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US Congressman Calls for Cuts to United Nations Funding

United Nations Funding
Earlier this month, U.S. Representative Matt Salmon of Arizona introduced a bill to prohibit any government agency from contributing to the United Nations Population Fund (UNFPA) on the grounds that the organization isn’t in line with America’s policy agenda.

The bill, H.R. 2678, is the fourth bill introduced by Salmon as a part of his “Shrink Our Spending Initiative,” a budget plan to cut what Salmon has deemed “wasteful taxpayer-funded programs.” It is also the second bill of its kind to go before Congress in the last 5 years.

“Taxpayers shouldn’t be forced to fund activities that aren’t in line with our national priorities,” said Salmon, calling the UNFPA a “pro-abortion organization,” according to a SonoranNews.com report.

But according to the United Nations Population Fund FAQ page, the UNFPA does not promote abortion as a method of family planning. Rather, it works to promote family planning measures such as the use of condoms and female birth control. However, the organization does work to address the impact of abortions on women’s health, and to assure that in nations where abortions are legal, it is safe and accessible.

 

Learn why the military is requesting that Congress better fund efforts to combat extreme poverty.

 

The UNFPA operates as a subsidiary of the United Nations General Assembly to address population and development issues. Started in 1969, the United Nations Population Fund now operates in 150 countries, and has been instrumental in reducing the complications of pregnancy and childbirth in developing nations.

Sexual and reproductive health problems are the leading cause of death and disability for women in developing nations, and according to the UNFPA, some 225 million women lack access to family planning measures.

The goal of the United Nations Population Fund is to assure that all women have access to safe and effective family planning measures and safe deliveries and to make sure that every pregnancy is wanted.

In 2013, the United States was among the top 10 core donors to the United Nations Population Fund, contributing nearly three percent of the UNFPA’s total contributions for the year. If H.R. 2678 passes, it will eliminate all government contributions to that total.

The bill regarding United Nations funding was first introduced on June 4, 2015, and has been referred to the House Committee on Foreign affairs. According to a Huffington Post report, the Committee has already approved a $150 million cut to family planning and reproductive health programs. Such program cuts may jeopardize the health of an estimated 225 million women in developing countries who lack access to safe family planning, according to the Huffington Post.

– Gina Lecher

Sources: UNFPA, Congress.gov, Sonoran News, Huffington Post
Photo: Hill Heat

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Pathfinder International Addresses Overpopulation

pathfinder_international
Clarence Gamble was born in 1894 in Cincinnati, Ohio and proceeded to attend a slew of universities including the likes of Princeton and Harvard University, where at the latter he received his M.D. degree. Following, he became heavily involved in birth control organizations and research. He worked alongside Planned Parenthood and initiated projects to study population growth in countries such as India and Japan.

In 1957, Gamble founded the Pathfinder Fund, an organization dedicated to providing a wider audience of people with access to safe, efficient and helpful reproductive health services. The fund is donation-based, which came into play as early as the 1960s. In fact in the 1960s the USAID and Office of Population donated $10 million to the organization, thus proving the government’s support of the discussed issues.

Pathfinder was already operating globally in the 60’s and 70’s opening offices in Latin America, Indonesia, Egypt, Chile, the Philippines and actively participating in population schemes in various African countries. Over the decades, the Pathfinder Fund continued to grow and, by the 90’s, it was the Pathfinder International.

In 1996, Pathfinder won the UN Population Award, an award given to someone who has raised awareness of population issues and solutions. And more recently in the 2000’s Pathfinder began the African Youth Alliance program aimed toward people 10-24 years of age in African countries like Botswana and Ghana. It was formed in order to assist with reproductive health.

Nowadays, Pathfinder International continues their hunt for better sexual and reproductive health care for all. They have six main focus areas: Adolescents, HIV/AIDS, Contraception and Family Planning, Advocacy, Abortion and Maternal and Newborn Health.

For example of their comprehensive care, as part of their abortion focus, Pathfinder not only supports a woman’s right to an abortion, but also advocates for safe abortions and rigorous post-abortion care. The organization accomplishes this in a number of ways one being through legislation, and another by funding an expanded number of professionals who can provide the medical and psychological services needed.

Another focus area, the Contraception and Family Planning focus, is also a worldwide project for Pathfinder. Over the years, Pathfinder has involved itself in over 100 countries attempting to integrate family planning concepts and to provide contraception to those in need of it. Above all people need to be educated, and Pathfinder does their best to also take on that responsibility.

