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

How to Safeguard Your Mobile Privacy

As the digital world becomes more mobile, so too do concerns about eroding privacy and increased hacking More

'Desert Dancer' Chronicles Iranian Underground Dance Troupe

Film by Richard Raymond is based on true story of Afshin Ghaffarian and his friends More

Researcher: Obesity Poses Complex Problem

Professor at Symposium on Obesity, Diabetes and Metabolic Syndrome says problem involves more than calorie intake, warns of worldwide health impact More

Featured Videos

Your JavaScript is turned off or you have an old version of Adobe's Flash Player. Get the latest Flash player.
Scientists Say Plankton More Important Than Previously Thoughti
X
George Putic
May 26, 2015 9:26 PM
Tiny ocean creatures called plankton are mostly thought of as food for whales and other large marine animals, but a four-year global study discovered, among other things, that plankton are a major source of oxygen on our planet. VOA’s George Putic reports.
Video

Video Scientists Say Plankton More Important Than Previously Thought

Tiny ocean creatures called plankton are mostly thought of as food for whales and other large marine animals, but a four-year global study discovered, among other things, that plankton are a major source of oxygen on our planet. VOA’s George Putic reports.
Video

Video Kenyans Lament Losing Sons to al-Shabab

There is agony, fear and lost hope in the Kenyan town of Isiolo, a key target of a new al-Shabab recruitment drive. VOA's Mohammed Yusuf visits Isiolo to speak with families and at least one man who says he was a recruiter.
Video

Video US-led Coalition Gives Some Weapons to Iraqi Troops

In a video released Tuesday from the Iraqi Ministry of Defense, Iraqi forces and U.S.-led coalition troops survey a cache of weapons supplied to help Iraq liberate Mosul from Islamic State group. According to a statement provided with the video, the ministry and the U.S.-led coaltion troops have started ''supplying the 16th army division with medium and light weapons in preparation to liberate Mosul and nearby areas from Da'esh (Arabic acronym for Islamic State group).''
Video

Video Amnesty International: 'Overwhelming Evidence' of War Crimes in Ukraine

Human rights group Amnesty International says there is overwhelming evidence of ongoing war crimes in Ukraine, despite a tentative cease-fire with pro-Russian rebels. Researchers interviewed more than 30 prisoners from both sides of the conflict and all but one said they were tortured. Henry Ridgwell reports for VOA from London.
Video

Video Washington Parade Honors Those Killed Serving in US Military

Every year, on the last Monday in the month of May, millions of Americans honor the memories of those killed while serving in the armed forces. Memorial Day is a tradition that dates back to the 19th Century. While many people celebrate the federal holiday with a barbecue and a day off from work, for those who’ve served in the military, it’s a special day to remember those who made the ultimate sacrifice. Arash Arabasadi reports for VOA from Washington.
Video

Video Kenya’s Capital Sees Rise in Shisha Parlors

In Kenya, the smoking of shisha, a type of flavored tobacco, is the latest craze. Patrons are flocking to shisha parlors to smoke and socialize. But the practice can be addictive and harmful, though many dabblers may not realize the dangers, according to a new review. Lenny Ruvaga has more on the story for VOA from Nairobi, Kenya.
Video

Video Rolling Thunder Run Reveals Changed Attitudes Towards Vietnam War

For many US war veterans, the Memorial Day holiday is an opportunity to look back at a divisive conflict in the nation’s history and to remember those who did not make it home.
Video

Video Female American Soldiers: Healing Through Filmmaking

According to the United States Defense Department, there are more than 200-thousand women serving in the U.S. Armed Forces.  Like their male counterparts, females have experiences that can be very traumatic.  VOA's Bernard Shusman tells us about a program that is helping some American women in the military heal through filmmaking.
Video

Video Iowa Family's Sacrifice Shaped US Military Service for Generations

Few places in America have experienced war like Waterloo. This small town in the Midwest state of Iowa became famous during World War II not for what it accomplished, but what it lost. As VOA’s Kane Farabaugh reports, the legacy of one family’s sacrifice is still a reminder today of the real cost of war for all families on the homefront.
Video

Video On Film: How Dance Defies Iran's Political Oppression

'Desert Dancer' by filmmaker Richard Raymond is based on the true story of a group of young Iranians, who form an underground dance troupe in the Islamic Republic of Iran. This is the latest in a genre of films that focus on dance as a form of freedom of expression against political oppression and social injustice. VOA’s Penelope Poulou has more.
Video

Video Turkey's Ruling Party Trying to Lure Voters in Opposition Stronghold

Turkey’s AK (Justice and Development) Party is seeking a fourth successive general election victory, with the goal of securing two-thirds of the seats in Parliament to rewrite the constitution and change the country's parliamentary system into a presidential one. To achieve that, the party will need to win seats in opposition strongholds like the western city of Izmir. Dorian Jones reports.
Video

Video Millions Flock to Ethiopia Polls

Millions of Ethiopians cast their votes Sunday in the first national election since the 2012 death of longtime leader Meles Zenawi. Mr. Meles' party, the Ethiopian People's Revolutionary Democratic Front, is almost certain of victory again. VOA's Anita Powell reports from Addis Ababa.

VOA Blogs