why do sexual and reproductive health and rights matter?
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Why do sexual and reproductive health and rights (SRHR) matter?
Dr Ernestina Coast [email protected]
http://personal.lse.ac.uk/coast/ Presentation to PPN 25/4/15
WHAT ARE THE CONSEQUENCES OF NOT MEETING SRH NEEDS?
Contraceptive failure
A 32 year old married woman with four children. She is a very poor woman who is struggling with the up-keep of her four children. The husband depends on piece work to feed them. She does some work like washing of clothes just to earn some money for food.
She was surprised to find out that she was pregnant because she was on a three months injectable contraceptive.
The reason for attempting to terminate the pregnancy was because the cost of raising children is very expensive and already she was unable to send her four children to school. She had no money to even feed the family and so why would she have another child?
She is a 26 year old married woman with three children, the youngest of which is 7 months old. She runs a small business, baking scones which she sells in her shop. She went to the clinic to start her family planning pill but she was told to come back when her periods start, and was not given any contraceptive supplies.
She did not know that safe termination was legal in Zambia and self-induced a termination using unspecified pills.
She intends to have a normal life when she goes home and wants to start her family planning pills.
Poor access to contraception
73
40 31
65
35
25
60
32 23
53
30
19
46
29
19
Sub-Saharan Africa Asia* Latin America and theCaribbean
Poorest Poor Middle Rich Richest
% of women wanting to avoid pregnancy who have an unmet need, 2014 100
Levels of unmet need for modern contraception are highest among the poorest women
Wealth quintile:
*Excludes Eastern Asia and Oceania
26%
The 26% of women who want to avoid pregnancy and are not using modern contraceptives account for 81% of unintended
pregnancies
81%
877 million women wanting to avoid pregnancy
74 million unintended pregnancies
Pregnancy-related care increased, 2008–2014, but millions of women still lack essential services
63 71 68
82
60 54 55 43
2008 2014 2008 2014
Unmet need
Receivedcare
No. of women giving birth (millions)
125 123 125 123
Facility delivery 4+ antenatal care visits
(51%) (57%) (55%) (66%)
QUESTIONS?