Dr. Qibla Ayaz, Chairman, Council of Islamic Ideology, Please use our online form to suggest additional resources, Read more about the global impact of COVID-19 on Family Planning, Public-Private Partnership to Accelerate Family Planning Uptake in Pakistan, Estimating the Health Impacts and Economic Returns of Increased Family Planning Provision, Punjab: Estimating the Health Impacts and Economic Returns of Increased Family Planning Provision, Sindh: Estimating the Health Impacts and Economic Returns of Increased Family Planning Provision, Balochistan: Estimating the Health Impacts and Economic Returns of Increased Family Planning Provision, Khyber-Pakhtunkhwa: Estimating the Health Impacts and Economic Returns of Increased Family Planning Provision, FP2020 High Impact Practices Analysis for Pakistan June 2019, Prime Minister’s Poverty Alleviation Strategy, National Symposium on Alarming Population Growth in Pakistan: Call to Action, Pakistan Demographic & Health Survey, 2017-2018, Pakistan FP2020 Commitment Self-reporting Questionnaire 2018, Pakistan FP2020 Revitalized Commitment 2017, UNFPA Population Situation Analysis of Pakistan, Pakistan FP2020 Commitment Self-reporting Questionnaire 2016, Pakistan Country Action: Opportunities, Challenges, and Priorities, Pakistan Costed Implementation Plan on Family Planning for Sindh 2015-2020, Pakistan Postpartum Family Planning Action Plan 2015.  Its leader, Zulfiqar Ali Bhutto, needed to gain legitimacy and popularity by taking an anti-American, anti-capitalist, and anti-Ayub Khan-stance.  The DHS also dispelled the popular notion that religious reasons keep families from using family planning. ; CLELAND (John-G); ALI (Mohamed-M) Collectivité auteur Department of Epidemiology and Population Health. As was discussed in a previous brief, the public sector serves around 35% of current users, whereas the private sector services and self procurement of commodities account r the fo remaining 65%. The restriction on women's mobility limits their ability to access health care and family planning services, especially for unmarried girls. KARACHI, Nov 14 2012 (IPS) - Thirty-year-old Shahida Saleem, who was not educated past the tenth grade, is a mother of two, living with her family in Karachi. Each month, FP2020’s newsletter addresses a new theme: data, access, young people – the hot topics that drive this family planning partnership. Pakistan will take forward its 2011 commitment with the Provinces for all public and private health facilities to offer birth spacing services. As of this year, all four provinces have drafted Costed Implementation Plans for family planning and developed family planning task forces comprised of public and private sector stakeholders. He had used the religious lobbies and conservative middle-classes as support for his take-over. In our study, knowledge about family planning is quite high (89%) among Afghan refugee women receiving healthcare subsidy but much lower (45%) among those not receiving healthcare subsidy. Improving Access to Family Planning Services through the Private Sector in Pakistan A Stakeholder Analysis. Date Issued: Friday, August 3, 2018 . " In addition, Ali Khan stated that "a fairly large number of the population believes the use of artificial contraceptives for family planning is against nature and also against Islam. Copyright ©2020 Family Planning 2020. World Health Organization and Global Health Workforce Alliance. To understand the obstacles, researchers have tended to focus on service delivery failures, ‘ cultural’ barriers and … Boonstra, Healther. , Pakistani journalist/researcher Ayesha Khan has suggested various reasons for Ayub Khan's position on population control. For a listing of current opportunities with FP2020, please visit the United Nations Foundation career site. London School of Hygiene and Tropical Medicine.  Though Pakistani couples commonly cite religious reasons for avoiding birth control, there is not one definitive agreement about family planning and contraception in Islam. Since the census in 1951, the population has quadrupled while the urban population has increased seven times. Additionally, to promote acceptability of family planning, the government is collaborating with men and religious leaders as part of its social mobilization efforts. According to the UN Inter-agency Group for Child Mortality Estimation, Pakistan's rates of child mortality (neonatal mortality rate: 44.2; infant mortality rate: 61.2; child under 5 mortality rate: 74.9) nearly double the worldwide average (neonatal mortality rate: 18; infant mortality rate: 29.4; child under 5 mortality rate: 39.1) set by UNICEF Global. Through access to family planning information and services, couples can Assessment of a new approach to family planning services in rural Pakistan. The Ministry of Population Welfare started planning a program in 1992 based on a similar program in Bangladesh. 