Promoting Respectful Maternity Care (Rmc) At Birth: Orientation For Facility-Based Workshops,
2014
Population Council
Promoting Respectful Maternity Care (Rmc) At Birth: Orientation For Facility-Based Workshops, Population Council
Reproductive Health
The goal of “Promoting Respectful Maternity Care (RMC) at Birth: Orientation for Facility-Based Workshops” is to orient service providers on the RMC concept along with a set of evidence-based interventions to promote RMC. Objectives of the workshop as indicated in this slide deck are: Outline the current status of maternal and neonatal health in relation to respectful care. Discuss key RMC concepts, terminology, legal and rights-based approaches related to RMC and the RMC Resource Package. Demonstrate knowledge and use of Values Clarification and Attitude Transformation (VCAT) theory and practice. Discuss selected evidence-based strategies that reduce disrespect and abuse. Discuss participants’ …
Balika Fact Sheet: Highlight On Marriage,
2014
Population Council
Balika Fact Sheet: Highlight On Marriage, Population Council
Poverty, Gender, and Youth
Early marriage deprives girls of the opportunity for personal development and their rights to full reproductive health and well-being, education, and participation in civil life. Bangladesh stands out in international comparisons as having an extraordinarily early age at marriage for girls and a considerable average age difference in marriage between girls and their husbands. This Bangladeshi Association for Life Skills, Income, and Knowledge for Adolescents (BALIKA) fact sheet, “Highlight on Marriage,” concludes: In Bangladesh, marriage remains early by most standards and the majority of girls still get married before reaching the legal age of 18 years. By age 19, more …
Building Evidence On Effective Programs To Delay Marriage And Support Married Girls In Africa,
2014
Population Council
Building Evidence On Effective Programs To Delay Marriage And Support Married Girls In Africa, Population Council
Poverty, Gender, and Youth
In the early 2000s, the Population Council collaborated on the first rigorously evaluated program in Africa to delay the age of marriage and support girls married as children. Berhane Hewan (Light for Eve) targeted married and unmarried girls aged 10–19 in rural areas of Amhara. The program’s four components—community conversations to raise awareness and address cultural and social norms, provision of school supplies to remain in school, conditional asset transfer to address economic incentives to marry girls, and girls’ mentoring groups—were based on formative research and consultations with local leadership. Building on the Berhane Hewan pilot, the Council and partners …
Adolescent Girls Empowerment Programme: Research And Evaluation Baseline Technical Report,
2014
Population Council
Adolescent Girls Empowerment Programme: Research And Evaluation Baseline Technical Report, Paul C. Hewett, Karen Austrian, Erica Soler-Hampejsek, Jere R. Behrman, Christine A. Kelly, Dela Kusi-Appouh, Fiammetta Bozzani, Barbara Mensch, Minyoi Maimbolwa
Poverty, Gender, and Youth
The theory of change behind the Adolescent Girls Empowerment Program (AGEP) posits that adolescent girls are empowered by acquiring social, health, and economic assets. Girls can draw on these assets to reduce vulnerabilities and expand opportunities, thereby increasing their likelihood of completing school, delaying sexual debut, and reducing the risk of early marriage, unintended pregnancy, acquisition of HIV, and so on. AGEP serves vulnerable adolescent girls in Zambia aged 10–19 in two age cohorts: 10–14-year-olds and 15–19-year-olds. AGEP operates in ten “master sites,” five urban and five rural, in four provinces of Zambia. The three core components of AGEP in …
Evaluation Of Health And Education Impacts Of A Girls’ Safe Spaces Program In Addis Ababa, Ethiopia,
2014
Population Council
Evaluation Of Health And Education Impacts Of A Girls’ Safe Spaces Program In Addis Ababa, Ethiopia, Annabel Erulkar, Girmay Medhin
Poverty, Gender, and Youth
Approximately one in eight of the world’s population is a girl or young woman aged 10–24 and attention is increasingly focusing on the central role of adolescent girls in achieving global health and development goals. Areas of focus by the development field include girls’ education, health, child marriage, and the experience of violence. This study analyzes the educational and health impacts of a program for slum-dwelling girls, including child domestic workers and rural-urban migrants. Established in 2006, Biruh Tesfa (Bright Future) aimed to increase social networks and support for the most marginalized girls in the poorest urban areas of Ethiopia. …
Building The Assets To Thrive: Addressing The Hiv-Related Vulnerabilities Of Adolescent Girls In Ethiopia—Policy Brief,
2014
Population Council
