9 November 2016

Ethiopia: Bolstering Family Planning


The last century was one of incredible social changes and development. Improvements in health, urbanization, better education and industrialization has brought about economic growth and improved standards of living to much of the globe.

Yet, this progresses however, has been uneven leaving one million people still living in extreme poverty and has been accompanied by demographic and environmental change. Over the last hundred years, the population of the world has grown from around 1 billion peoples to more than 7 billion people. Human activity has transformed vast areas of the earth's surface, alerted the atmosphere resulted in thousands of plant and animal species extinctions.

Yes, population explosion matters for various reasons, the major one is it is a major contributor to resource scarcity. Others accessories impact follow one another, i.e. altering the climate, degrading habitats, overexploiting resources, and reducing biodiversity.

High fertility usually implies rapid population growth. This typically lowers the rate of growth of per capita income and, in addition, has serious consequences for the distribution of income across different classes of people. The growth in per capita income is downsized partly because some production inputs, such as agricultural land, are fixed in supply. Higher populations would mean that each agricultural worker, now having less land to work on, is less productive. And lower productivity implies lower per capita income.

Improving family planning access and awareness creation towards population explosion are perquisite for a nation to materialize sustainable development.

For poverty reduction and fertlity rate is directly proprtional, addressing that should be taken as a key task for the nation's stride towards development.

Population boom is a formidabble challenge that mankind face today, and that are posed to prove even greater burdens in the future.

Discouraging higher birth rates should be the prime task with integeral approaches. For two decades now familiy planning service has resulted in laudable achivements.

Currently, the overall fertility rate has declined in Ethiopia between 2005 and 2014, from 5.4 children per woman to 4.1 children in 2014. The fertility rate in rural areas exceeds the fertility rate in urban areas by more than two children per woman.

The contraceptive prevalence rate in Ethiopia has shown an increase over the last 10 years from 15 per cent to 42 per cent which is attributed to the increased access to family planning services starting from the community level provided by the Health Extension Workers (HEWs) to services provided in hospitals. However, a huge regional discrepancy remains between agrarian and pastoralist regions due to variable accessibility of services and socio cultural barriers.

This turnaround happened because of combinations of factors made in various parts of the nation. As education access reached all parts of nation women, privileged, stay longer in schools. Since the country's economy is among the fastest growing in the world, quality of life is improving, people tend to have fewer children.

For a huge number of women joined the labour force and job opportuinities standard of living of communities is increasing so people do not want to have too many children. And more importantly, family planning is becoming more popular.

The deployment of 38 thousand health extension workers delivering the service establishing health development army at each household is the other driving point that showed the turn out is huge.

All stakeholders should be aware that arm-chair philosophy does not provide any realistic solution nor does a mere brushing aside of the problem boasting with the result achieved do not bear friuts.

Becuase a quarter of all women who need contraceptives are still not able to get them. To address these, parts of society should be the prime focus of the efforts to working at grass roots.

Still well organized awarness creation is not conducted across all parts of the nation, supply of services and medications are still not to the desired level. Containing fertility rate be should givn due attention to sustian the task.

Whatever the achivements attained the efforts so far made shou is far behind the target set by WHO to reach a family having three children in 2030.

For the magnitude of the problem is enormous, prsuing workable strategy should be developed before it gets to the point of no return.

Promoting integrated family planning into non health sectors and to narrow information and service gaps across the nation should be implemented to sustain achievements and take them to higher levels.

For high birth rates hamper development. Hence, concerted efforts should get attention. Improving access, quality and varieties of family planning service should be made a point. Modern methods of contraception should be promoted to do away with the major causes of high fertility keeping on the stride should be the prime focus.


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