2008, International Conference on Population and Development, http://irinnews.org/report.aspx?reportid=28617, "Human population numbers as a function of food supply", https://data.unicef.org/wp-content/uploads/country_profiles/Pakistan/country%20profile_PAK.pdf, https://www.voanews.com/a/pakistan-infant-mortality/1859052.html, https://data.unicef.org/topic/child-survival/under-five-mortality/, https://www.un.org/esa/population/publications/abortion/doc/pakistan.doc, http://www.guttmacher.org/pubs/journals/2405698.html, https://www.un.org/esa/population/publications/2007_Abortion_Policies_Chart/2007_WallChart.pdf, http://www.popcouncil.org/uploads/pdfs/2013RH_PakistanPAC.pdf, http://jpma.org.pk/full_article_text.php?article_id=224, http://www.dawn.com/news/976212/karachi-doctors-attitudes-responsible-for-unsafe-abortions, Khan and Khan et al. Both the public and private sectors provide family planning services in Pakistan.  His successor Yahya Khan did little more than watch as a civil war ripped apart East and West Pakistan in 1971. by: Safieh Shah. A brief version of the Pakistan Demographic and Health Survey 2012 was released in October 2013. INTRODUCTION: The public sector provides a third of family planning (FP) services in Pakistan. , The Family Planning Association of Pakistan (FPAP), now called "Rahnuma", was founded in Lahore by Saeeda Waheed in 1953. My professor was impressed by my essay on literature. Donate! Note: FP2020 uses a rolling baselines so values are recalculated each year based on the newset available data. Roudi-Fahimi, Farzeaneh. Due to a lack of access (especially in the rural areas), no clarity (dearth of awareness, understanding and education), fear of legal persecution (especially in the public sector), an inability of health care professionals to interpret the law, as well as a form of FP, women are often forced to seek abortion by untrained providers. The federal government assesses the contraceptive requirement as US $186 million over the period 2013 to 2020, which will need to be provided for. Tel: (202) email@example.com. " Unlike family planning in Iran, a neighboring Islamic republic, Pakistan's family planning program has failed in recent years due to neglect and constant policy changes as a result of political upheaval.  The rate of unwanted pregnancies is higher for women living in poor or rural environments; this is especially important since two-thirds of women live in rural areas. KARACHI: Sindh Chief Minister Syed Murad Ali Shah has decided to give status of essential services to the Family... AVN 73.34 Decreased By -4.60 (-5.9%) BOP 10.14 Increased By 0.01 (0.1%) demand for family planning services in underserved areas of Punjab province in Pakistan: results of a cross-sectional baseline survey Syed Khurram Azmat University of Ghent Moazzam Ali World Health Organization, Geneva, Switzerland Muhammad Ishaque Marie Stopes Society, Karachi, Pakistan Ghulam Mustafa Marie Stopes Society, Karachi, Pakistan Waqas Hameed Marie Stopes Society, Karachi, Pakistan … Family Planning clinicians in urban Pakistan affect service utilization? According to the World Health Organization and Population Action International, as of 2007, "only 16 percent of women receive at least four antenatal care visits during pregnancy, fewer than one-third of births are attended by skilled health personnel, and the maternal mortality ratio, at 320 maternal deaths per 100,000 live births, remains high. One study in 2002 showed that in areas with 2 or more community-based workers there was a 7% increase in the use of modern, reversible contraceptive methods. Since a large number of modern method users are sterilized and received the service in a previous year, the actual number women availing any FP service were just under 3 million or less than half of those with an unmet need. To continue promoting strong government commitment, Pakistan will work to strengthen collaboration among regions under a devolved system in order to reach 6.7 million additional users and increase CPR to 50% by 2020. In 2014, Pakistan’s population was estimated at being over 188 million making it the world’s sixth-most populous country. This program emphasized maternal and child health, and also delivered family planning services.  According to an indirect estimation method, applied to the 2002 national data on abortions and its related complications in Pakistan, 1 in every 7 pregnancy terminates in an abortion. Pakistan commits to working toward achieving universal access to reproductive health and raising the contraceptive prevalence rate to 55% by 2020. i The Population Council confronts critical health and development issues—from stopping the spread of HIV to improving reproductive health and ensuring that young people lead full and productive lives. National Institute of Population Studies. Government of Pakistan through Economic Affair Division (EAD) awarded Rahnuma-FPAP to work across Pakistan as per its Strategic Plan.  Unfortunately, health care professionals do not wish to perform abortions either due to their own religious leanings, ethical stances or fear of stigmatization. Improving Access to Family Planning Services through the Pri... "Family planning is important because you should have children by choice and not by chance, when you are in a posit…, Join the global launch of the UNFPA Supplies Partnership on 14 December! Now, I feel confident because I know that my academic level can be improved significantly. "Islam, Women and Family Planning: A Primer." This document reflects the country context, opportunities, challenges, and priorities developed by FP2020 focal points for Pakistan in collaboration with the FP2020 Secretariat and other partners during the Asia Focal Point Workshop in Bali, Indonesia in January 2016.  