Building The Assets To Thrive: Addressing The Hiv-Related Vulnerabilities Of Adolescent Girls In Ethiopia—Policy Brief, Population Council
Poverty, Gender, and Youth
In Eastern and Southern Africa, HIV is the leading cause of death among girls aged 15–19. Despite decades of investment and substantial progress against HIV, adolescent girls remain at disproportionate risk of infection. Few programs have sought to take a “whole girl” approach to addressing the multiple vulnerabilities to HIV infection experienced by the most marginalized adolescent girls in the poorest communities in Africa. “Building the Assets to Thrive: Addressing the HIV-related Vulnerabilities of Adolescent Girls in Ethiopia” is a comprehensive review of three programs implemented and evaluated by the Population Council and the Ethiopian government beginning in 2007: Biruh …
From Evidence To Action: Results From The 2013 Baseline Survey For The Balika Project,
2014
Population Council
From Evidence To Action: Results From The 2013 Baseline Survey For The Balika Project, Sajeda Amin, Sigma Ainul, Farhana Akter, Mohammad Masudul Alam, Md. Irfan Hossain, Johana Ahmed, Ubaidur Rob
Poverty, Gender, and Youth
The Population Council and partners are working on a program to generate evidence on what works to prevent child marriage in Bangladesh. This report is an integral part of the program and presents evidence from a baseline study conducted in three districts in southern Bangladesh. The study documents data from a survey conducted in 96 villages on education, livelihoods, sexual and reproductive health, and social life. The program, which offers skills development for girls who are at highest risk and live in impoverished areas of the country with the highest child marriage prevalence, explores the potential benefits of investing in …
Promoting Parent-Child Interaction And Communication For Healthy Development Of Adolescents: Lessons From A Pilot Project In Rural Bihar,
2014
Population Council
Promoting Parent-Child Interaction And Communication For Healthy Development Of Adolescents: Lessons From A Pilot Project In Rural Bihar, Shireen J. Jejeebhoy, A.J. Francis Zavier, K.G. Santhya, Santosh Kumar Singh, Rajib Acharya, Aparajita Gogoi, Vinita Nathani
Poverty, Gender, and Youth
There is a recognition in India’s policies and programs of the need to actively engage parents in enabling their adolescent children to make safe and healthy transitions to adulthood. The Population Council, in partnership with CEDPA India, initiated an intervention project for parents of adolescents aimed at developing and testing a program to foster closer relationships between parents and their adolescent children. The project was formulated on the hypothesis that a program intended to build parenting skills would enable parents to develop closer relationships with their adolescent children and communicate more effectively with them on various concerns, particularly those related …
Balika Fact Sheet: Highlight On Girls' Social Lives,
2014
Population Council
Balika Fact Sheet: Highlight On Girls' Social Lives, Population Council
Poverty, Gender, and Youth
In Bangladesh, in addition to schooling, work opportunities, and family-building patterns, social networks, mobility, and civic participation are important dimensions of young people’s lives. Previous studies have suggested ways in which the seclusion of Bangladeshi women by purdah exerts a strong influence on girls’ lives. This Bangladeshi Association for Life Skills, Income, and Knowledge for Adolescents (BALIKA) fact sheet, “Highlight on Girls’ Social Lives,” concludes that school enrollment plays a positive role by affording girls greater mobility and access to clubs and institutions, and by promoting social interactions. Adolescent girls in rural Bangladesh are usually socially isolated, and have restricted …
Expanding The Evidence Base On Comprehensive Care For Survivors Of Sexual Violence In Sub-Saharan Africa,
2014
Population Council
Expanding The Evidence Base On Comprehensive Care For Survivors Of Sexual Violence In Sub-Saharan Africa, Population Council
Reproductive Health
The Expanding the Evidence Base on Comprehensive Care for Survivors of Sexual Violence in sub-Saharan Africa program was a four-year agreement between the Swedish-Norwegian Regional HIV and AIDS Team for Africa, Embassy of Sweden, Lusaka (the S-N Team), and the Population Council. From 2009 to 2013, the program sought to mitigate the impact and incidence of sexual and gender-based violence (SGBV) in sub-Saharan Africa by strengthening the capacities of medical, legal, and justice sectors to care for survivors of such violence. This approach was intended to serve the S-N Team’s larger development objectives of preventing HIV transmission in sub-Saharan Africa …
Evaluation Of The Impact Of The Voucher Program For Improving Maternal Health Behavior And Status In Bangladesh,
