Presentation on theme: "Presented at the KNUST Annual Scientific Conference 26TH AUGUST 2010"— Presentation transcript:
1ADDRESSING THE MILLENNIUM DEVELOPMENT GOALS - THE ROLE OF FAMILY PLANNING. Presented at theKNUST Annual Scientific Conference26TH AUGUST 2010by Dr. Gloria J. Quansah AsareDirector, Family Health DivisionThank organizers for invitation and interest in topicRelevance of theme – “Reproductive & Child Health: Current Trends and Challenges”
2Content MDGs Current Country Status (Health Related MDGs) FP FP & MDGs ConclusionWay ForwardReferences
3Millennium Development Goals Millennium Development Goals are a UN framework for global developmentThere are a total of 8 MDGs and 4 goals are directly related to health:End Poverty & HungerUniversal EducationGender EqualityChild HealthMaternal HealthCombat HIV/AIDSEnvironmental SustainabilityGlobal Partnership
4MDG 1: End Poverty & Hunger Goal: eradicate extreme poverty & hungerTarget: to halve, between the proportion of people who suffer from hungerIndicators:- prevalence of underweight children under five years of age
5MDG 4: Child Health Goal: reduce child mortality Target: to reduce, by 2/3, between under-5 mortality rateIndicators:- Under-five mortality rate- Infant mortality rate- Proportion of 1 year-old children immunised against measles (increase by 2/3)
6MDG 5: Maternal Health Goal: reduce maternal mortality Target: to reduce by 3/4 between maternal mortality ratioIndicators:- Maternal mortality ratio- Adolescent birth rate- Unmet need for family planning(Increase)- Proportion of births attended by skilled health personal-Contraceptive prevalence rate-Antenatal care coverage
7MDG 6: Combat HIV/AIDS, Malaria and Other Diseases Goal: combat HIV/AIDS, Malaria and other diseasesTarget: have halted by 2015 and begun to reverse the spread of HIV/AIDSIndicators:- HIV prevalence among population aged years- Condom use at last high-risk sex- Proportion of population aged with comprehensive correct knowledge of HIV/AIDS
8MDG 6: Combat HIV/AIDS, Malaria and Other Diseases cont. Goal: combat HIV/AIDS, Malaria and other diseasesTarget: achieve, by 2010, universal access to treatment for HIV/AIDS for all those who need itIndicators:- Proportion of the population with advanced HIV infection with access to antiretroviral drugs
9MDG 6: Combat HIV/AIDS, Malaria and Other Diseases cont. Goal: combat HIV/AIDS, Malaria and other diseasesTarget: have halted by 2015 and begun to reverse the incidence of malaria and other major diseasesIndicators:- incidence and death rate associated with Malaria- Proportion of children under five sleeping under insecticide-treated bed nets- Proportion of children under 5 with fever who are treated with appropriate anti-malarial drugs- Incidence, prevalence and death rates associated with tuberculosis- Proportion of tuberculosis cases detected and cured under directly observed treatment short course (DOTS)
11MDG 1: End Poverty & Hunger INTERVENTIONSPrevalence of Underweight Children Under 5 years (weight-for-age -2 std. devs)Nutrition educationPromotion of complementary feedingPromotion of good eating habitsPromotion of exclusive breastfeedingRehabilitation of undernourished childrenFood supplementation
12MDG 4: Child Health Interventions Under-5 Mortality,Promotion of exclusive breast feedingPromotion of early introduction of complementary feeding + breastfeedingSchool health servicesVitamin A supplementationImmunisationGrowth promotion and nutritionCurative care for minor ailmentsIEC
13MDG 4: Child Health Infant Mortality, 1993 - 2008 Proportion of 1 year-old children immunised against measles,- Add neonatality dataSource: DHS-Ghana, 1988, 1993, 1998, 2003 , 2008
14MDG 4: Child Health Challenges Way forward High Neonatal mortality rateTraditional/ Cultural practicesLimited access to servicesPoor utilization of servicesHealth seeking behavioursWay forwardImprove skillsImprove Community actionsOperatios Research
