Unintended pregnancy negative - escrh.eu€¦ · 28/09/2017 1 Un met need in Contraception u 13th...

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28/09/2017 1 Un met need in Contraception u 13 th ESC Seminar u “ Repr oductive Choice empower ing pr ogr ess against ster eotypes” u St Petersburg u Sept 13 th – 15 th 2017 Dr Mary Short F.F.S.R.H. President of I.A.S.R.H.C.P. NO CONFLICT OF INTEREST Unmet need u First coined in the 1960,s when r esear cher s demonstrated a gap in the developing wor ld between women,s f er tility pr efer ences and their use of contraception How is it defined? u The number or % of women who u 1.fecund u 2. not currently pregnant u 3.desire to limit or post pone childbearing u 4.not currently using contraception. Categories of unmet need 1UNMET NEED FOR LIMITING A FAMILY 2UNMET NEED FOR SPACING A FAMILY 3 UNPLANNED MISS TIMED PREGNANCY? 4 A PREGNANCY NEITHER PLANNED OR WANTED Unintended pregnancy negative impact Health of the mother u Health of the infant u Economic constraints u Social constraints u Psychological pr oblems

Transcript of Unintended pregnancy negative - escrh.eu€¦ · 28/09/2017 1 Un met need in Contraception u 13th...

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Un met need in Contraception

u 13th ESC Seminar u “Reproductive Choice empowering progress against stereotypes”u St Petersburg u Sept 13th – 15th 2017

Dr Mary Short F.F.S.R.H.President of I.A.S.R.H.C.P.NO CONFLICT OF INTEREST

Unmet need

u First coined in the 1960,s when researchers demonstrated a gap in the developing world between women,s fertility preferences and their use of contraception

How is it defined?

u The number or % of women whou 1.fecund u 2. not currently pregnant u 3.desire to limit or post pone childbearingu 4.not currently using contraception.

Categories of unmet need

1UNMET NEED FOR LIMITING A FAMILY2UNMET NEED FOR SPACING A FAMILY3 UNPLANNED MISS TIMED PREGNANCY? 4 A PREGNANCY NEITHER PLANNED OR WANTED

Unintended pregnancy negative impact

Health of the mother u Health of the infantu Economic constraintsu Social constraintsu Psychological problems

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Why do women not useFamily Planning

u 1. lack of knowledge u 2Religion/Cultureu 3.Gender / lack of autonomyu 4.Son cultureu 5. lack of service / limited serviceu 6 cost who funds the service / is it affordable

Why is it important?

u It identif ies women at r isk of pregnancy not using contraceptionu It identif ies potential contraceptive usersu Depending on current services it identifies women have an unmet

demand or an unmet needu It inf luences Policy and decision making

What does it achieve??

1. Provision of per iodic estimation of unintended pregnancy rates2. Demonstrates the need for family planning programmeseg urban / rural divide3. Illustrates the impact of family planning programmes. 4.Reduction in unplanned / unwanted pregnancy 5.Reduction in abortion rates

Global background

in 20131.213 million pregnancies recorded 2. 86 million or around 40% unintended3. 50% of unintended pregnancies ended in abortion4. 13% miscarr ied5 38% unplanned births

Studies in FP 2014 45 8 301-331

Factors influencing unmet need

u Government commitment / lack of it?u Financial Resourcesu Educatorsu Health Care Professionalsu Religionu Cultureu Women,s autonomy

Aspirations -2012 Family Planning Summitu In 2020 an additional 120 million women will require contraceptionu Need to revitalise commitments to family planningu Make contraception accessible u Make contraception affordable and cost effective,

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Importance for us.

u Educate and Empower women / couplesu Provide the correct contraceptive to suit individual needu Provide follow up supportu Negotiate with Pharma companiesu Inf luence policy makersu Lobby governments

Thoughts?

u Russ ian Federation 143 million

u 1st in Europe to legalise abortion and abortion on demand(1920)

u 1936-2017 illegal / legal / restricted

u Abortion rates 38.4/1000

u Reducing in cities but not rural areas

u Ire land

u Pop 5.6 million

u No abortion

u (3000+ women travel or access abortion elsewhere)

u contraception heavily subs idised

or those you can,t afford it

High uptake of Long acting revers ible contraception,

Whose problem is it anyway ?

u Global problem u Regional problem u Country problem u Local Problem

Unmet needs becomes unmet – or met demand

u 1.Women using contraception – limited choiceu Availability / accessibility /affordabilityu 2 Women who get to use their contraceptive of choice.

u Thank you

u Looking forward to seeing you in Dublin 2020

u With news about our unmet need !!!