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Family Planning and Reproductive Health. A tale of three revolutions and an unfinished Agenda. Family planning and reproductive health-. A tale of three revolutions The Reproductive Revolution. “ And God blessed them, and God

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family planning and reproductive health

Family Planning and Reproductive Health

A tale of three revolutions and an unfinished Agenda

family planning and reproductive health1
Family planning and reproductive health-

A tale of three revolutions

  • The Reproductive Revolution
slide6

“And God blessed them, and God

said unto them, Be fruitful and multiply, and replenish the earth,

and subdue it.”

Holy Bible: Genesis 1:28

crowded planet global population hits 7 billion
Crowded planet: Global population hits 7 billion

October 31, 2011

World\'s seven billionth baby is born. Danica May Camacho, a girl born in Philippine capital Manila, is chosen by UN to symbolically mark global population milestone.

population clock 2011
Population Clock 2011

Every minute

  • 266 births
  • 108 deaths
  • 158 natural increase

World population grows by about 83 million annually.

world population
World Population
  • First billion around 1800
  • Second billion 1930 (130 years)
  • Third 1960 (30 years)
  • Fourth 1974 (14 years)
  • Fifth 1987 (13 years)
  • Sixth 1999 (12 years)
  • Seventh 2011 (12 years)

Projected population

  • 8 084 mid- 2025
  • 9 587 mid- 2050
the reproductive revolution
The Reproductive Revolution

Total fertility rate

  • World 2.5
  • More Developed 1.7
  • Less Developed 2.6
  • Less Developed (excl. China) 3.0
  • Least Developed 4.5

Population Reference Bureau 2011 World

Population Data Sheet

slide12

World fertility, 2.5 children per woman,

is half the level in

1950-1955 (5 children per woman).

contraception

Contraception

From medical indications

to

a way of life

women aged 15 49 married or in union currently using contraceptives 2009
Women aged 15-49, married or in union, currently using contraceptives (2009)

Million

  • World 739
  • More developed regions 117
  • Less developed regions 622

Least developed countries 46

Other less developed countries 576

(United Nations Population Division

2012)

egypt
Egypt

Total fertility rate 2.9

Contraceptive prevalence 60 %

Population mid-2011 82.6 million

Projected population million

  • Mid-2025 100.9
  • Mid-2050 123.5

Population under age 15 30.8%

slide16

Population momentum

Population will continue to grow as more young people join the reproduction pool.

infertility and the population problem
Infertility and the population problem

In a world that needs vigorous control of population growth, concerns about infertility may seem odd, but the adoption of a small family norm makes the issue of involuntary infertility more pressing. If couples are urged to postpone or widely space pregnancies, it is imperative that they should be helped to achieve pregnancy when they so decide, in the more limited time they will have available.

Fathalla MF. The agony of infertility. WHO Bulletin 2010.

family planning and reproductive health a tale of three revolutions
Family planning and reproductive health- A tale of three revolutions
  • Reproductive revolution
  • Contraceptive technology revolution
slide20
“And Onan knew that the seed should not be his; and it came to pass, when he went into his brother’s wife, that he spilled it on the ground, lest that he should give seed to his brother.”

Holy Bible: Genesis 38:9

the contraceptive technology revolution
The contraceptive technology revolution
  • Contraception outside the bedroom
  • Long acting contraception
  • Effective reversible contraception
women aged 15 49 married or in union currently using contraceptives 20091
Women aged 15-49, married or in union, currently using contraceptives (2009)

Any method Modern methods

  • World 62.7 % 56.1 %
  • More developed regions 72.4 61.3
  • Less developed regions 61.2 55.2
  • Least developed countries 31.4 25.0
  • Other less developed countries 66.0 60.2

(United Nations Population Division 2012)

family planning and reproductive health a tale of three revolutions1
Family planning and reproductive health- A tale of three revolutions
  • Reproductive revolution
  • Contraceptive technology revolution
  • Sexual revolution
slide26
“And the eyes of them both were opened, and they knew that they were naked; and they sewed fig leaves together, and made themselves aprons.”

Holy Bible: Genesis 3:7

the dissociation of sex from reproduction
The dissociation of sex from reproduction
  • Sex without reproduction
  • Reproduction without sex
sex a duty became a pleasure
Sex: A duty became a pleasure

The Homo sapiens is the sexiest of

the primates.

Or is it?

the forgotten ape
The forgotten Ape

Lola Ya Bonobo, or "Bonobo Paradise" in the Lingala language, is an 86-acre sanctuary set in verdant hills 20 miles south of Kinshasa, Democratic Republic of the Congo, founded by Claudine André, a Belgian woman raised in the Congo,

make love not war
Make love, not war

"Bonobos use sex to deflate tension.

Competition for the best food could

cause a fight, so they defuse it by

having sex first."

Claudine André

in bonobo paradise who rules
In Bonobo Paradise, who rules?

