News / Africa

Poor Countries Lack Modern Contraception

A health worker explains birth control at a clinic outside Juba, South Sudan. (H. McNeish for VOA)
A health worker explains birth control at a clinic outside Juba, South Sudan. (H. McNeish for VOA)

Multimedia

Audio
Joe DeCapua

A new study says little is being done to meet the growing demand for modern contraception methods in poor countries. The Guttmacher Institute says there’s an increasing desire for smaller families. 

Guttmacher says between 2003 and 2012 the number of women wanting to avoid pregnancy – and in need of modern contraception – rose from 716 million to 867 million. The sharpest increase was seen, it says, in the 69 poorest countries “where modern method use was already very low.”

Senior fellow Jacqueline Darroch co-authored the study with Susheela Singh and published their findings in a special edition of The Lancet medical journal. Darroch said that the figures are based on household surveys.

“The Guttmacher Institute for a long time has focused on issues of reproductive health and especially the high rates of unplanned child bearing and unplanned pregnancies across the world – the United States, as well as other countries. And part of the answer to both why we have such high rates of unintended pregnancy – and part of the solution – has to do with contraceptive use.”

She said between 2003 and 2012, overall modern contraceptive use in the developing world increased from 71 to 74 percent among women wanting to avoid pregnancy.

“Methods ranging from condoms to pills, implants, injections, IUD’s, sterilization,” Darroch said.

However, rates can vary across sub-regions. For example, Eastern Africa rose from 31 to 46 percent; Southern Africa from 75 to 83 percent; Southeast Asia increased from 64 to 72 percent; and South America from 73 to 79 percent.

However, there was virtually no increase reported in mid and western African countries. Darroch said that has consequences.

“Couples are having children more than they want to. They are having what we call unintended births – births, that they tells us in surveys, that they either wanted later or they didn’t want to have at all. So there’s difficulty controlling fertility.”

Some couples, she said, are turning to induced abortions in unsafe conditions that can lead to maiming or death.

“The timing and the number of children and how you control that affects women’s health by preventing pregnancies when they’re most risky – when women are very young or older – by preventing the deaths and disability from pregnancy itself, as well as for newborns. In today’s societies, smaller families tend to do better off economically in terms of the resources that families are able to use for their children.”

Darroch added that modern contraception allows women a greater opportunity to have an education.

Some of the reasons given for the lack of modern contraception in developing countries include little availability or cost, concern about possible side effects, and a spouse’s disapproval over their use.

The Guttmacher report recommends making the quality of services a priority, along with educating couples so they can make informed choices about contraception.

You May Like

Video Westgate Mall Attack Survivors Confront Painful Memories

On anniversary of terror attack, survivors discuss how they have coped with trauma they experienced that day More

Iraqi Kurdish Leader: Protect Syrian City

Islamic State fighters are besieging Kobani, also known as Ayn al-Arab, after seizing at least 21 surrounding villages in a major assault against city on Syria's northern border with Turkey More

Video Whaling Summit Votes to Uphold Ban on Japan Whale Hunt

Conservationists hail ruling as a victory, but Tokyo says it will submit revised plans for a whale hunt in 2015 More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Russian Economy Reeling After New Western Sanctionsi
X
September 18, 2014 2:28 AM
A new wave of Western sanctions is hitting Russia’s economy hard. State-owned energy firms continue to bleed profits and Russia’s national currency plunged to a new low this week after the U.S. and the European Union announced new sanctions to punish Russia's aggressive stance in eastern Ukraine. But as Mil Arcega reports, the sanctions could also prove costly for European and American companies.
Video

Video Russian Economy Reeling After New Western Sanctions

A new wave of Western sanctions is hitting Russia’s economy hard. State-owned energy firms continue to bleed profits and Russia’s national currency plunged to a new low this week after the U.S. and the European Union announced new sanctions to punish Russia's aggressive stance in eastern Ukraine. But as Mil Arcega reports, the sanctions could also prove costly for European and American companies.
Video

Video Belgian Researchers Discover Way to Block Cancer Metastasis

Cancer remains one of the deadliest diseases, despite many new methods to combat it. Modern medicine has treatments to prevent the growth of primary tumor cells. But most cancer deaths are caused by metastasis, the stage when primary tumor cells change and move to other parts of the body. A team of Belgian scientists says it has found a way to prevent that process. Zlatica Hoke has more.
Video

Video Mogadishu's Flood of Foreign Workers Leaves Somalis Out of Work

Unemployment and conflict has forced many young Somalians out of the country in search of a better life. But a newfound stability in the once-lawless nation has created hope — and jobs — which, some say, are too often being filled by foreigners. Abdulaziz Billow reports from Mogadishu.
Video

Video A Dinosaur Fit for Land and Water

Residents and tourists in Washington D.C. can now examine a life-size replica of an unusual dinosaur that lived almost a hundred million years ago in northern Africa. Scientists say studying the behemoth named Spinosaurus helps them better understand how some prehistoric animals adapted to life on land and in water. The Spinosaurus replica is on display at the National Geographic museum. VOA’s George Putic has more.
Video

Video Iraqi Kurdistan Church Helps Christian Children Cope find shelter in churches in the Kurdish capital, Irbil

In the past six weeks, tens of thousands of Iraqi Christians have been forced to flee their homes by Islamic State militants and find shelter in churches in the Kurdish capital, Irbil. Despite U.S. airstrikes in the region, the prospect of people returning home is still very low and concerns are starting to grow over the impact this is having on the displaced youth. Sebastian Meyer reports from Irbil on how one church is coping.
Video

Video NASA Picks Boeing, SpaceX to Carry Astronauts Into Space

The U.S. space agency, NASA, has chosen Boeing and SpaceX companies to build the next generation of spacecraft that will carry U.S. astronauts to the International Space Station by the year 2017. The deal with private industry enables NASA to end its dependence on Russia to send space crews into low Earth orbit and back. Zlatica Hoke has more.
Video

Video Future of Ukrainian Former President's Estate Uncertain

More than six months after Ukraine's former President Viktor Yanukovych fled revolution to Russia, authorities have yet to gain control of his palatial estate. Protesters occupy the grounds and opened it to tourists but they are also refusing to turn it over to the state. VOA's Daniel Schearf reports from Mezhigirya, just north of Kyiv.
Video

Video China Muslims Work to Change Perceptions After Knife Attacks

China says its has sentenced three men to death and one woman to life in prison for a deadly knife attack in March that left more than 30 dead and 140 injured. Beijing says Muslim militants from China's restive western region of Xinjiang carried out the attacks. Now, more than six months after the incident, residents in the city are still coping with the aftermath. VOA's Bill Ide has more from Kunming.


Carnage and mayhem are part of daily life in northern Nigeria, the result of a terror campaign by the Islamist group Boko Haram. Fears are growing that Nigeria’s government may not know how to counter it, and may be making things worse. More

AppleAndroid