15MDG 5: Maternal Health Interventions Services being providednutrition education,Iron folate supplementationTetanus immunisationEducation on breastfeeding and care of the new bornIPTVCT and PMTCTeducation to improve capacity of family and community members in home based, life saving skillsFamily planning servicescomprehensive abortion care services as permitted by lawIncreasedaccess to Essential, comprehensive and basic obstetric careaccess to blood transfusion servicescoverage, content and quality of antenatal and post natal servicesproportion of deliveries conducted by skilled attendantsPromotethe prevention of unsafe abortion and post abortion carethe prevention &management of reproductive tract infectionsthe prevention and management of harmful traditional practices e.g. FGMThe management of cancers of the reproductive system
16Package of Services Safe Motherhood Emergency Obstetrics care Essential Newborn CarePMTCTMIPFamily PlanningComprehensive Abortion Care ServicesIE &C
18MDG 5: Maternal Health Medically Assisted Deliveries 1993 – 2008 Antenatal Care (at least 1 visit) 1988 – 2008Source: DHS-Ghana, 1988, 1993, 1998, 2003, 2008
19MDG 5: Maternal Health Age-Specific Fertility Rate: 15-19, 1993 – 2008 Contraceptive Use: Any Method 1988 – 2008Contraceptive prevalence still very lowSource: DHS-Ghana, 1988, 1993, 1998, 2003, 2008
20Unmet Need for Family Planning, 1993 – 2008 MDG 5: Maternal HealthUnmet Need for Family Planning, 1993 – 2008Success!* Unmet Need figures are derived from both the number of women who want to delay childbirth or have no more children and the number that are not using contraceptive methods.Source: DHS-Ghana, 1988, 1993, 1998, 2003 ,2008
21MDG 5: Maternal Health Challenges 3 Delays Decision Taking, Reaching Facility, Receiving CareLimited geographical access by some clientsHuman resources; ageing midwives, and their numbersInadequate EmOC equipmentWay ForwardCollaboration with civil society organisations, NGOs, Communities and other MDAsTraining in midwiferyImprove communication (mobile telephony)
22MDG 6: HIV - Interventions Counselling and testing servicesPrevention of Mother to Child TransmissionManagement of STIsCondom Promotion: provision of condoms to Social marketing agentsSafe blood transfusionProvision of HIV test kits for all health institutionsScreening of bloodHIV exposure prevention in health facilitiesHealth promotion and demand creationTreatment care and supportImprove quality of treatment servicesIncrease access to ARTStrengthening care and support services for PLHIV
23Number of Persons on ART, 2003 – 2008 MDG 6: HIVHIV Prevalence Rates, 2000 – 2008General PopulationNumber of Persons on ART, 2003 – 2008Ages 15-24Source: NACP
24MDG 6: HIVCondom use at last high-risk sex (with a non-marital, non-cohabitating partner), 2003 & 2008- Add def of high-risk sexSource: DHS-Ghana 2003 & draft 2008
25MDG 6: HIV% of population (15-24 years) with comprehensive correct knowledge of HIV/AIDS, 2003Source: DHS-Ghana 2003
26MDG 6: Malaria Interventions Improvement of malaria case management in health facilities e.g. ACTs,Promotion of home-based care of malaria with emphasis on symptoms detection and seeking early treatmentPromotion of the use of insecticide-treated nets for children under-five and pregnant womenProvision of intermittent preventive treatment for pregnant womenPromotion of indoor residual spraying (IRS)LarvicidingProportion of children under 5 sleeping under insecticide-treated bed nets, 2002 – 2008
27Malaria Case Fatality Rate Under 5, 2002 – 2008 MDG 6: MalariaMalaria Case Fatality Rate Under 5, 2002 – 2008Proportion of children under 5 with fever who are treated with appropriate anti-malarial drugs, 1998 – 2008
28MDG 6: TB Interventions DOTS quality expansion programme Provision of infrastructure for supervised treatment in some district hospitals.Public –Private Mix (PPM) DOTSIntegration of TB and HIV prevention, care and support activitiesCommunity based TB Caresystem of case holding and defaulter tracing with active community participation.Enablers packageTB in prisonsAdvocacy , communication, social mobilizationPromote behavioural change communication to support TB controlMonitoring, supervision and evaluation
29Tuberculosis Case Detection 1997-2008 Tuberculosis Treatment Outcome: Treatment Success Vrs Adverse Outcome,This is a major challenge – to improve case detection. Case detection currently estimated around 35%With reference to TB treatment Adverse outcomes include : death, treatment failure, defaulters and those who were transferred outTreatement success refers to those cure or those who completed treatment
