Transcript Slide 1

Benefits of Meeting
Women’s Contraceptive
Needs in Burkina Faso
Guttmacher Institute and l’Institut de
Recherche des Sciences de la Santé
December 2011
www.guttmacher.org
Context
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Burkinabe women have more
children than they desire
Fertility rate by wealth quintile, 2003
8.0
Wanted fertility
7.0
6.0
5.0
7.1
7.1
6.2
6.2
6.1
5.4
6.8
5.9
Actual fertility
6.7
5.8
4.0
3.0
3.4
3.9
2.0
1.0
0.0
All
First
(poorest)
Second
Third
Fourth
Fifth
(wealthiest)
Source: INSD and ORC Macro, Enquête Démographique et de Santé du Burkina Faso 2003, 2003
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Many women who want to avoid pregnancy
do not use modern contraceptives
 About 4 in 10 Burkinabe women want to space or limit the
number of children they have
 However, nearly 2/3 of these women have an unmet
need for modern contraception
 About 1/3 of all pregnancies in Burkina Faso are
unintended
 32% of unintended pregnancies end in induced
abortion
 Another 54% of unintended pregnancies result in
mistimed or unwanted births
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In Burkina Faso pregnancy and
childbirth carry significant health risks
Maternal mortality ratio, 2008
600
560
500
400
300
200
290
100
0
Developing World
Burkina Faso
 1 in 28 women will die due to pregnancy related causes
 About 30% of women give birth without any trained medical
personnel
 Only 1/5 of pregnant women receive adequate prenatal care
 For every 1,000 live births, an estimated 80 infants die before their
first birthday
Source: WHO, Trends in Maternal Mortality, 2010
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Goals of the study
 Provide policymakers, health care providers and
other stakeholders an evidence base to inform
better, more effective policies
 Demonstrate the benefits of providing family
planning services to all women who need them
 Document the public health benefits and cost
savings that result from scaling up these services
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Methodological
Approach
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Main data sources
 Burkina Faso censuses
 Demographic Health Surveys
 Ministry of Health
 National Health Accounts
 United Nations Population Fund
 All figures are for 2009
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We looked at four scenarios
of modern contraceptive use
 No modern contraceptive use
 Current level and pattern of method use
 Reducing unmeet need for modern
contraception by 50%
 Reducing unmeet need for modern
contraception by 100%
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Impact of Modern
Contraceptive Use
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Modern contraceptive use reduces
abortion and unplanned childbearing
Pregnancies per year (in 000s)
1,200
1,000
800
600
1,008
138
867
87
751
184
274
50
105
635
596
596
596
596
Current method
use
No modern
method use
13
26
400
200
0
Abortions
50% unmet need 100% unmet need
met
met
Unplanned births and miscarriages
Intended pregnancies
Source: Guttmacher Institute, Benefits of meeting women’s contraceptive needs in Burkina Faso, 2011
www.guttmacher.org
Modern contraceptive use reduces
unintended pregnancy and abortion
Current use
vs. no use
50% unmet need met
vs. current use
100% unmet need met
vs. current use
Unintended
pregnancy and
induced abortion
Unintended
pregnancy and
induced abortion
Unintended
pregnancy and
induced abortion
35%
43%
85%
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Modern contraceptive use decreases
maternal mortality and maternal morbidity
Current use
vs. no use
50% unmet
need met
vs. current use
100% unmet
need met
vs. current use
Maternal
mortality
10%
11%
19%
Maternal DALYs
14%
11%
27%
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Improving modern contraceptive use
will require financial commitment
Family planning cost (in millions US$), 2009
70
60
50
40
30
59
40
20
10
21
0
Current contraceptive use
50% need for modern
methods met
100% need for modern
methods met
Source: Guttmacher Institute, Benefits of meeting women’s contraceptive needs in Burkina Faso, 2011
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However, providing modern contraception
greatly reduces reproductive health care costs
Cost (in millions US$)
350
300
250
200
285
309
267
21
82
127
253
40
59
45
12
150
100
182
182
182
182
50
0
Current method No modern method 50% unmet need
use
use
met
Family planning costs
Medical costs: intended pregnancy
100% unmet need
met
Medical costs: unintended pregnancy
Source: Guttmacher Institute, Benefits of meeting women’s contraceptive needs in Burkina Faso, 2011
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Conclusions
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Bottom line: Investing in family planning
improves maternal health and is cost-effective
Reduces maternal mortality and morbidity and
improves the health and well-being of women and
their families
$
Reduces costs of pregnancy care and generates
significant savings that can be reinvested to help
meet other MDGs and development goals
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Thank You
This study was the result of a collaboration between the
Guttmacher Institute and l’Institut de Recherche des Sciences de
la Santé; it was made possible by a grant from the World Bank.
For more information, visit www.guttmacher.org
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