Delivering High-Quality Family Planning Services in Crisis-Affected Settings II: Results
Open accessAbstract
An estimated 43 million women of reproductive age experienced the effects of conflict in 2012. Already vulnerable from the insecurity of the emergency, women must also face the continuing risk of unwanted pregnancy but often are unable to obtain family planning services. The ongoing Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) initiative, led by CARE, has provided contraceptives, including long-acting reversible contraceptives (LARCs), to refugees, internally displaced persons, and conflict-affected resident populations in Chad, the Democratic Republic of the Congo (DRC), Djibouti, Mali, and Pakistan. The project works through the Ministry of Health in 4 key areas: (1) competency-based training, (2) supply chain management, (3) systematic supervision, and (4) community mobilization to raise awareness and shift norms related to family planning. This article presents data on program results from July 2011 to December 2013 from the 5 countries. Project staff summarized monthly data from client registers using hard-copy forms and recorded the data electronically in Microsoft Excel for compilation and analysis. The initiative reached 52,616 new users of modern contraceptive methods across the 5 countries, ranging from 575 in Djibouti to 21,191 in Chad. LARCs have predominated overall, representing 61% of new modern method users. The percentage of new users choosing LARCs varied by country: 78% in the DRC, 72% in Chad, and 51% in Mali, but only 29% in Pakistan. In Djibouti, those methods were not offered in the country through SAFPAC during the period discussed here. In Chad, the DRC, and Mali, implants have been the most popular LARC method, while in Pakistan the IUD has been more popular. Use of IUDs, however, has comprised a larger share of the method mix over time in all 4 of these countries. These results to date suggest that it is feasible to work with the public sector in fragile, crisis-affected states to deliver a wide range of quality family planning services, to do so rapidly, and to see a dramatic increase in the percentage of users choosing long-acting reversible methods.
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Needs for appropriate family planning in conflict affected areas are significant.
“Needs for appropriate family planning in conflict affected areas are significant and recent research suggests use of LARCs are highly feasible [23].”
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- Authors
- Curry, D. W., Rattan, J., Huang, S., & Noznesky, E.
- Affiliations
- CARE USA (US)
- Corresponding author
- Curry, Dora Ward
- Venue
- Global Health: Science and Practice
- Published
- 2015-02-04
- Volume
- 3
- Issue
- 1
- Pages
- 25-33
- ISSN
- 2169-575X (ISSN-L)
- PMC
- PMC4356273
- OpenAlex
- W2155157477
- Cited by
- 53
- References
- 11
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 5 · 2023: 6 · 2021: 6 · 2020: 8 · 2019: 2 · 2018: 6 · 2017: 6 · 2016: 2 · 2015: 5
- FWCI
- 6.78
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Global Health Science and Practice (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Health Professions › General Health Professions › Health and Conflict Studies
- Keywords
- family planning services, conflict-affected settings, long-acting reversible contraception, contraceptive access, refugees, internally displaced persons, post-conflict health, contraceptive choice, contraceptive implants, intrauterine devices, health professions education, supply chain management, community mobilization, care
- MeSH terms
- Africa, Asia, Western, Contraception, Delivery of Health Care, Developing Countries, Emergencies, Family Planning Services, Female, Humans, Intrauterine Devices, Refugees
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