30MDG 6: HIV/ AIDS Challenges Way forward Delays in reporting Human Resource: Multi tasked personnelProcurement delaysDelays in initiating care (CT,PMTCT and ART)Way forwardAll regions to be resourced to carry ART training to increase access to HAARTIncrease access to CT, STI services
31MDG 6: Malaria Challenges Way Forward Delay in in the approval of anti malaria drug policySome hospitals do not adhere to new anti malaria policyExistence of several mono therapies in the systemAcceptability and utilisation of some brands of LLINsImprovement in diagnosis and prescriptionWay ForwardImprovement in drug regulationTreatment of other materials other than bed netsScale up Indoor Residual SprayingImprove diagnostic capacity of including laboratory supportScale up use of rapid diagnostic test kits
32MDG 6: Tuberculosis Challenge Way Forward Low case detection rate Address reasons for low case detection rate through monitoring, supervision and researchDevelop standard operating procedures for TB case detectionConduct national TB prevalence survey to assess magnitude of TB problemInvolve ex TB patients in Tb control activities to improve case detection ratePPM DOTS expansion
33Family PlanningFamily planning services include methods and practices to space births, limit family size and prevent unwanted pregnancies.Fertility by choice, and not by chance is a basic requirement for women’s health.Fertility regulation is also a major element in aiding safe motherhood strategy.reduces the number of unwanted pregnanciesdecrease in the total exposure to risk of pregnancydecrease in the number of unsafe abortions.Family Planning is a way of managing one’s fertility. It includes methods and practices to postpone or space births, limit family size and by so doing preventing unintended pregnancies which are often unwanted.It means that individuals and couples have “fertility by choice and not by chance”. Thus FP is a basic requirement for women’s health and reproductive rights. (ICPD and other conferences and meetings ->RH, implications, SHImproves the quality of life forWomenChildrenMenFamily as a wholeNationThe earthFamily planning services serve as a link to other reproductive health services.
34GoalThe goal of family planning is to assist couples and individuals of all ages to achieve their reproductive goals and improve their general reproductive health.The goal of family planning is to assist couples and individuals of all ages to achieve their reproductive goals and improve their general reproductive health.Family Planning is now seen as a human right –basic to human dignity. People and Governments around the world understand this.
35EligibilityAll individuals and couples including adolescents are eligible for family planning services.
36Family planning methods available in Ghana Short termCondoms (male and female)SpermicidesOral Contraceptive pills (Combined & Mini-pill)Injectables – (3 monthly)Injectable (Monthly)Lactational Amenorrhoea Method (LAM)Long Term(Reversible)Intra Uterine DeviceImplantsNatural Family Planning Method(Permanent /Irreversible)Tubal Ligation ♀Vasectomy ♂Female condoms and the monthly combined injectable contraceptive – Norigynon were introduced into the country’s method mix in 2000.Diaphragms and cervical caps are currently not offered.Emergency Contraception
37“Planning for Progress and Development” 1969 Population Policy “Population Growth in excess of 2 % per year is among the structural factors inhibiting the achievement of a wide range of development objectives” (UN Population Division)Ghana Population Policy, 1969FP was seen essentially as an instrument forattaining specified demographic targets andsocio-economic development objectives.
38Post –ICPD, 1994Global Consensus that National Development aspirations were best achieved through Comprehensive Reproductive Health Programmes including FP.Benefits of FP extend beyond slowing pace of Population GrowthNational RH Service Policy & StandardsAdolescent Health & Development ProgrammeRoad Map for Repositioning Family Planning etc.
