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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Family planning in conflict: Results of cross-sectional baseline surveys in three African countries
Conflict and Health, Volume 5, No. 1, Article 11, Year 2011
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Description
Background: Despite the serious consequences of conflict for reproductive health, populations affected by conflict and its aftermath face tremendous barriers to accessing reproductive health services, due to insecurity, inadequate numbers of trained personnel and lack of supplies. Family planning is often particularly neglected. Methods. In six conflict-affected areas in Sudan, northern Uganda and the Democratic Republic of Congo, household surveys of married or in-union women of reproductive age were conducted to determine baseline measures of family planning knowledge, attitudes and behaviors regarding contraception. Health facility assessments were carried out to assess baseline measures of family planning services availability. Data were double-entered into CSPro 3.2 and exported to SAS 9.2, which was used to calculate descriptive statistics. The studies' purposes were to guide program activities and to serve as a baseline against which program accomplishments could be measured. Results: Knowledge of modern contraceptive methods was low relative to other sub-Saharan African countries, and use of modern methods was under 4% in four sites; in two sites with prior family planning services it was 12% and 16.2%. From 30% to 40% of women reported they did not want a child within two years, however, and an additional 12% to 35% wanted no additional children, suggesting a clear need for family planning services. The health facilities assessment showed that at most only one-third of the facilities mandated to provide family planning had the necessary staff, equipment and supplies to do so adequately; in some areas, none of the facilities were prepared to offer such services. Conclusions: Family planning services are desired by women living in crisis situations when offered in a manner appropriate to their needs, yet services are rarely adequate to meet these needs. Refugee and internally displaced women must be included in national and donors' plans to improve family planning in Africa. © 2011 McGinn et al; licensee BioMed Central Ltd.
Authors & Co-Authors
McGinn, Therese
United States, New York
Mailman School of Public Health
Austin, Judy
United States, New York
Mailman School of Public Health
Anfinson, Katherine
United States, Minneapolis
American Refugee Committee
Amsalu, Ribka
United States, Fairfield
Save the Children Usa
Casey, Sara E.
United States, New York
Mailman School of Public Health
Fadulalmula, Shihab
United States, Fairfield
Save the Children Usa
Langston, Anne C.
United States, New York
International Rescue Committee, new York
Lee-Jones, Louise
United Kingdom, London
Msi Reproductive Choices
Meyers, Janet L.
United States, Atlanta
Care International
Mubiru, Fredrick
Uganda, Kampala
Marie Stopes Uganda
Schlecht, Jennifer
United States, New York
Mailman School of Public Health
Sharer, Melissa
United States, Minneapolis
American Refugee Committee
Yetter, Mary
United States, Atlanta
Care International
Statistics
Citations: 77
Authors: 13
Affiliations: 7
Identifiers
Doi:
10.1186/1752-1505-5-11
e-ISSN:
17521505
Research Areas
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Congo
Sudan
Uganda
Participants Gender
Female