scholarly journals Family Planning in the Republic of Tajikistan: A narrative review from Soviet times to 2017

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Ellison Henry ◽  
Zarrina H. Juraqulova
Keyword(s):  
Family Planning ◽  
Grey Literature ◽  
Unmet Need ◽  
Narrative Review ◽  
Low Fertility ◽  
Google Scholar ◽  
Soviet Period ◽  
Political Transitions ◽  
Nationally Representative ◽  
The Republic

Introduction: Tajikistan’s dramatic shift from a high to a low fertility society has taken place over a little more than two decades. While some fertility beliefs remained the same throughout the rapid economic and political transitions of Tajikistan, other beliefs may have changed to respond to the financial realities of the newly independent and Central Asian republic, such as having fewer children. The objective of this review was to describe and analyze the state of family planning in the Republic of Tajikistan from Soviet period (1929-1991) until 2017.Methods: The review is based on materials obtained from various sources including Google Scholar and PubMed, relevant to family planning in Tajikistan, including government policies, open-access nationally representative data, journal articles, and program reports, identified through a selective search of Google Scholar and PubMed databases, and the grey literature. Conclusion: This narrative review presents the history of family planning in Tajikistan, outlines an understanding of the health system context as it relates to family planning, and analyzes the latest national family planning policy (2017). The authors suggest further research is required to (a) understand the beliefs and practices related to family planning; and (b) define strategies to address the issue of unmet need of family planning services. 

scholarly journals Intimate partner violence and unmet need for family planning among currently married Afghan women aged 18-49 years: findings from a nationally representative survey in Afghanistan

2021 ◽  
Author(s):  
Omid Dadras ◽  
Takeo Nakayama ◽  
Masahiro Kihara ◽  
Masako Ono-Kihara ◽  
Chamnong Thanapop ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Family Planning ◽  
Partner Violence ◽  
Unmet Needs ◽  
Reference Group ◽  
Unmet Need ◽  
Intimate Partner ◽  
Afghan Women ◽  
Adverse Health Outcomes ◽  
Nationally Representative

Background: Intimate Partner Violence (IPV) is a serious public health issue, particularly in poor-resourced countries. It has been linked to a range of adverse health outcomes. In this study, we explored the prevalence and the relationship between the IPV and unmet need for family planning and identified the associated sociodemographic factors among a nationally representative sample of married Afghan women aged 18-49 years in Afghanistan. Methods: This study used the data from Afghanistan Demographic and Health Survey (DHS) conducted in 2015. The data for IPV, unmet need for family planning, and sociodemographic characteristics of Afghan women aged 18-24 were extracted from the available databases. Sampling weights and survey design were accounted for in bivariate and multivariate analyses using the STATA software version 14. The significant alpha level was determined at p-value < .05 Results: More than half of the study population, with a prevalence of 55.89%, experienced some types of intimate partner violence during the last 12 months. Unmet need for family planning was documented in less than a third of the population. Illiterate employed women from poorer families who were living in the rural areas were more likely to suffer from any type of IPV. Moreover, those from Pashtun (OR = 2.12, 95% CI:1.30-3.45), Tajik (OR = 1.69, 95% CI:1.06-2.71), and Pashai (OR = 2.23, 95% CI:1.17-4.26) ethnic groups had a higher chance of being a victim of any type of violence compared to the reference group (Turkmen). Illiterate women (OR = 1.37, 95% CI:1.02-1.83) with more than 5 pregnancy experiences (OR = 1.44, 95% CI: 1.19-1.74) had more unmet needs for family planning compared to the reference group. The unmet needs were almost 40% and 30% less likely to be observed among women from Pashtun and Tajik ethnic backgrounds compared to the reference group (Turkmen), respectively. The likelihood of having unmet needs was 30% less in those women who suffered from any type of violence. Conclusion: IPV is an important predictor of several adverse health outcomes. The findings of present study portray the disastrous situation of Afghan women's right violation and violence against them in a conflict setting in one the poor-resourced countries in the world and communicate an important message to the international communities and human right advocate to take immediate actions to mitigate the current situation and prevent the violence against Afghan women to improve the integrity of their reproductive health.

Radicalization of Dagestan’s youth in the post-Soviet period

2020 ◽  
Vol 2020 (10-4) ◽  
pp. 49-52
Author(s):  
Yusup Guseynov
Keyword(s):  
Young People ◽  
Soviet Period ◽  
Regular Process ◽  
The Republic ◽  
Post Soviet Period

The article is based on archival materials, field ethnographic material and examines the problem of youth radicalism in the post-Soviet period. In the XXI century the second regular process of recruiting young people into the ranks of terrorists began. However, thanks to the official clergy (the Muftiate of the Republic of Dagestan), state authorities, public associations of the Republic, the process of radicalization of young people has stopped.

