Integration and Automation in Practice: CI/CD in Mule Integration and Automat...
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
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.
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.
Group differences are less pronounced in DR Congo. Family planning interventions are needed everywhere, but especially in rural areas.