Bonobos are perceived to be matriarchal. Females tend to collectively dominate males by forming alliances. Although male bonobos are individually stronger, they cannot stand alone against a united group of females.

family planning and reproductive health a tale of three revolutions2
Family planning and reproductive health- A tale of three revolutions
  • The Reproductive Revolution
  • The Contraceptive Technology Revolution
  • The Sexual Revolution

AND THE WINNERS ARE?

women and the reproductive revolution
Women and the reproductive revolution

The emergence of the

woman from behind the

mother

women and the contraceptive revolution
Women and the contraceptive revolution

Women for the first time had women-controlled methods which they could use, even independent of the cooperation of their male partners, to regulate their fertility and to enjoy sexual life without fear of unwanted ill-timed pregnancy.

women and the sexual revolution
Women and the sexual revolution

In the early 20th century, Marie Stopes, a British leader in the family planning movement, noted that a popular demand of women was for a simple pill or drug to make their husbands less, rather than more, passionate, and women often said they liked everything about marriage, except “the going to the bed side of it”.

family planning and reproductive health2

Family Planning and Reproductive Health

An Unfinished Agenda

The Reproductive Revolution

slide44

GLOBAL VILLAGE

DAILY REPRODUCTIVE HEALTH NEWS

_____________________________________________________

DEATH TOLL IN HUMAN REPRODUCTION

1370 women reported killed during physiological duty; thousands more, seriously injured.

every minute
Every minute

One woman dies from complications related to pregnancy and childbirth

slide46
“I am going to the sea to fetch a new baby, but the journey is long and dangerous and I may not return."

A Tanzanian mother, about to give birth,

speaking to her older children.

Local African folklore

lifetime risk of maternal death
Lifetime risk of maternal death

The adult lifetime risk of maternal death (the probability that a 15-year-old female will die eventually from a maternal cause) is 1 in 31 in sub-Saharan Africa, 1 in 11 in Afghanistan, and 1 in 4300 in developed regions. In Belgium, the risk is 1: 10 900.

WHO 2010.

slide48

“In front of the door a couple of neighbour women are standing, muttering and whispering. The ten children have just come back from school and are standing around bewildered. Inside, the house had a terrible look. There is a huge pool of blood in the kitchen, and tracks go into the shop and through the living room. And the bedroom! It looks like someone has been murdered. The bedding is all awry, a wash basin, the floor…everything covered with blood.

slide49

“In front of the door a couple of neighbour women are standing, muttering and whispering. The ten children have just come back from school and are standing around bewildered. Inside, the house had a terrible look. There is a huge pool of blood in the kitchen, and tracks go into the shop and through the living room. And the bedroom! It looks like someone has been murdered. The bedding is all awry, a wash basin, the floor…everything covered with blood. Frau Schultz is lying in bed, pale as wax, and sunken as warmed-over death”

Lisbeth Burger (German midwife)

Breslau, 1936

slide50

Women are not dying

because of diseases we

cannot treat.

They are dying because

societies have yet to make

the decision that their lives

are worth saving.

family planning and reproductive health3

Family Planning and Reproductive Health

An Unfinished Agenda

The Reproductive Revolution

The contraceptive technology revolution

slide52
Worldwide, more than 120

million women aged 15 to 49

who are married or in a union have

an unmet need for family planning.

United Nations MDG Report 2011

family planning and reproductive health4
Family Planning and Reproductive Health

An Unfinished Agenda

  • The Reproductive Revolution
  • The Contraceptive Technology Revolution
  • The sexual revolution
the pandemic of sexually transmitted infections
The pandemic of sexually-transmitted infections

Nearly a million people acquire

a sexually transmitted infection

(STI), including the human

immunodeficiency virus (HIV),

every day.

hiv transmission in intimate partner relationships in asia
HIV  transmission in intimate partner relationships in Asia
  • Most women are acquiring HIV not because of their own sexual behaviors but because their partners engage in unsafe behaviors.
  • More than 90% of women living with HIV acquired the virus from their husbands or from their boyfriends while in long-term relationships.
  • At least 50 million women are at risk of acquiring HIV from their intimate partners. These women are either married or are the regular partners of men who engage in higher-risk sexual behaviors.

UNAIDS 2009

slide56
`Abstinence, beingfaithful and condom use are the ABC of protection against STIs, including HIV.
an unmet need for women
An unmet need for women

Woman-controlled methods for protection against sexually transmitted infections (STIs)

family planning and reproductive health5

Family Planning and Reproductive Health

An Unfinished Agenda

A question of the will or the wallet?

world military expenditure 2010
World military expenditure 2010

World military expenditure in 2010 is estimated to have been $1.6 trillion, an increase of 1.3 per cent in real terms.

Stockholm International Peace Research Institute (SIPRI) .11 April 2011.

world military expenditure 20101
World military expenditure 2010
  • The region with the largest increase in military spending was South America, with a 5.8 per cent increase, reaching a total of $63.3 billion.
  • The Middle East spent $111 billion on military expenditure in 2010, an increase of 2.5 per cent over 2009. The largest absolute rise in the region was by Saudi Arabia.
  • Estimated spending in Africa increased by 5.2 per cent, led by major oil-producers such as Algeria, Angola and Nigeria.
slide62

“We must not fear daylight just

because it almost always

illuminates a miserable world.”

Belgian artist, Rene Magrittes

family planning and reproductive health6
Family planning and reproductive health

A tale of three revolutions

  • Reproductive revolution
  • Contraceptive technology revolution
  • Sexual revolution

An unfinished agenda

  • The neglected tragedy of maternal mortality
  • Unmet need for family planning
  • Pandemic of sexually- transmitted infections

The future?

slide64

The best way to predict the

future is to make it.

Peter Drucker

slide65
Nothing is I m possible.

The word itself says:

I’m possible

Belgian actress Audrey Hepburn

slide66
Hartelijk dank

Merci beaucoup

Vielen Dank

Thank you very much

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