In 1990, the penal code was provisionally adapted in order to better reflect Islamic Law, and finally was made permanent in 1997. [a] While 96 percent of married women were reported to know about at least one method of contraception, only half of them had ever used it. Extrapolating these results to estimated populations suggest that there are 8.8 million users of any FP, 5.5 million users of modern methods and 3.65 million women who avail FP services in any given year. Implemented by Avenir Health, Track20 monitors progress towards achieving the goals of the global FP2020 initiative. Date: March 19, 2015. In the DHS less than 10% of FP nonusers cited a religious reason for their non-use. In a move looking to counter Bhutto's government and as a gesture to his religious constituency, Zia froze the existing family planning program and banned publicity for family planning activities. At the same time, there is a need to address quality of care issues surrounding the provision of family planning services in Pakistan. Wajihuddin Ahmed, the Family Planning Commissioner during Yahya Khan's rule, focused on reducing pregnancies in women "rather than meeting contraceptive targets alone" and introducing the pill to Pakistani women. , Rural and Urban Healthcare Disparities That Contribute to Pakistan’s High Child Mortality Rate.  However, the female paramedics had a more lenient attitude when it came to a question of whether an abortion was justified: to save a mother's life, when the fetus was either abnormal or when a woman was raped; whereas the gynaecologists and doctors felt it was less permissible to perform, especially in the case of rapes.  Challenges to Pakistani's well-being, opportunities for education and employment, and access to health care are escalated due to the country's continuously-growing population. Supply chain management, training and communication campaigns will be strengthened. Each day as the COVID-19 pandemic spreads, new lessons, information, and resources become available. AbstractWomen's access to health and family planning services is limited in Pakistan, despite a growing contraceptive prevalence rate. Emergency / Disaster Management. ISLAMABAD, (UrduPoint / Pakistan Point News - 11th Jul, 2019 ) :Special Assistant to Prime Minister on Health Dr Zafar Mirza on Thursday said that the government was committed to integrate family planning services into health system to make it easily available and accessible for people.. Minister of State for National Health Services, Regulations and Coordination Saira Afzal Tarar has said that efforts were afoot to provide better health care and family planning services to people at Aims: This study was conducted to investigate the knowledge, attitude and practices (KAP) regarding family planning services among married women of Quetta Pakistan. Child Registration Process | Family Registration Process. The policy's goals include reducing population growth (from 2.1 percent in 2002 to 1.3 by 2020), reducing fertility through voluntary family planning (from 4 births per woman in 2004 to 2.1 births per woman by 2020), and as a signatory to the Programme of Action developed at the International Conference on Population and Development in Cairo in 1994, Pakistan pledged to provide universal access to family planning by 2010. Volume 11, Number 1, 30-51. Poor, marginalized and uneducated households do not have access to the reproductive health services they need, including family planning. Muslim populations are incredibly diverse, varying by race, language, and degree of religious conservatism. Abbas K(1), Khan AA(1), Khan A(1).  In the 1990s, women increasingly reported to wanting fewer children, and 24 percent of recent births were reported to be unwanted or mistimed. There is a near-absence of data on the actual quality of care provided to women seeking family planning services.  In Pakistan, extremely conservative Islamic beliefs predominate in many parts of the country, in which purdah restricts women to their homes unless chaperoned by a male relative. Mobility of women and access to health and family planning services in Pakistan. I have no complaints. Submitting OIG: U.S. Agency for International Development OIG.  In Pakistan, many local religious figures are supportive of family planning and have begun discussions in their communities in order to promote the health of women and children.. The government spends on average around Rs. Women's access to health and family planning services is limited in Pakistan, despite a growing contraceptive prevalence rate. (76 Result(s)) ... Lookup.pk connects you to local businesses in your neighborhood and cities in Pakistan. EN. Utilization and Costs of Public Sector Family Planning Services in Pakistan (policy brief) "Pakistan: Debating Islam and family planning." The overarching objective of this strategy is to increase the utilization of PPFP services in Sindh. 