In India, a country with a constantly growing population currently at 1.3 billion, the use of contraceptives is rare and often considered socially unacceptable. While the contraceptive prevalence rate is at 56 percent, 38 percent use female sterilization, leaving a very small amount of women who are using reversible birth control methods. It’s no wonder, when the Ministry of Health and Family Welfare in India has been using the same family welfare program since 1952, that they are showing no signs of modern innovation.

Even with the use of sterilization, too many women in India are left completely unprotected. Childbirth kills approximately 67,000 women in India every year, and 1 in 13 children dies before the age of five. 42.5 percent of children under the age of five are underweight, and 20 percent of the total population is undernourished. India is unable to support so many unplanned births, making contraception more important than ever.

That’s where Project Vikalp comes in. One of the nine winners of the Millennium Alliance Awards (co-funded by USAID), the project, which is run by the U-Respect Foundation, is a family planning-health care model that will educate the public and help women obtain contraceptives throughout India.

The secret is in the use of cell phones, which are becoming more and more attainable in India, even for the nation’s poorest. If a couple wants contraceptive counseling in India, it is hard to find. Most health workers claim that they are too busy to discuss family planning, and if they do, they usually suggest sterilization. India’s government has been trying to push the norm toward reversible contraceptives, but sterilization is still by far the most used method.

If the couple is unmarried it is nearly impossible to receive counseling. Most couples don’t even try to find counseling because of the barriers, and because they are intimidated by the social norms.

Project Vikalp is using cell phones to reach couples using a three tiered approach. First couples can reach the project through a toll-free helpline. Then, they can receive contraceptives and support from local health care providers and consultants associated with the project. Couples can use their phones to record when they have started using, switched, or stopped using contraceptives to help planners know when they should tweak the program’s methods.

Through this project, couples don’t have to feel intimidated when searching out contraceptives, and they are affordable for everyone. The project hopes to fill the gaps of knowledge in rural communities and change attitudes about contraceptives so that they are more widely accepted in the region.

– Emma McKay

Sources: Devex, Millennium Alliance

Expanded Contraceptive Access
At the Women Deliver 2013 conference, one of the topics discussed was expanding contraceptive access in developing countries in Africa. The session was led by Melinda Gates and United Nations Population Fund, and the speakers discussed ways to reach women to create a strategy that would provide them greater access to forms of birth control. Melinda Gates explained that improving access to birth control would not only improve the women’s lives, it would also make their children healthier and would allow for a thriving family.

Also at the session, several political leaders discussed some of the success stories of implementing birth control access. Countries such as Senegal, the Philippines, Zambia, Indonesia, and Malawi have all taken the initiative to promote progress in the field of family planning and have had great success. Senegal’s budget for their national family planning program has doubled since November 2012. After 15 years, the Philippines was finally able to pass the Responsible Parenthood and Reproductive Health Act, Zambia created their first family planning program, Indonesia increased funding available for contraceptives, and Malawi also strengthened their family planning program.

The leaders explained that these success stories should be proof that expanding contraceptive access is doable and can save lives, and it’s also very cost-effective. Not only will birth control help improve the lives of the current generation of mothers and babies, implementing a long-term and sustainable plan will improve the lives of the next generations as well.

To ensure that the efforts will remain strong, the Global Poverty Project’s CEO Hugh Evans has announce the It Takes Two campaign, which encourages young men and women to support family planning programs and services, as well as for them to make sure their government continues to support the programs.

Katie Brockman

Source: allAfrica