40TFR and use of any and modern contraceptive methods, Ghana 1988-2008 A brief conclusion from the above is that while TFR has been declining and CPR has gone up markedly in the current 2003 GDHS, Ghana continues to have one of the highest unmet need for family planning of 34 percent. If the national programme were to meet some of this need, it would make a significant contribution towards meeting the population policy target of CPR of 50 percent by Unmet family planning need provides a unique opportunity for policymakers in all sectors to respond to the expressed fertility preferences of their populations while simultaneously improving health, slowing the rate of population growth and contributing to achievement of national and millennium development goals.The total fertility rate (i.e. the number of children women of reproductive age are having in Ghana) has reduced from 6 to 4 children over the 15 year period from There is a corresponding increased use of contraception among married couples. Traditional methods include mainly periodic abstinence and withdrawal methods. While modern methods include condoms, hormonals, IUD and surgical methods.Some Achievements of the FP Programme in Ghana are:Contributed to a reduction in Total Fertility RateHigh levels of knowledge of at least one FP method 99% of men and 98% of womenIncreasing use of contraceptionExpansion of range of commodities in-countryMajor IEC/BCC Campaigns“I Care”, “Long Term Methods”, “Life Choices”, “Vasectomy”Private Sector partnershipsA brief conclusion from the above is that while TFR has been declining and CPR has gone up markedly in the current 2003 GDHS but declined in 2008, Ghana continues to have one of the highest unmet need for family planning of 34 percent. If the national programme were to meet some of this need, it would make a significant contribution towards meeting the population policy target of CPR of 50 percent by Unmet family planning need provides a unique opportunity for policymakers in all sectors to respond to the expressed fertility preferences of their populations while simultaneously improving health, slowing the rate of population growth and contributing to achievement of national and millennium development goals.
41Unmet Need for FPUnmet need refers to women who do not want to get pregnant for the next two to three years (spacing) or women who do not want to have any more children (limiting) but are not using any method.Unmet need is 34%10% higher in Rural areaProgram Factors Contributing to Unmet Need for Family Planning in West AfricaShifting / stagnating donor and government resources for family planningShortages of contraceptives and other commoditiesLack of trained managerial and technical staffInequity in access to family planning (urban versus rural)Vertical programming leading to missed opportunities (need for FP/MCH/HIV/AIDS integration)Communications focus on population control rather than health needs of women and children, and high risk fertility behaviors linked to mortalityThe urban-rural difference in unmet need and contraceptive use in Ghana is serious and indicates that we have to find appropriate strategies to make services more accessible (physical, social and financial access) and of good quality to the rural areas.
42Some Challenges Decreasing Contraceptive Prevalence rate 19% to 17% (GDHS 2003, 2008)Persistently High Unmet Need for FP 34-35%Rumours, Myths & Misconceptions about contraceptivesContraceptive Security issuesReduced or Dwindling FundingProcurement of contraceptivesProgramme activities particularly demand generation (IE&C, BCC)Sub optimal integration of FP with other services
43A Pivotal Service in RH Family Planning A component of Reproductive HealthAlso a component of Safe motherhoodCuts across most components of RHPost Abortion Care, Comprehensive Abortion CareSTI/HIV/AIDS Prevention and ManagementInfertility Prevention and ManagementAdolescent and Male ServicesGender-based ViolenceFamily Planning is a component of Reproductive Health.It is one of the components of safe motherhood which aims at reducing ill health and death due to complications of pregnancy and improving women’s and infant health.and also stands on its own merit since all individuals and couples are eligible.It cuts across and is relevant to most of the other components of Reproductive Health.The major component areas arePost Abortion Care, Comprehensive Abortion CareSTI/HIV/AIDS Prevention and ManagementInfertilityAdolescent and Male Services
