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Global Health: Science and Practice

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More articles from PROGRAMMATIC REVIEWS & ANALYSES

  • Open Access
    Provider Bias in Family Planning Services: A Review of Its Meaning and Manifestations
    Julie Solo and Mario Festin
    Global Health: Science and Practice September 2019, 7(3):371-385; https://doi.org/10.9745/GHSP-D-19-00130

    Provider bias, including bias regarding client age, parity, and marital status, persists as an important barrier to contraceptive choice and access. Newer approaches to mitigate bias that have moved beyond training and guideline development to more fundamental behavior change show promise.

  • Open Access
    Liftoff: The Blossoming of Contraceptive Implant Use in Africa
    Roy Jacobstein
    Global Health: Science and Practice March 2018, 6(1):17-39; https://doi.org/10.9745/GHSP-D-17-00396

    Contraceptive implant use is rising rapidly, substantially, and equitably in many sub-Saharan African countries, across almost all sociodemographic categories. Gains in implant use have exceeded combined gains for IUDs, pills, and injectables. Key contributing factors include sizeable reductions in commodity cost, much-increased commodity supply, greater government commitment to expanded method choice, and wider adoption of high-impact service delivery practices that broaden access and better reach underserved populations. Continued progress in meeting women's reproductive intentions with implants calls for further investment in quality services for both insertion and removal, and for addressing issues of financing and sustainability.

  • Open Access
    Family Planning in the Democratic Republic of the Congo: Encouraging Momentum, Formidable Challenges
    Dieudonné Kwete, Arsene Binanga, Thibaut Mukaba, Théophile Nemuandjare, Muanda Fidele Mbadu, Marie-Thérèse Kyungu, Perri Sutton and Jane T Bertrand
    Global Health: Science and Practice March 2018, 6(1):40-54; https://doi.org/10.9745/GHSP-D-17-00346

    Formidable challenges: uncertain political situation, cultural norms favoring high fertility, a thin patchwork of service delivery institutions, logistical issues in a vast country with weak infrastructure, and low capacity of the population to pay for contraceptive services. Encouraging progress: increasing government and donor support, openness to progressive service delivery policies, innovative programming including robust social marketing and initiatives with nursing schools and the military, strong collaboration among stakeholders, high unmet need suggesting strong latent demand for family planning, and an increasingly balanced method mix including long-acting methods.

US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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