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COMMENTARY
Open Access

No Matter When or Where: Addressing the Need for Continuous Family Planning Services During Shocks and Stressors

Sarah Rich, Lily Jacobi, Nesrine Talbi, Ashley Wolfington and Kelly McDonald
Global Health: Science and Practice December 2024, 12(6):e2400124; https://doi.org/10.9745/GHSP-D-24-00124
Sarah Rich
aPromoting Results and Outcomes through Policy and Economic Levers Adapt, New York, NY, USA.
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  • For correspondence: srich@propeladapt.org
Lily Jacobi
bWomen’s Refugee Commission, New York, NY, USA.
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Nesrine Talbi
cFP2030, Bordeaux, France.
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Ashley Wolfington
dPromoting Results and Outcomes through Policy and Economic Levers Adapt, Ocean Grove, NJ, USA.
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Kelly McDonald
ePromoting Results and Outcomes through Policy and Economic Levers Adapt, Washington, DC, USA.
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Key Messages

  • Global progress on meeting family planning (FP) needs is threatened by worsening, intersecting crises that disrupt health systems and disproportionately affect women, girls, and historically marginalized people. No country is immune to climate change risks or infectious disease outbreaks, and the number, intensity, and impacts of conflicts are growing.

  • People need continuous access to essential health services, including FP services. Evidence demonstrates robust demand for FP services during and after diverse crises. Yet FP availability, access, and quality remain limited and uneven during crises. Disruptions in FP services undercut the efficacy of health systems and policies and derail advancements made during stable times.

  • Emergency preparedness facilitates quicker access to services when crises occur and saves money. However, preparing for continuous essential health services, including FP, is overlooked and deprioritized in existing funding streams and implementation mechanisms. We provide recommendations for global, national, and local partners–including governments, donors, and development and humanitarian agencies–to strengthen emergency preparedness for FP. Ensuring ongoing FP services during shocks and stressors saves lives, fulfills human rights, and advances health care for all.

INTRODUCTION

Global progress on meeting voluntary family planning (FP) needs has been advancing. In 2022, 371 million women worldwide were using a modern contraceptive method, marking an increase of 87 million over the past decade, with expanded use observed in all regions.1 However, advances have been uneven across and within countries and demographic groups. Moreover, this hard-fought progress is threatened everywhere by worsening, intersecting crises that disrupt health systems and disproportionately affect women, girls, and historically marginalized people. No region or setting is immune to the risks posed by climate change and infectious disease outbreaks, and the growing number and severity of conflicts have drained resources for health in many countries.2,3

The impacts of crises today are wide-reaching. In 2024, an …

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In this issue

Global Health: Science and Practice: 12 (6)
Global Health: Science and Practice
Vol. 12, No. 6
December 20, 2024
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No Matter When or Where: Addressing the Need for Continuous Family Planning Services During Shocks and Stressors
Sarah Rich, Lily Jacobi, Nesrine Talbi, Ashley Wolfington, Kelly McDonald
Global Health: Science and Practice Dec 2024, 12 (6) e2400124; DOI: 10.9745/GHSP-D-24-00124

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No Matter When or Where: Addressing the Need for Continuous Family Planning Services During Shocks and Stressors
Sarah Rich, Lily Jacobi, Nesrine Talbi, Ashley Wolfington, Kelly McDonald
Global Health: Science and Practice Dec 2024, 12 (6) e2400124; DOI: 10.9745/GHSP-D-24-00124
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  • Article
    • INTRODUCTION
    • THE NEED FOR CONTINUOUS FAMILY PLANNING SERVICES DURING CRISES
    • THE VALUE-ADD OF INVESTING IN PREPAREDNESS
    • CHALLENGES TO STRENGTHENING PREPAREDNESS
    • THE MOMENTUM TO STRENGTHEN PREPAREDNESS IS GROWING
    • EVIDENCE TO DATE ON WHAT WORKS TO STRENGTHEN FAMILY PLANNING PREPAREDNESS
    • RECOMMENDATIONS TO ENSURE CONTINUOUS FAMILY PLANNING SERVICES THROUGH SHOCKS AND STRESSORS
    • Acknowledgments
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    • Family Planning and Reproductive Health
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