Pathfinder International encourages the public to do its part as well. People can host fundraisers and events of that nature to provide contraceptives to people. One of the easiest ways to support the cause is for people to use their voices. People can become a part of their advocacy network or even start a conversation about reproductive health on a public forum. And lastly, Americans can vote for legislation to continue this type of focus. In an ever-growing population, it is important to be as conscious as possible of the world’s sexual and reproductive health.

– Kathleen Lee

Sources: Pathfinder International, Harvard Library

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Family Planning in Pakistan

Family_Planning
As the sixth most populous country in the world, Pakistan has an estimated population of 173 million people, with almost 55 percent being of childbearing age. Currently, the country has the highest total fertility rate in South Asia, which many attribute to the large amount of child marriages.

More than half of the women get married by the age of twenty, while almost 15 percent are married by the age of fifteen. Since females tend to marry young, contraceptive prevalence has remained at a mere 30 percent due to a lack of reproductive education and the fact that young girls are easily manipulated by their husbands to not use contraceptives. Lack of health education, lack of access to health facilities and lack of funding all lead to lower use of contraceptives.

A majority of Pakistan’s population is Muslim, and the influence of religion is prevalent in all aspects of life, including family planning. Women have a great fear of social disapproval by religious leaders and family members that would come from the use contraceptives.

With the Government of Pakistan only spending around 2 percent of its budget for education and health services, problems arise regarding access to health facilities and family planning services. The lack of funding has resulted in a very low contraceptive prevalence rate, leading to almost 25 percent of pregnancies being unintended. These higher rates of unwanted pregnancies contribute to unsafe abortions and higher maternal mortality rates.

A deficit in family planning services could potentially hinder Pakistan’s ability to reach several millennium development goals, including improving maternal health, empowering women and combating diseases like HIV/AIDS.

Poverty also plays a key role in determining the size of the family, with roughly 22 percent of citizens living below the poverty line. Many believe that having more children will generate a greater source of income for the family since those children can be put to work, but having more mouths to feed can also perpetuate the cycle of poverty.

In order to address the issues of family planning and maternal health, it is important for the government to address the root causes of the problem. There is significantly less access to healthcare in the rural parts of Pakistan, so there needs to be a push to improve infrastructure and establish health clinics closer to these parts of the country. Health and sex education is also essential in order to stop the country from overpopulating.

Unfortunately, the poor suffer disproportionately when accessing health care in underdeveloped countries. Poverty is associated with an increase in many of the medical risk factors associated with pregnancy outcomes. Success depends on gaining a local understanding of the dimensions of access to health care services, along with sustained efforts by national governments and the international community to improve family planning services for the poor.

– Leeda Jewayni

Sources: USAID, GHSP, JPMA
Photo: Flickr

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Remote Control Contraceptive

remote control contraceptive
In less than four years, women could be receiving a remote control contraceptive. The implanted microchip provides a reliable dose of hormones every day for 16 years, which could make family planning and contraception much easier for women in the developing world.

The Bill & Melinda Gates Foundation-backed project is based off of research done in the 1990s by Professor Robert Langer of MIT. Langer leased his technology to MicroCHIPS, a company currently developing implants to release osteoporosis treatments into the body over regular intervals.

The microchip, roughly the size of a Scrabble tile at 20mm x 20mm x 7mm, has wells filled with the hormone levonorgestrel. When activated, a small electric charge triggers every day, melting the covering of the wells and releasing 30 micrograms of levonorgestrel into the body. The wells are covered with a mixture of titanium and platinum, which causes no harm to the body when melted.

The chip can be implanted in the abdomen, upper arm or buttocks. The process to inject the contraceptive is fairly simple, taking less than 30 minutes and using a local anesthetic.

Since many women may want to take a break from the birth control before the end of 16 years, the remote control allows them to switch their treatment on and off themselves. This puts power in the hands of women. There are security issues, such as the possibility for hacking, which could be a major problem if women do not realize their dosing has been tampered with. MicroCHIPS has promised that the control must be used right next to the skin, so no one can interfere with a women’s contraception without her knowledge.

Another issue is that injectable contraceptives do not protect against STDs, and some have even been shown to increase the chance of contracting HIV. Also, becoming fertile again after using hormones can take a while. These issues have not been addressed by the company.

This is not the first injectable contraceptive, but it lasts the longest. The most durable contraceptive on the market right now lasts only five years. This microchip could simplify women’s lives all across the developing world. Injectable contraceptives are already popular in these countries, so making the switch would be easy to do.

Burkina Faso will soon implement the contraceptive Sayana Press, as will Niger, Senegal and Uganda. Sayana Press only lasts three months, and while the countries will provide delivery services for women who cannot come to hospitals or clinics every few months, it is still difficult to reach every woman in need of an injection. Some women may also forget to get a new injection.