2014
Population Council
Evaluation Of The Impact Of The Voucher Program For Improving Maternal Health Behavior And Status In Bangladesh, Md. Noorunnabi Talukder, Ubaidur Rob, Syed Abu Jafar Md. Musa, Ashish Bajracharya, Kaji Tamanna Keya, Forhana Rahman Noor, Eshita Jahan, Md. Irfan Hossain, Jyotirmoy Saha, Benjamin Bellows
Reproductive Health
Vouchers, a demand-side financing (DSF) instrument for health-care services, were introduced in Bangladesh in 2006. The DSF program grants vouchers to pregnant women to receive free antenatal, delivery, and postpartum care services as well as free medicine, and financial assistance is provided for transportation. Deliveries with skilled service providers are financially incentivized and providers are reimbursed for their services from a special fund. After piloting DSF initially in 21 subdistricts (upazilas), the government expanded it to another 12 upazilas in 2007 (the second phase), and in its third phase in 2010 the program was expanded to another 11 upazilas. To …
Barriers To Obstetric Fistula Treatment In Low-Income Countries: A Systematic Review,
2014
Population Council
Barriers To Obstetric Fistula Treatment In Low-Income Countries: A Systematic Review, Benjamin Bellows, Rachel Bach, Zoe Baker, Charlotte E. Warren
Reproductive Health
Obstetric fistula is a maternal morbidity condition that occurs in some low-income countries and is caused by prolonged obstructed labor that results in a hole between the vagina and the bladder or rectum through which urine or feces leak. Unrepaired fistula can lead to lifelong ostracism, stigma, and shame. Obstetric fistula is preventable and treatable, but women in these countries experience delays in seeking repair due to a number of factors including awareness of their condition as well as the potential for treatment, resources necessary for seeking care, lack of skilled fistula surgeons, and long hospital waiting times. UNFPA estimates …
Social Accountability: What Are The Lessons For Improving Family Planning And Reproductive Health Programs?,
2014
Population Council
Social Accountability: What Are The Lessons For Improving Family Planning And Reproductive Health Programs?, Victoria Boydell, Jill Keesbury
Reproductive Health
The concept of accountability is increasingly important in the family planning (FP) and reproductive health (RH) field. While much recent discussion has focused on developing global or national-level mechanisms for accountability, less emphasis has been placed on understanding the relevance of “social accountability” approaches for ensuring access to, and quality of, FP/RH services. Social accountability refers to the efforts of citizens and civil society to scrutinize and hold duty bearers (politicians, government officials, and service providers) to account for providing promised services, actions most often at the subnational or community level. In the FP/RH field, this concept builds on a …
Research Gaps In Scale Up Of Family Planning And Reproductive Health Programming,
2014
Population Council
Research Gaps In Scale Up Of Family Planning And Reproductive Health Programming, The Evidence Project, E2a, Hpp, Measure Evaluation
Reproductive Health
The Evidence Project, in collaboration with the Evidence to Action Project, the Health Policy Project, and MEASURE Evaluation convened a meeting to discuss research gaps related to scale-up. The meeting was held at the request of USAID’s Office of Population and Reproductive Health (OPRH) to help guide their research strategy. The meeting had four objectives: discuss scale-up experiences and the role of research and monitoring for strengthening program performance at scale; identify research gaps related to scale-up; prioritize the scale-up research gaps for OPRH; identify next steps for addressing these priority research gaps. This meeting generated a rich discussion about …
Strengthening The Evidence Base On Social Accountability For Improving Family Planning And Reproductive Health Programs,
2014
Population Council
Strengthening The Evidence Base On Social Accountability For Improving Family Planning And Reproductive Health Programs, Victoria Boydell, Jill Keesbury, Kelsey Wright
Reproductive Health
The concept of accountability is important in the family planning (FP) and reproductive health (RH) sector, building on a rich history of community involvement and civil society participation. There are three categories of FP/RH accountability initiatives: tracking donor and government financial commitments, tracking national-level program implementation, and tracking service-delivery outcomes. The third category, often referred to as “social accountability,” includes the efforts of citizens and civil society to scrutinize and hold duty bearers to account for providing promised services, most often at the subnational or community levels. Social accountability is premised on the assumption that increased and targeted citizen and …
