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Child Spacing in MCH Programs

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Impact of child spacing on the health of women and children; ... There are many examples of traditional practices that promoted birth spacing: ... – PowerPoint PPT presentation

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Title: Child Spacing in MCH Programs


1
Child Spacing in MCH Programs
  • Harriet Stanley, PhD
  • Hstanley_at_path.org

2
Overview
  • Impact of child spacing on the health of women
    and children
  • FP services in development countries what weve
    learned
  • Womens choices
  • Looking Ahead

3
Child Spacing
  • Close spacing and high fertility are a
    significant determinant of poor health of mothers
    and infants and impacts the health and
    socio-economic well being of families

4
Mothers
  • Avoid unsafe abortion
  • Limit health risks of pregnancy and childbirth
  • Limit births to healthiest ages
  • Limit number of births.

5
Children
  • Spacing increases chances of survival
    significantly
  • Healthier birth weights, healthier babies
  • Assures babies are adequately breastfed.

6
Reducing Excess Fertility
  • Family planning
  • Delayed marriage
  • Prolonged breastfeeding
  • Abortion

7
Traditional Approaches to Child Spacing
  • There are many examples of traditional practices
    that promoted birth spacing
  • Women lives with own family
  • Polygamy
  • Importance of breastfeeding period.

8
Changing Trends
  • In surveys, women report lower desired than
    actual fertility or that their last birth was
    unwanted. Even more report that they want no
    more children. If they do, they want to wait a
    significant period of time.

9
Trends
  • Last 30 years, couples using contraception from
    10 to 50
  • Fertility dropped from average of 6 to 4 children
    per woman
  • FP and socio-economic development both play role
    to some degree

10
Family Planning Programs what weve learned
  • At service delivery level demand, access,
    choice of methods, client-centered quality,
    communication.
  • At program Admin level leadership, RD.
  • At govt policy level political commitment,
    financial resources.

11
Meeting peoples Needs
  • Setting targets for contraceptive acceptors is
    not the road to family planning success. Rather,
    if people are given the opportunity, they choose
    family planning when it meets their needs.

12
Field Programs focus on availability, access
and quality
  • Availability

13
Field Programs contd
  • Access understanding the barriers
  • Distance, time and cost
  • Gender, caste and class
  • Economic
  • Cultural

14
Field Programs contd
  • Quality
  • Skilled providers at all levels
  • Safe clinical practices
  • Effective counseling

15
Challenges
  • Meeting remaining unmet need
  • Reaching young, unmarried women
  • Increasing mens involvement
  • Linking to broader RH services
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