11: 1. ", Dating from 2002, Pakistan's current family planning policy reflects the government's concern with rising population trends and poverty. Information Minister Shibli Faraz, UNFPA Sponsored Message by Hon. Family planning association of Pakistan along with other volunteer organizations had introduced family planning services in mid of 1950s (National Institute of Population Studies 2013, 91) but Pakistan is still impotent to control the rapidly growing population. IRIN. Benefits of Family Planning. Rescue 1122 | NDMA | PDMA. In this video series, FP2020’s advocacy partners answer the question: How has access to family planning changed your life, and how are you working to strengthen that access for others? The Government of Canada has announced $21 million in new financing to support UNFPA's efforts to expand access to modern family planning and overall reproductive health services in Pakistan, where lack of access to such services is a major driver of maternal mortality, poor health and exclusion for women and girls. In rural Pakistan, unmarried women and girls had trouble accessing healthcare facilities even in their own villages due to purdah; all types of women had difficulty accessing facilities outside of their villages because they had to be accompanied. OWNERSHIP TO STRENGTHEN PROGRAM • GOVERNANCE: FP services in Pakistan can only improve if responsibilities are fully owned by people, organizations and authorities. Birth Control! Information and services must be provided to those who need and demand them, so that Pakistan can achieve its national and international commitments on family planning. " However, due to extreme and unrealistic goals,[vague] the USAID program was highly ineffective. GBR Source AMERICAN JOURNAL OF PUBLIC HEALTH, Vol 92, N° 7, 2002, … December 2001. However, under the 18th Amendment to the Constitution, the Ministry was devolved and its responsibilities were shifted to Provincial Population Welfare Departments. DAFPAK places a heavy focus on rural areas and aims to reduce maternal deaths, unintended pregnancies and unsafe abortions through increased access to, availability and usage of contraceptive products and services. One of the areas of population welfare where the government of Sindh leads is the development and implementation of Costed Implementation Plan (CIP) on family planning in the province. Unfortunately, the program has remained fairly unchanged over the past 35 years due to implementation problems involving over-centralization, lack of coordination, and structural flaws.. (3)University of Karachi, Pakistan.  Since the PDHS 2006-7, operations of NGOs have increased but it appears that according to the supply data there has been no increase in supply of FP commodities and that entry of the NGO Marie Stopes Society into FP services has displaced clients from other private sector, perhaps those that previously self procured commodities. However, at the time of writing, Khyber Pakhtunkhwa, Sindh and Punjab are working on individual Health and Population strategies.  In 2006 there were 96,000 lady health workers. The scheme's goal was to have a vast impact in the shortest time possible, with a reduction of the birth rate from 50 to 40 per 1000 by 1970. Additionally, it appears that the if the amount of commodities that are being reported by the Pakistan Bureau of Statistics in its "Annual Contraceptive Prevalence Reports" is accurate, the overall increase in population may mean that the CPR for modern methods may have actually declined. #GivingTuesday: Every Gift Makes A Difference. 39-48. Restructuring Pakistan’s Devolved Family Planning Services. Reduces HIV and AIDS through the prevention of new HIV infections and mother-to-child transmission via increased access to voluntary family planning information, services and commodities, including condoms Family planning is the information, means, and methods that allow individuals to decide whether, when, and how many children to have. Research and Development Solutions Policy Brief Series #15: The Role of Lady Health Workers in Family Planning in Pakistan. With an accelerated family planning programme though, Pakistan can bring the 342 million figure down to 266 million. It was said to be "safe, cheap, reversible," and it required "little user action. Information and services must be provided to those who need and demand them, so that Pakistan can achieve its national and international commitments on family planning. Contraceptive services will be included in the essential service package of two provinces in 2012, with the others following in 2013. And yet the current contraceptive prevalence rates (CPR) stand at 30%, reflecting around 0.5% annual increase since the start of the family planning programs in 1964. Volume 4, Number 6, 4-7. The lack of funding has resulted in a very low contraceptive prevalence rate, leading to almost 25 percent of pregnancies being unintended. FP2020 uses a suite of quantitative metrics—Core Indicators—to monitor progress annually across 69 focus countries. Waheed, a member of the All-Pakistan