South Africa currently has a system for a three-year contraceptive. The device is similar, except it cannot be remotely controlled and it must be replaced sooner. It is a Silicone, matchstick-sized implant made by Merck and marketed as Implanon. The Stanger Hospital in South Africa actually ran out of the implants and is struggling to provide enough for the women who want the contraception.

There is a large desire for this kind of contraceptive in the developing world, and a controllable device could be the key to making family planning easier for women.

There are also further applications for implantable drug dispensers beyond female contraception. The technology could be applied to other treatments, like MicroCHIPS’ work with osteoporosis treatment. If trials prove successful, it is possible that many other drugs could be put in the wells and released periodically.

The contraceptive will be submitted for testing in 2015, and by 2018 the microchips could be on the market. The claim is that they will be “competitively priced,” making the technology a real possibility for women around the world to have a worry-free method of birth control.

– Monica Roth

Sources: Elite Daily, Extreme Tech, The Guardian, CNet, Africa Science News, Daily Maverick, MicroCHIPS
Photo: The Telegraph

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The Fertility Awareness Method of Contraception

Few things in our lives are controlled, understood and maintained on our own. When we go to the grocery store, people may see the bread on the shelves but ignore how flour, sugar, water and yeast reacted to put it there in the first place. So too can be said of the cars we drive, buses we ride and bikes we steer, all of which may and typically are maintained by a specialized group that leaves the rest of us ignorant.

As individuals we rely on others to inform us how our lives should be shaped and run. We are told that this is fine, that these specialists exist to make our lives more convenient and that we do not need to understand how everything works. The time saved allows us to focus on our own pursuits.

For women, our bodies have been similarly fashioned. Menstrual cycles have turned into a veritable organic production line in which outside sources inform us when we are ovulating, when we are pregnant, which method of contraceptive is best, and for hormone-regulating options, when we should be taking it each month.

This disassociation from our bodies may change due to the resurgence of the fertility awareness method (FAM) of contraception.

In comparison to the calendar method in which women guess their ovulation schedule based on previous menstrual cycles, FAM users relies on bodily indicators to determine when they’re ovulating. By tracking spikes and falls in body temperatures while at rest, or basal body temperature, noting increases in cervical mucus and the position of the cervix, women may rely on their own bodies to either become pregnant, or avoid it.

Although WebMD reports that 25 out of 100 women have unintended pregnancies while using FAM, it still provides a viable alternative to hormone birth control, which provides its own disadvantages: possible bone loss, blood clots and increased risk to Chlamydia and Gonorrhea.

According to Women’s Global Network for Reproductive Rights, 76 million women in developing countries experience unintended pregnancies annually while 19 million women resort to unsafe abortions.

As for those with access to contraception, there still remains the stigma and cost associated with purchasing them. With proper education, FAM could help women around the world control their lives more effectively, simply by understanding their bodies better.

– Emily Bajet

Sources: WebMD 1, WebMD 2, Mayo Clinic
Photo: Flickr

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Bangladesh Healthcare Improves Despite Poverty

bangladesh_healthcare_improves
Despite widespread poverty and low governmental spending on health, Bangladesh – particularly, its healthcare system – has made significant improvements in life expectancy, vaccination rates and decreased infant mortality rates. In a special report by The Lancet, it has been shown that the remarkable strides made by the country are due to programs that focus on gender equality, family planning and immunizations.

Professor Mushtaque Chowdhury from BRAC, a Bangladeshi NGO, has said, “Over the past 40 years, Bangladesh has outperformed its Asian neighbors, convincingly defying the expert view that reducing poverty and increasing health resources are the key drivers of better population health. Since 1980 maternal mortality has dropped by 75%, infant mortality has more than halved since 1990, and life expectancy has increased to 68.3 years—surpassing neighboring India and Pakistan.”

Women have played a large role in these advancements. Door-to-door female health workers delivered family planning services over the last 40 years, resulting in a drop from 7 births per woman in 1971 to 2.3 in 2010. During that time, contraceptive use has increased from 10% to 62%. Education for girls was also noted as a key factor in these improvements.

The success achieved has been attributed to the involvement of NGOs, such as BRAC, in poor rural areas. “NGOs as a group have innovated to address issues of poverty, unemployment, health, education and the environment, and in many cases the government and NGOs have worked together to achieve a common goal,” The Lacent report continues to reveal.

While Bangladesh is succeeding in many areas, there are still many more that are not so positive such as child malnutrition. In the poorest families, 50% of children are still underweight. Even in the wealthiest quintile, 21% of children do not receive enough food.

