Policies for expanding family planning coverage

Lessons from five successful countries

Dados Bibliográficos

ID22085545
AutoresFranciele Hellwig (0000-0002-2509-9866, Universidade Federal de Pelotas, autor correspondente), Laísa Rodrigues Moreira (0000-0001-8393-3743, Universidade Federal de Pelotas), Mariela Felisbino Da Silveira (0000-0002-2861-7139, Universidade Federal de Pelotas), Mariângela F Silveira, Cleber Santos Vieira (0000-0003-2933-5755, Universidade de São Paulo), Carolina Sales Vieira, Paulina Belén Rios-Quituizaca (Central University of Ecuador), Marcela Masabanda (Universidad Internacional del Ecuador), Joel Serucaca (Rwanda Biomedical Center), Silas Rudasingwa (Rwanda Biomedical Center), Alypio Nyandwi (0000-0002-0903-5491, African Population and Health Research Center), Shegaw Mulu, Hoda Rashad (American University in Cairo), Aluísio J D Barros (0000-0002-2022-8729, Universidade Federal de Pelotas)
Ano2024
Volume12
Páginas1339725-1339725
Data de publicação2024-05-14
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2024.1339725
PMID38808004
OpenAlexW4396893876
IdiomaEN
Citações recebidas7
Referências citadas89

Background: Enhancing the design of family planning interventions is crucial for promoting gender equality and improving maternal and child health outcomes. We identified, critically appraised, and synthesized policies and strategies from five selected countries that successfully increased family planning coverage. Methods: We conducted a policy analysis through a scoping review and document search, focusing on documents published from 1950 to 2023 that examined or assessed policies aimed at enhancing family planning coverage in Brazil, Ecuador, Egypt, Ethiopia, and Rwanda. A search was conducted through PubMed, SCOPUS, and Web of Science. Government documents and conference proceedings were also critically analyzed. National health surveys were analyzed to estimate time trends in demand for family planning satisfied by modern methods (mDFPS) at the national level and by wealth. Changes in the method mix were also assessed. The findings of the studies were presented in a narrative synthesis. Findings: We selected 231 studies, in which 196 policies were identified. All countries started to endorse family planning in the 1960s, with the number of identified policies ranging between 21 in Ecuador and 52 in Ethiopia. Most of the policies exclusively targeted women and were related to supplying contraceptives and enhancing the quality of the services. Little focus was found on monitoring and evaluation of the policies implemented. Conclusion: Among the five selected countries, a multitude of actions were happening simultaneously, each with its own vigor and enthusiasm. Our findings highlight that these five countries were successful in increasing family planning coverage by implementing broader multi-sectoral policies and considering the diverse needs of the population, as well as the specific contextual factors at play. Successful policies require a nuanced consideration of how these policies align with each culture's framework, recognizing that both sociocultural norms and the impact of past public policies shape the current state of family planning

Economic growth · Economics · Computer Science · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Medicine · Reproductive Health and Contraception