Margaret Pyke Trust, with the Population & Sustainability Network | Chief Executive
David presented on the Margaret Pyke Trust’s PHE advocacy and its focus on engaging new audiences.
For two days in September 2017, Population, Health, & Environment (PHE) project implementers, policymakers, and donors gathered in Entebbe, Uganda, at the Population, Health, & Environment Symposium, hosted by the Lake Victoria Basin Commission and supported by USAID Kenya and East Africa, K4Health, and PACE. David Johnson, chief executive of the Margaret Pyke Trust, the UK NGO coordinating the Population & Sustainability Network, shares some thoughts on the Symposium. David’s PHE advocacy focuses on what he calls “new audiences.” In practice, this means working to increase the number of organisations involved and support (either from a policy or programmatic point of view) to make PHE seen as completely normal standard conservation intervention. According to David, PHE is exclusively positive—it benefits women, girls, livelihoods, and the environment—and positioning it in a more positive way might help engage organisations more.
We know that a key piece of solving the contraceptive non-use puzzle is increasing access to a variety of methods. But for women in rural areas, options are limited. In Nigeria, only 10% of married women 15-49 years old use modern contraception—compared to 26% across sub-Saharan Africa. Nigeria, like many of its neighbors, suffers from a shortage of health workers trained to provide modern contraception. This is particularly true of long-acting reversible contraceptive methods (LARCs), like implants and IUDs. Long-acting methods help women prevent pregnancies for up to five years at a time and are therefore proven to be the some of the most effective in preventing unintended pregnancies. They are often the best solution for a rural woman who does not have ready access to a health center where she can refill her pills or supply of condoms on a regular basis.
Uganda Ministry of Water and Environment, Directorate of Environment Affairs | Environmentalist and Population, Health, and Environment Focal Person
Delegates at the closing ceremony of the Regional PHE Symposium 2017. Photo: Favour Studios Kampala
Worldwide, Population, Health, and Environment (PHE) is a leading force for addressing and linking issues related to conservation and health. The PHE approach acknowledges and addresses the complex connections between people, their health, and their environment. Today, integrated PHE programming has especially gained momentum in the East Africa Community region and is being applied to concerns as wide-ranging as climate change and food security, especially at the household level.
CCP | Managing Editor, Global Health: Science and Practice Journal
We’re excited to roll out some changes at Global Health: Science and Practice (GHSP), our peer-reviewed, open-access online journal published by the Knowledge for Health (K4Health) Project at the Johns Hopkins Center for Communication Programs (CCP) with support from USAID. Updates include adding new editors to our editorial team and launching a new look and feel for our website.
Paul Mahabi, Director of Environment for Uganda’s Ministry of Environment and Natural Resources, leads the Regional PHE Symposium 2017 delegates in signing symposium resolutions. Looking on is Mr. Telly Eugene Muramira, LVBC’s Deputy Executive Secretary for Projects and Programs.
We have begun to realize that to achieve uptake and user satisfaction, contraceptive method acceptability must be integrated into the product development cycle.
This piece was originally published by the CTI Exchange blog, Exchanges.
While contraceptive technology development rightly focuses on product safety and efficacy, we continually learn—sometimes the hard way—that acceptability factors play a major role in determining whether women or men use family planning (FP) methods over the long-term. Research on method acceptability is both complex and nuanced since members of the study population – current or potential contraceptive users – bring unique life situations, country context, product preferences and tolerance levels to the discussion. Recently, the CTI Exchange invited several thought leaders to share their insights on this important topic in a recently completed blog series.
Sixteen-year-old Aisha Lausali (right) after delivering her first child at a hospital in Gusau, Nigeria. (Courtesy of Karen Kasmauski/MCHIP)
Thirteen million adolescents will give birth this year. And their challenges won’t end with delivery – these first-time and young parents (FT/YP) face unique risks that we must meet to help end preventable child and maternal deaths in a generation.
Here’s what we know: women under age 20 are twice as likely to die in childbirth as women over 20. Early pregnancies limit educational achievement and income-generation potential, and they increase the risk of poor health outcomes for both young mothers and their children.
Pathfinder | Technical Advisor for Health & Rights Education
Young mothers with their children in Burkina Faso. Photo: Célestin Compaore.
In middle- and low-income countries, about 90% of births to adolescents occur within marriage or a union. Many of these young women are under substantial pressure from in-laws and other gatekeepers to begin childbearing immediately and to space their births closely, and service providers often reinforce these assumptions—all resulting in poorer health outcomes and less autonomy for young women. For years, programmatic and policy efforts have focused on preventing early and child marriage, but have paid little attention to adolescents after they marry or have children.
Envision a health system in which quality family planning information and services are accessible to everyone in their local communities. Community-based family planning (CBFP) lessens the burden of having to travel to health facilities while providing valuable and comprehensive care. In countries where CBFP is being implemented, contraceptive methods are being provided to women, men, and couples typically using a combination of three high-impact practices: provision by community health workers, mobile outreach, and drug shops.
If you're a regular visitor to K4Health.org, you'll notice we're in the process of revising the website. I like to think of knowledge products (including websites) as gardens: They need constant tending to adjust to changes in the environment and the needs of the people they serve. This set of changes is like making new paths and building new raised beds—it's more substantial than just planting something new or pruning back old growth.