Women's Association, began advocating for birth control when her maid died from an attempt to abort her own pregnancy. KARACHI: The services related to family planning and reproductive health are being declared ‘essential services’ so that they are not discontinued in … The aim of these services was to reduce the fertility rate and slow population growth. The virtual event showcases stakeholder vo…, Civil Society Organizations (CSOs) and Foundations, Family Planning Summit 2017 Commitments Summary, Family Planning Summit 2012 Commitments Summary, Postpartum and Post-abortion Family Planning, Sexual and Reproductive Health Care in Emergencies Toolkit, FP2020 Rapid Response Mechanism Factsheet, FP2020 Family Planning's Return on Investment, FP2020 Integrating Family Planning and HIV.  Soon after the seminar, the National Board of Family Planning was established as a policy-advising body for the federal government.  Also in Pakistan's Poverty Reduction Strategy Paper is the objective of increasing contraceptive use 57 percent by 2012. , When a comparison of the private sector and public sector was made with regards to abortion and post-abortion care provided, it was noted that the private sector performed more abortions and took on double the case-load of post-abortion care, as opposed to the public sector. BACKGROUND: Studies have documented the impact of quality family planning services on improved contraceptive uptake and continuation, however, relatively little is known about their quality of service provision especially in the context of social franchising. ", In 1969, Ayub Khan was overthrown by the joint action of Islamist parties and the leftist Pakistan People's Party. The Ministry of Health (Pakistan) started a similar program in 1994 called "lady health workers." Islamabad based think tank Research and Development Solutions reports that there is no quantitative evidence that any of these interventions have resulted in an increase in CPR in these communities.  While only 22 percent of pregnant married women report being currently using a modern method of birth control and 8 percent reported to be using a traditional method, lack of widespread contraceptive use could be due to the lack breadth of the current family planning program. Approximately 25% had an unmet for Family Planning, of this around 2/3rd was for limiting and the rest for spacing. We help you to communicate with companies to search, find and review their brands, products and services. Although many public health specialists feel that religion plays a major role in resistance to the use of FP in Pakistan, the Pakistan Demographic and Health Survey of 2006-7 showed that religious reasons accounted for only 9% of FP non-use.  Zia differed from his predecessors in that he "made the religious-right-wing his political ideology." Family & Child Registration. We stand committed to support. , According to Dr. Ansar Ali Khan, an advisor of reproductive health to the United Nations Population Fund in Pakistan, "A combination of factors like non-availability of services, baseless traditional beliefs and misconception play a big role. It feels like we need this global day of giving — of our time, talents, and treasure — even more this year. "Policy-making in Pakistan's population programme." Using data from the PDHS 2006-7, approximately 35% of FP users received their FP services from the public sector, 12% from NGOs and private providers and the overwhelming 52% bought their methods over the counter from shops, making FP services largely subject to market forces. Agency Reviewed / Investigated: U.S. Agency for International Development. Data was collected from February-September 2016 from 503 Females who were sexually … DKT is one of the largest private providers of family planning and reproductive health products and services in the developing world. Estimates for the Core Indicators are produced annually by commitment countries through a network of country-based Track20 M&E officers housed in government institutions. Even though there is considerable demand for family planning in Pakistan, the adoption of family planning has been hampered by government neglect, lack of services and misconceptions. (2014) A study protocol: Using demand-side financing to meet the birth spacing needs of the underserved in Punjab Province in Pakistan. Population Reference Bureau. The data displayed on this page is courtesy of the Track20 Project. This program recruited married women, with at least 10 years of schooling, that lived in rural areas, and trained them to provide family planning services to their communities. In 2013 some of the provinces - notably Punjab - reported that they were developing their own population policies. Demographics play a large role in Pakistan's development and security since the recent change from military rule to civilian leadership. In 1997, a small, qualitative study in three villages in rural Punjab explored restrictions on female mobility and other social barriers to accessing these services, in relation to women's status, concepts of honour and the practice of segregation of the sexes. 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