44FP Benefits All! Women Children Men Families Communities Nations The EarthFamily planning providers can be proud of their work because family planning helps everyone. Some of the ways are:Women: FP helps women protect themselves from unwanted pregnancies. Since the 1960’s family planning programmes have assisted women around the world avoid over 400 million unwanted pregnancies thus saving women’s lives from high-risk pregnancies, unsafe abortions and the reduction of pregnancy related deaths (maternal mortality). This could fall by 25% (one in four) if all women could avoid unwanted pregnancies.Also many FP methods have other health benefits e.g. some hormonal methods prevent certain cancers while condoms help prevent STIs including HIV/AIDS.Children: Family Planning saves the lives of children by helping women space births. Globally, between 13 and 15 million children under age five years die each year. There is evidence that if all children were born at least 2 years apart, 3 to 4 million of these deaths could be avoided.Men: FP helps men-and women- care for their families. Men around the world attest to the fact that planning their families helps them provide a better life for their families. It also improves male reproductive health e.g prevention of STIs.Families: Couples with fewer children are better able to provide food, clothing, housing, schooling etc for their children. This extends to communities and nations.Communities and Nations: Family Planning helps nations develop. People’s and whole nations economic situations are improving in countries where women are having fewer children than their mothers did.The Earth: If couples have fewer children it will take the world’s population longer to double thus reducing future demands on the earth’s natural resources such as water and fertile soil and a better opportunity for a good life.
45Evidence of longer birth intervals effects on health For ChildrenLower risk of:Child deathInfant deathNeonatal deathFetal deathStunting and underweightSmall for gestational ageLow birth weightPreterm birthFor MotherLower risk of :Maternal deathPuerperal endometritisPremature rupture membranesAnemiaThird trimester bleedingConde-Agudelo A., Effect of Birth Spacing on Maternal and Perinatal Health: A Systematic Review and Meta-Analysis. Rutstein, S. Johnson & Conde-Agudelo A. Systematic Literature Review and Meta-Analysis of the Relationship between Interpregnancyor Interbirth Intervals and Infant and Child Mortality. Reports submitted to CATALYST Consortium, October 2004, Conde-Agudelo, A. and Belizan, J.M. Maternal morbidity and mortality associated with interval: Cross sectional study. British Journal (Clinical Research Ed.) 321 (7271): Nov. 18, 2000.
46Family Planning is Pivotal to SRH & Relevant in All 8 MDGs!
47FP and MDG’s 2 Education 1. Poverty 3 Gender 4 Child Health 5 Maternal Health6HIV, Malaria, Other7Environment8 Partnership
48FP & MDGs MDG1: Poverty Eradication 2. Education3. Gender4. Child Health5. Maternal Health6. HIV, Malaria, Other7. Environment8. PartnershipFP & MDGsMDG1: Poverty EradicationMDG2&3: Education & GenderWith exception of a few oil rich states,no country has pulled itself out of poverty while maintaining high fertilityE.g. Thailand, South Korea and Taiwan all lowered fertility before achieving economic success# of school age children double every 20 years, undermining qualityGirls tend to have educ stopped or shortened“If you educate a woman, you education a nation.”Dr. J.K. AggreyThere is a large “unmet need” for family planning, that if we satisfied this unmet need (that is to say if all these women started using a contraceptive method) in addition to those already using. we would have a contraceptive prevalence rate of over 50%. (52%) With regard to family planning.This would put us in the company of countries such as (Indonesia, Thailand, South Korea, Taiwan, Malaysia). The economic success of these countries is something we want to emulate. And it is no mistake that they increased their contraceptive prevalence rate before they were able to achieve their economic successes.Lower birth rates are a necessary, but not sufficient condition for a developing country to escape poverty. A “demographic dividend” occurs when family size falls rapidly, and there are relatively more people of working age with fewer dependent children. Thailand, South Korea and Taiwan are three countries that have successfully managed to take advantage of their demographic bonus, raising the living standards of millions of their citizens. In developing countries where the birth rate has fallen, between 25% and 40% of economic growth is attributable to the demographic change. 3 In Ghana we can do the same in our aspiration to become a middle income country.Except for a few oil rich states, no country has pulled itself out of poverty while maintaining high fertility.” Conversely, many countries that lowered their birth rates have eradicated or greatly reduced poverty. 3 We aim to be counting Ghana among countries that have pulled themselves out of poverty.So we see that family planning is a critical element of success for achieving and sustaining Millennium Development Goal #1 a reduction in poverty in the nation. And family planning programs are one of the key elements that will help us to achieve and sustain all of the MDGs.MDG2- UNIVERSAL PRIMARY EDUCATION IN GHANARapid population growth undermines basic education in a vicious cycle. The number of school age children can double every 20 years in high population growth countries. As pupil-to-teacher ratios rise, educational quality is at risk.MDG 3- PROMOTE GENDER EQUITY AND EMPOWER WOMEN IN GHANAThe ability of women to control their own fertility is absolutely fundamental to women’s empowerment and equality. Fertility management is the most important step to full empowerment and gender equality. And is a major factor in the ability of young women to complete their education. We remember Dr. J.K. Aggrey’s famous saying: “If you educate a woman, you educate a nation”.