“The Bangladesh health system has been shaped to address the first generation of poverty-linked infections, and nutritional and maternity-related diseases,” the Lancet goes on to say. “But given the epidemiological transition, the health system will have to be adjusted to grapple with chronic non-communicable diseases. For the fragile and evolving Bangladesh health system, the global attention on universal health coverage has not been translated into substantive action.”

– David Smith

Sources: TheLancet, TheGuardian, The Conversation

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Universal Access Project

The Universal Access Project’s mission is to achieve the fifth Millennium Development Goal to provide universal access to reproductive health care by 2015.

Today, roughly 222 million women lack the simple luxury in their lives of family planning services. To provide such services would not only help these women; it would improve overall global health, strengthen communities, decrease death rates of mothers and newborns and help alleviate global poverty.

The choice and the freedom to decide if and when to bear a child belong in the category of basic human rights. Providing easy access to contraceptives for women in third-world countries ensures that everyone may enjoy the same rights, and is predicted to reduce the amount of unwanted pregnancies worldwide from 7.5 million to 22 million.

The Universal Access Project is chiefly focused on informing and mobilizing U.S. policy makers to support international reproductive health as a major element of U.S. foreign development assistance.

Although often overlooked in the shadow of seemingly more important and immediate issues, universal access to reproductive health care deserves attention. Studies conducted in Zambia have shown that one dollar invested in family planning saves four dollars in other health related issues over time; it also reduces newborn deaths by 44%.

Annually, about 350,000 women die from pregnancy and childbirth complications, making it the leading cause of death for women in developing countries. By providing them with family planning options, this number may be reduced by one-third – over 100,000 deaths prevented each year.

A website has been created in affiliation with the Universal Access Project – WhyWeCare.org – which compiles essays by 15 prominent leaders from different fields across the globe who support the initiative. Their stories are personal, touching and motivational, giving readers an accurate and related sense of urgency in regards to this project.

Although 2015 is a little more than a year away, founders of the project and members of the UN Foundation remain confident in its future success. Since the initiative’s start in 2008, U.S. funding for family planning has witnessed a 30% increase.

In the words of CNN news network founder and philanthropist Ted Turner (who is also a contributor to WhyWeCare.org), “Complications from pregnancy are the leading cause of death of women in their reproductive years, killing an average of 1,000 women per day. That number is just plain unacceptable in this day and age.”

– Natalia Isaeva

Sources: UN Foundation, K4Health, WhyWeCare.org
Photo: The Trenches

Uganda Population at Record High

uganda_population
Today the nation of Uganda has a population of 27.7 million and this number continues to increase. According to the Population Research Bureau (PRB) the 27.7 million people will reach 130 million by 2050.  Researchers argue that this high rate of growth will surely keep the nation in financial difficulties. Ugandans already have limited resources and with this projected increase, the country will have to find a way to monitor the nation’s population explosion.

The current state of Uganda is largely due to the government’s lack of intervention and unavailable resources for family planning. PRB has stated that merely 20 percent of married women have available contraception. With such a low percentage it is no surprise that the average amount of children per woman is 6.9. This is an alarming amount considering the global average to be 2.7 children per woman. In fact, several have pointed this issue of high birth rates as being encouraged by Ugandan government officials since President Yoweri Museveni has stated that this population explosion is a “great resource” for Uganda.

This increasing population is also attributed to fertility levels which have escalated since 3 decades ago. The Total Fertility Rate (TFR) has been kept at a high in rural areas compared to urbanized areas. Seeing as Uganda’s Population Report 2013 indicates that 88% of Ugandans live in rural areas, the fertility level is basically high for nearly all Ugandans. According to the Uganda Bureau of Statistics, there has been a markedly low infant mortality rate which coupled with the high fertility rate, has led to this extraordinary population growth.

Most Ugandans living in rural areas face extreme poverty, with poor infrastructure, limited supplies, lack of healthcare and famine in specific areas of the region. Several government officials are concerned whether the current demographic will impede economic growth. Some argue that the large population will begin a transformation, given how countries such as China and India have improved their economies after the pressure of rapid growth. The World Bank argued in a recent report that economic growth in Uganda would rise if fertility rates dropped and households learned to save or invest their money. What is certain is that today’s world population of 6.6 billion is expected to reach 8 billion by 2025 and Uganda will soon find itself having one of the highest populations among China and India.

– Maybelline Martez

Sources: World Watch, UBOS, Daily Monitor

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Family Planning Education for Adolescent Girls Worldwide

family-planning-education
In many developing countries, young women have little hope of acquiring an education. A lack of family planning education takes away important decision making skills and opportunities, better wages, and overall say in personal choices.

