      o Unwanted and avoidable
      o Unfair and unjust
 Focuses on sub-groups, not the general
  population
 Targets the most disadvantaged


Achieving Equity in Family Planning
Different situations require different
approaches
                             Kenya 2008
                       60%
 % Modern Method Use




                       50%
                       40%                    Strategic options:
                       30%
                       20%                     Focus on the poorest of
                       10%
                        0%                      the rural poor
                                      Urban
                                      Rural




Achieving Equity in Family Planning
Different situations require different
approaches
                             DR Congo 2007
                       60%
 % Modern Method Use




                       50%   Urban
                       40%   Rural
                                             Strategic options:
                       30%
                       20%                    Improve family planning
                       10%
                        0%                     nation-wide
                                              Give special attention to
                                               rural areas
                                              May be too soon for a
                                               poverty focus



Achieving Equity in Family Planning
Our panel: research to practice

 Disentangling poverty and place of residence
 Increasing coverage of vulnerable populations
  in Bolivia
 Designing interventions for urban poor in
  Senegal
 Increasing public resources for health in
  poorest states of India


Achieving Equity in Family Planning

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Achieving Equity in Family Planning

  • 1. Achieving Equity in Family Planning: Getting Beyond the Rhetoric Session 1.2.11 Karen Foreit1, Janine Barden-O'Fallon2, Jessica Dietrich3, Cheikh Seck4, Suneeta Sharma1 1Futures Group, USA 2University of North Carolina, USA 3International Planned Parenthood Federation WHR, USA 4Initiative Senegalaise de Sante Urbaine, Senegal Achieving Equity in Family Planning
  • 2. Why equity?  Neglected topic in family planning  Inequities in access to services violate principles of human rights  May prevent countries from reaching health and development goals Achieving Equity in Family Planning
  • 3. What is an equity approach?  Addresses differences in access to and use of quality family planning services that are: o Unwanted and avoidable o Unfair and unjust  Focuses on sub-groups, not the general population  Targets the most disadvantaged Achieving Equity in Family Planning
  • 4. Different situations require different approaches Kenya 2008 60% % Modern Method Use 50% 40% Strategic options: 30% 20%  Focus on the poorest of 10% 0% the rural poor Urban Rural Achieving Equity in Family Planning
  • 5. Different situations require different approaches DR Congo 2007 60% % Modern Method Use 50% Urban 40% Rural Strategic options: 30% 20%  Improve family planning 10% 0% nation-wide  Give special attention to rural areas  May be too soon for a poverty focus Achieving Equity in Family Planning
  • 6. Our panel: research to practice  Disentangling poverty and place of residence  Increasing coverage of vulnerable populations in Bolivia  Designing interventions for urban poor in Senegal  Increasing public resources for health in poorest states of India Achieving Equity in Family Planning

Editor's Notes

  1. Recent analysts argue that reaching Millennium Development Goals for child mortality and maternal health will require focused, targeted interventions to reduce inequities related to socioeconomic status. Nevertheless, equity remains a relatively neglected topic in the family planning agenda – for example, the call for abstracts for this conference mentions it only once, in the context of gender equity.
  2. These data from the last Kenya DHS show clear group differences in family planning use. An equity approach would focus on and provide extra resources for the rural poor, understanding that reaching remote rural areas where needs are greatest will cost more than strengthening services in urban areas, even urban slums.
  3. Group differences are less pronounced in DR Congo. Family planning interventions are needed everywhere, but especially in rural areas.
  4. Suggest you introduce panelists all at once.