Assessing The Potential Market For A Progesterone Contraceptive Vaginal Ring (Pcvr) As A New Contraceptive Option In Sub-Saharan Africa Using Needs-Based Market Segmentation,
2014
Population Council
Assessing The Potential Market For A Progesterone Contraceptive Vaginal Ring (Pcvr) As A New Contraceptive Option In Sub-Saharan Africa Using Needs-Based Market Segmentation, Francis Obare, Deepa Rajamani, Saumya Ramarao
Reproductive Health
Developing countries, especially in sub-Saharan Africa, have disproportionately high unmet contraceptive needs compared to other regions, and especially high levels of unmet need for spacing pregnancies. To address some of sub-Saharan Africa’s barriers to effective contraception, there is renewed focus on new methods that offer greater ease of use. New methods under investigation would not require daily action, their use would be controlled by women themselves, and they would require no medical providers or significant health-system infrastructure for service delivery. Contraceptive vaginal rings hold great potential by offering not only ease of use but a safe and effective FP solution. …
Validating Indicators Of The Quality Of Maternal Health Care: Final Report, Mexico,
2014
Population Council
Validating Indicators Of The Quality Of Maternal Health Care: Final Report, Mexico, Karla Berdichevsky, Claudia Diaz, Katharine Mccarthy, Ann K. Blanc
Reproductive Health
Despite widespread use, the majority of indicators proposed as measures of the quality of maternal health services have not been sufficiently validated. To help accurately track progress toward national and global maternal health goals, the present study sought to validate and identify a set of maternal health indicators that can be practically applied in facility and population-based surveys. To evaluate the indicators, the study employed a facility-based design. The study was conducted in public/government hospital facilities in Kenya and Mexico. Participants included women aged 15–49 who underwent labor and delivery at participating study facilities and the providers who attended them. …
Achieving Mdgs 4 And 5 In Balochistan: The Role Of Family Planning,
2014
Population Council
Achieving Mdgs 4 And 5 In Balochistan: The Role Of Family Planning, Population Council
Reproductive Health
This brief focuses on the policy options available to the Balochistan government to affect the province’s population growth by 2050 and its potential to achieve MDGs 4 and 5. Maternal mortality is a leading cause of death among women of reproductive age in Balochistan—about 35 percent of the deaths in this age group are pregnancy-related. Approximately 3,000 women die each year in Balochistan due to pregnancy-related factors. Pregnancies that occur too early, too late, or too frequently increase the risk of maternal death. Lowering fertility rates by increasing the use of family planning can help reduce pregnancy-related deaths. The maternal …
Achieving Mdgs 4 And 5 In Khyber Pakhtunkhwa: The Role Of Family Planning,
2014
Population Council
Achieving Mdgs 4 And 5 In Khyber Pakhtunkhwa: The Role Of Family Planning, Population Council
Reproductive Health
This brief focuses on the policy options available to the Khyber Pakhtunkhwa (KP) government to affect the province’s population growth by 2050 and its potential to achieve MDGs 4 and 5. Maternal mortality is a leading cause of death among women of reproductive age in KP—about 27 percent of the deaths in this age group are pregnancy-related. Approximately 1,700 women die each year in KP due to pregnancy-related factors. Pregnancies that occur too early, too late, or too frequently increase the risk of maternal death. Lowering fertility rates by increasing the use of family planning can help reduce pregnancy-related deaths. …
Increasing Access To Family Planning In Ghana Through Policy Change: Task-Sharing To Enable Auxiliary Nurses To Provide Contraceptive Implant Services,
2014
Population Council
Increasing Access To Family Planning In Ghana Through Policy Change: Task-Sharing To Enable Auxiliary Nurses To Provide Contraceptive Implant Services, Population Council
Reproductive Health
Ghana has made significant progress toward reducing the maternal mortality ratio but the rate is still unacceptably high. Up to 26 percent of married Ghanaian women have unmet need for family planning and one in four currently married women is using a modern contraceptive method. Satisfying unmet need for family planning could cut the number of maternal deaths by almost a third. One factor contributing to low usage of modern methods is shortage of trained staff, particularly those skilled in providing long-acting reversible and permanent methods. Until recently, implant services were provided primarily by Ghana Health Service (GHS) trained midwives, …