With roughly 16 million adolescent girls giving birth each year, and many of those in developing countries, most of these girls will lose out on education. Of these 16 million adolescent girls, those ages 15-19 will have children at a rate of up to 120 births per 1,000 girls.

But recently, the United Nations Population Fund (UNFPA) set out to improve reproductive health education and services, specifically for young girls and adolescents ages 15-19. By working with eight African countries – the Democratic Republic of the Congo, Ethiopia, Mozambique, Niger, Nigeria, Sierra Leone, South Sudan, and Tanzania, the UN organ will address female health through increased reproductive education over the next three years. They plan to create programs for young women in order to better prepare them for life as an adult woman.

The UNFPA’s education service will work towards teaching young girls the dangers of childbirth complications, pregnancy, and dangerous abortion procedures. In doing so, they hope these young girls will incorporate these lessons in their decisions related to pregnancy, marriage, and education, among other facets of life.

The purpose of the UNFPA’s work is to improve women’s health, and provide them with the ability to be independent when it comes to personal health decisions. As Dr. Babatunde Osotimehin, UNFPA Executive Director, said, “What we are trying to do is to create an army of young women who would have access to comprehensive sexual education, who would be able to have access to services, who also would be able to make choices in their lives and who would have access to education … so they can develop their full potential.”

Another reproductive issue, HIV contraction, remains a pressing issue for women’s health initiatives. Pregnancy and HIV related deaths still play a large part in women’s life expectancy in many countries. With UNFPA’s current program, they look to education and services as a reinforcement for young girls to stay in school. The belief is that if girls receive reproductive education, they will stay in school. If they stay in school, they won’t marry and have their first child at such a young age. By pushing back sexual interaction to a later age, reproductive related injuries and sexually transmitted diseases will inherently decline and thus reduce deaths.

Since 2007, UNFPA has been working with low income countries to improve access to contraceptive commodities, as well as financial and technical support for these service programs. During the past six years, their efforts have increased and improved reproductive health services with a focus on distributive infrastructure to make sure contraceptives and medicines reach their destination, which, in turn, will increase general access for the public. However, in UNFPA’s new three year program, education follows these services. The hope remains that increased family planning education will lead to increased use of current services, and young women’s overall reproductive health will improve.

– Michael Carney 
Sources: Trust, UNFPA
Photo: IPS

It Takes Two: Why Family Planning is Imperative for Gender Equality

It_takes_twoGlobal Citizen has recently launched a new initiative called It Takes Two – its goal is to spread awareness of the necessity of contraceptives and family planning for millions of women around the world that currently have no access to these programs. In developing countries, complications from pregnancy and childbirth are some of the leading causes of death for women. Early and frequent pregnancies also prevent women from advancing their opportunities for education and economic self-sufficiency.

At the London Family Planning Summit in July 2012, NGOs and donors came together to pledge money to halve the number of women without access to modern family planning by 2020. According to Global Citizen, however, “without proving there is demand for increased access to family planning services and information, there is a high risk these pledges won’t be honored”. If funded as promised, these pledges would provide around 120 million women with the information and services they need to plan their own lives. Further benefits could be seen in a dramatically reduced number of unintended pregnancies, as well as a reduced number of maternal and newborn deaths caused by complications with pregnancy and childbirth.

With these modern family planning services accessible to more women in the developing world, more women will have more time available to them. This means that less time will be spent with unwanted pregnancies and raising children, and more girls and women will be able to gain an education as well as enter the workforce and increase productivity as well as economic stability. Access to contraception and information about family planning is imperative for gender equality. It Takes Two encourages support for improved family planning from both men and women around the world in order to make gender inequalities a thing of the past. The first step the initiative has taken to gauge support from the public is to circulate a petition calling for government and organizations to make access to family planning a priority in developing nations.

In order to achieve equality, It Takes Two wants to fight not only for contraceptive provision, but also for the eradication of early and forced marriage, to keep girls in school, and to end gender-based violence. Matti Navellou, the campaign manager for It Takes Two, encourages the use of social media and the Internet to spread information and support for the project saying “It’s time to unlock the potential of technology for social good.”

The site also gives the opportunity to design and share personalized condoms, and the top ten designers will receive a few condoms of their own designs for free. The act of designing a condom wrapper itself also enters the creator into a drawing for a chance to win tickets to a concert from over 70 artists. Design and share for your chance to win, but more importantly for the chance for millions of women to receive the care they need to do greater things in life, and for a step closer to gender equality.

– Sarah Rybak
Sources: Take Part, Global Citizen
Photo: Take Part