49FP & MDGs MDG4: Child Health MDG5: Maternal Health 1. Poverty2. Education3. Gender4. Child Health5. Maternal Health6. HIV, Malaria, Other7. Environment8. PartnershipFP & MDGsMDG4: Child HealthMDG5: Maternal HealthClosely spaced children lead to increase in child deaths# of child deaths averted if unmet need for FP in Ghana were met:200,000 over 10 years =20,000 per year =55 child deaths per dayRisk of maternal death increases if woman is:Too old, too youngHas many children or closely spaced children# of maternal deaths averted if unmet need were met:4000 over 10 years =400 per year =>1 per daythe very real health benefits of family planning to mothers and children, MDG#4 and MDG#5, and how family planning can help us to achieve them.Need to emphasize the magnitude of the impact that family planning can have on the health and well-being of our families, and ask you to imagine your own family and what this can mean for you. Based on an analysis by the Health Policy Initiative of the Futures Group International, the Ministry has told us that addressing the unmet need would avert almost 200,000 child deaths over a 10-year period in Ghana. That’s an average of 20,000 child deaths per year or 55 child deaths every day in Ghana. 4With regard to maternal health, fulfilling the unmet need for family planning in Ghana would avert almost 4000 maternal deaths over a 10 year period. That’s almost 400 maternal deaths per year, or more than 1 maternal death per day, every single day in Ghana. That means in just one year 400 Ghanaian families would be spared the heartache and catastrophe of losing their mother and wife to maternal-related death. 4For these benefits alone, the large and well-documented unmet need for family planning must be addressed.1 But there are even more benefits to the nation and to families.
50FP1. Poverty2. Education3. Gender4. Child Health5. Maternal Health6. HIV, Malaria, Other7. Environment8. PartnershipFP & MDGsMDG6: Combat HIV/AIDS, Malaria and Other DiseasesMDG7: Environmental SustainabilityRapid pop growth negatively impacts overstretched health systemsPromotion and access of male and female condoms thru FP programs protect against HIV/AIDS & STIsRapid pop growth negatively pressures:Forests, biodiversityCoastal and marine ecosystems, fisheriesSurface water from agric and mining pressuresFlooding in urban areas due to rapid in-migrationMDG6- COMBAT HIV/AIDS, MALARIA AND OTHER DISEASES IN GHANARapid population growth negatively impacts on already overstretched health systems and facilities, making it even more difficult to provide adequate health care services for people. Contraceptive services, specifically male and female condoms, also help prevent HIV as well as unintended pregnancy.MDG7 ENSURE ENVIRONMENTAL SUSTAINABILITY IN GHANAPopulation pressures are adding to the difficulties in achieving environmental sustainability, particularly regarding agricultural lands, forests, water and biodiversity. Environmental degradation is accelerating. Coastal and marine ecosystems are facing increased pressure. Deforestation is intensifying. Contamination of surface water from intensive agriculture and mining activities is more prevalent. Flooding and the provision of basic services is a major challenge in urban areas that is exacerbated by rapid migration from rural to urban areas driven by population pressures on the land and economy in rural areas. 3
51FP & MDGs FP should be Everybody’s Business!!! 1. Poverty2. Education3. Gender4. Child Health5. Maternal Health6. HIV, Malaria, Other7. Environment8. PartnershipFP & MDGsMDG 8: GLOBAL PARTNERSHIPSFoster Partnerships at all levelsFP has the potential of fostering partnerships and also thrives in partnerships for Advocacy, Service Delivery, Research, IEC, Coordination, Integration, etc. at all levels.InternaltionalNationalPublic Private PartnershipAll Stakeholders – Men, women, youth, Religious Organizations, MDA.s , Private Sector,FP should be Everybody’s Business!!!
