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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


Family planning and reproductive health

“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)

  • Third1960 (30 years)

  • Fourth 1974 (14 years)

  • Fifth1987(13 years)

  • Sixth1999 (12 years)

  • Seventh 2011 (12 years)

    Projected population

  • 8 084mid- 2025

  • 9 587 mid- 2050


The reproductive revolution

The Reproductive Revolution

Total fertility rate

  • World 2.5

  • More Developed1.7

  • Less Developed 2.6

  • Less Developed (excl. China)3.0

  • Least Developed 4.5

    Population Reference Bureau 2011 World

    Population Data Sheet


Family planning and reproductive health

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 rate2.9

Contraceptive prevalence 60 %

Population mid-201182.6 million

Projected populationmillion

  • Mid-2025100.9

  • Mid-2050123.5

    Population under age 1530.8%


Family planning and reproductive health

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


Family planning and reproductive health

“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 72.461.3

  • Less developed regions 61.255.2

  • Least developed countries 31.425.0

  • Other less developed countries 66.060.2

    (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


Family planning and reproductive health

“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?


Family planning and reproductive health a tale of three revolutions3

Family planning and reproductive health- A tale of three revolutions

AND THE WINNERS ARE WOMEN


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 health a tale of three revolutions4

Family Planning and Reproductive Health-A tale of three revolutions

An Unfinished Agenda


Family planning and reproductive health2

Family Planning and Reproductive Health

An Unfinished Agenda

The Reproductive Revolution


The neglected tragedy of maternal mortality in developing countries

The neglected tragedy of maternal mortality in developing countries

An unfinished agenda


Family planning and reproductive health

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


Family planning and reproductive health

“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.


Family planning and reproductive health

“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.


Family planning and reproductive health

“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


Family planning and reproductive health

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


Family planning and reproductive health

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


Family planning and reproductive health

`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.


Family planning and reproductive health

“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?


Family planning and reproductive health

The best way to predict the

future is to make it.

Peter Drucker


Family planning and reproductive health

Nothing is I m possible.

The word itself says:

I’m possible

Belgian actress Audrey Hepburn


Family planning and reproductive health

Hartelijk dank

Merci beaucoup

Vielen Dank

Thank you very much


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