Presentation on theme: "Healthy Timing and Spacing of Pregnancy (HTSP): For healthy babies, healthy mothers, and healthy communities Adapted from presentation by May Post, ESD."— Presentation transcript:
1Healthy Timing and Spacing of Pregnancy (HTSP): For healthy babies, healthy mothers, and healthy communitiesAdapted from presentation by May Post, ESD ProjectConsultation on Faith, Family Planning, and Family Well-being, Georgetown University, April 2011
2The technical experts concluded that closely spaced pregnancies can lead to the following: Babies may be:Born too earlyOf low birth weightToo smallMore likely to dieMothers may be:More likely to die in childbirthMore likely to miscarry a pregnancyMore likely to seek an unsafe abortionSource: Report of a Technical Consultation Report on Birth Spacing (WHO)
3Pregnancy TimingWomen under the age of 18 are twice as likely to die, and women under the age of 15 are five times more likely to die of complications compared to women over18 years of age.
4Recommendations from WHO, UNICEF and UNFPA on early age pregnancy Delay first pregnancy until at least 18 years of age.WHO, UNICEF and UNFPA all recommend that women delay their first pregnancy until they are at least 18 years of age.Source: UNICEF, Facts for Life 3rd edition, New York, United nations Children’s Fund , 2002; WHO/UNFPA Pregnant Adolescents: Delivering on Global Promises of Hope, WHO, 2006Kenyan mother, 2006 Mike Wang, Courtesy of Photoshare
5HTSP Concept HTSP helps women: space pregnancies better time pregnanciesbecome pregnant and give birth when it is healthiest and safest for mother and child.Therefore, in addition to helping women space, we also need to help them time their pregnancies, so they are becoming pregnant and giving birth when it is healthiest and safest for both mother and child.Together, these make up the concept of Healthy Timing and Spacing of Pregnancy.
6Benefits of HTSPProgress in FP’s role in helping women avoid unintended pregnancies.Focus on lowered fertilityFP’s role in achieving healthy fertility – much less recognizedThe focus on healthy fertility encourages couples to use FP - to time and space pregnancies – for improved mother and child health
7Benefits of HTSP: For Women SpacingA reduced risk of pregnancy- related complicationsGives mothers two years to fully prepare for her next pregnancyTiming:Physically and psychologically prepared to become mothersAllows time for school and education
8What role does education play? Girls’ secondary school is associated with:Higher immunization ratesImproved household nutritionLower rates of domestic violenceDelayed childbearingIncreased use of family planningIan Diamond et al., “Female Education and Fertility: Examining the Links,” in Critical Perspectives on Schooling and Fertility in the Developing World, ed. Caroline H. Bledsoe et al. (Washington DC: National Academies Press, 1999):
10Benefits of HTSP: For Children A reduced risk of:Pre term birthLow birth weightSGA (small baby)DeathBreastfed for a full 2 yearsUndivided attention from the mother
11Benefits of HTSP: For Men Involves men in making decisions about family planning, child spacing, and the health of the family. Gives men a feeling of satisfaction when they can guarantee the well being of their families Allows men time to emotionally and financially prepare for the birth of the next child
12Benefits of HTSP: For Communities Communities will see:Less illness and death among mothers, babies, and childrenImprovements in the quality of lifeMen and women have more educational opportunitiesMore time to contribute to community developmentLess stressReduced poverty
13HTSP MessagesSupport men and women practice healthy timing and spacing of pregnancy.This means that:After a live birth, couples should wait at least 24 months before trying to become pregnant again.After a miscarriage or abortion, couples should wait at least six months before trying to become pregnant again.Adolescents should delay pregnancy until at least 18 years of age.Women and men should use a family planning method of their choice to delay and space their pregnancies.
14What can we do?Advocacy: Reaching decision makers with data and evidence Leadership: Informed leaders ensuring an enabling environment Training: Training health workers in HTSP counseling BCC: Producing educational materials to support HTSP BCC Smart integration Community education: Educating communities about HTSP benefits in churches, mosques, schools, workplace, community events.Smart integration: adding HTSP information and messages to on-going FP services, MNCH services, nutrition services – to reach women at multiple points of contact
15Annual Global Burden of Disease >500,000 maternal deaths (70,000 abortion-related; 60,000 eclampsia related)8 million women suffer complications5.5 million adolescent girls give birth4 million newborn deaths (28% linked to pre-term births)18 million LBW infants (98% in developing countries)Here is the annual global burden of disease. This is not a happy picture.
16HTSP: A Small Change that Produces Big Results Reducing closely spaced pregnanciesTiming pregnancies at the best age possibleContributes to the healthiest outcomes for mothers, babies, families and communities.
17Final Thoughts“No woman should die bringing life into the world and no child should die when we know how to save them” UN Secretary General Ban-Ki Moon