52Way Forward Strengthened Partnerships in: Repositioning Family PlanningAdvocacyEnsuring Increased Government Funding & Support for Contraceptive Commodities & ServicesImproved Service DeliveryIE&CFamily Planning WeekRe Launch “Life Choices Campaign”Media SupportResearch and Dissemination of Information is Crucial!
53ConclusionsGhana can do a lot more towards achieving the health MDGs by 2015 if resources are committed.FP has the potential to hasten Ghana’s Development efforts.Ensure FP is a centrally important component of the medium term health plan and features in all poverty reduction strategies in the country.Ensure budget support.Appeal to development partners for additional support to help buttress our efforts.Reposition FP as a development tool and a choice in Life to attain goals.CALL TO ACTIONIn conclusion, increased contraceptive use among our people will have a wide spectrum of benefits, including poverty reduction, health benefits, education, gender, and environment, urgent action must be taken to ensure family planning provision and promotion becomes an integral part of all our development efforts in all sectors of government and society. Therefore, let’s make the “Life Choices” initiative a catalyst for broader social mobilization on family planning.Ensure it is a centrally important component of the medium term health plan and features in all poverty reduction strategies in the country.Ensure budget support.Appeal to development partners for additional support to help buttress our efforts.In view of Government’s aim of quickly addressing the poverty gap in Ghana through the creation of economic opportunities, wealth generation and proactive policies, it has become imperative that Family Planning is given the attention and financing it deserves since it has the potential to leap frog Ghana’s development efforts. There is an existing need for better spaced and small size families, and efforts must be made to meet this need by providing family planning services to reduce the spate of unplanned pregnancies, associated unsafe abortions, pregnancy complications, infant mortality and ultimately the high maternal morbidity and mortality.We should all consider family planning or contraception as a choice we make in life towards attainment of our reproductive and other goals in life. I urge all to support the drive to reposition family planning as a development tool and an important choice one makes at various stages of their life for the attainment of their reproductive, health and socio-economic goals.
54References UNFPA Fact Sheet. http://www.unfpa.org ICF Macro Ghana Trend Report: Trends in Demographic, Family Planning, and Health Indicators in Ghana : Trend Analysis of Demographic and Health Surveys Data. Calverton, Maryland, USA: ICF Macro.Report of Hearings by the All Party Parliamentary Group on Population, Development and Reproductive Health. January Return of Population Growth Factor: Its Impact upon the Millennium Development Goals.USAID Health Policy Initiative. July “Achieving the MDGs: The contribution of family planning Ghana.” Futures Group International.Ghana Statistical Service (GSS), Ghana Health Service (GHS), and Macro International Ghana Maternal Health Survey Calverton, Maryland, USA: GSS, GHS, and Macro International.The Case for Including Family Planning on the National Health Insurance Scheme (NHIS) and Increased Budgetary Allocation for Contraceptives by Government. Position Paper. PPAG and Partners Advocacy 2010 Ghana Statistical Service (GSS), Ghana Health Service (GHS), and ICF Macro Ghana Demographic and Health Survey Accra, Ghana.Vice President’s Keynote Address at Launching of Life Choices Campaign, Accra August 2010
55Thank You for Your Interest! Presented by:Dr. Gloria Quansah Asare( Director Family Health Division)Ghana Health Service“Family Planning for a Better Life”