Bastions of Tradition: The Ethnic Factor and Political Machines in Russian Regions

2019 ◽  
Vol 4 (1) ◽  
pp. 76-111
Author(s):  
Stanislav Shkel
Keyword(s):  
Ethnic Minorities ◽  
Komi Republic ◽  
Soviet Period ◽  
Political Consequences ◽  
Political Machines ◽  
Electoral Support ◽  
Republic Of Bashkortostan ◽  
Chuvash Republic ◽  
Material Benefits ◽  
The Republic

The regional machines created by the Russian governors in the mid-1990s turned out to be most effective in the ethnic republics. This phenomenon is supported by several facts, with the primary as follows: the density of the patronage networks among the rural ethnic minorities, and the economic heritage of the Soviet period and ethnical institutionalization. These factors allowed regional elites to integrate ethnic minorities into the clientelism structure to distribute symbolic and material benefits in exchange for their electoral support. However, at present, the federal authorities have considerably reduced the autonomy of the ethnic republics and deprived them of many ethnic preferences. Basing on the analysis of the electoral statistics from the Russian Presidential Election of 2018, this article researches the political consequences caused by the changed relationship between the center and the regions, as well as the changes in functioning of regional political machines in the circumstances where the governors’ institutional and resource autonomy has been reduced. The data analysis allowed for the discovery of the diversified electoral behavior of ethnic minorities in different republics. The reasons for the above diversification have been explained based on a comparative analysis of five case studies (the Republic of Bashkortostan, the Republic of Tatarstan, the Komi Republic, the Chuvash Republic, and the Republic of Sakha (Yakutia)).

Economic returns of family planning and fertility decline in India, 1991–2061

2021 ◽  
pp. 1-33
Author(s):  
Srinivas Goli ◽  
K. S. James ◽  
Devender Singh ◽  
Venkatesh Srinivasan ◽  
Rakesh Mishra ◽  
...  
Keyword(s):  
Family Planning ◽  
Return On Investment ◽  
Unmet Need ◽  
Economic Returns ◽  
Reproductive Health Care ◽  
The World ◽  
Potential Benefits ◽  
Education And Employment ◽  
Global Evidence

Abstract Investment in family planning (FP) provides returns through a lifetime. Global evidence shows that FP is the second-best buy in terms of return on investment after liberalizing trade. In this study, we estimate the cumulative benefits of FP investments for India from 1991 to 2016 and project them up to 2061 with four scenarios of fertility levels. The findings suggest that India will have greater elasticity of FP investments to lifetime economic returns compared to the world average (cost–revenue ratio of 1:120). We have taken four scenarios for the goalpost, viz., 2.1, 1.8, 1.6, and 1.4. Although different scenarios of total fertility rate (TFR) levels at the goalpost (i.e., the year 2061) offer varied lifetime returns from FP, scenario TFR < 1.8 will be counterproductive and will reduce the potential benefits. With a comprehensive approach, if the country focuses more on improving the quality of FP services and on reducing the unmet need for FP to enhance reproductive health care and expand maximum opportunities for education and employment for both women and men, it can improve its potential to reap more benefits.

scholarly journals Role of husband’s attitude towards the usage of contraceptives for unmet need of family planning among married women of reproductive age in Pakistan

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muhammad Farhan Asif ◽  
Zahid Pervaiz ◽  
Jawad Rahim Afridi ◽  
Ghulam Abid ◽  
Zohra S. Lassi
Keyword(s):  
Family Planning ◽  
Unmet Need ◽  
Wealth Quintile ◽  
Married Women ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Family Planning Programs ◽  
Contraception Use ◽  
Wide Range

Abstract Background Family planning services deliver a wide range of benefits to the well-being of females and the community. It can curtail the risk of maternal and neonatal mortality through the reduction in abortions and pregnancies. The government of Pakistan has been struggling to convince people about the usefulness of family planning programs. However, different factors related to social norms, values, and culture are important to determine the success of these programs. One such factor is the patriarchal structure of Pakistani society where most of the household decisions are made by men. The objective of this research is to examine the role of the husband’s attitude towards the usage of contraceptives for the unmet need of family planning (UMNFP) among married women of reproductive age (MWRA) in Pakistan. Method The dataset of Pakistan Demographic and Health Survey 2017–18 is utilized to examine the role of the husband’s attitude towards the usage of contraceptives in UMNFP among MWRA in Pakistan. Results The UMNFP was considerably lower among MWRA between 40 years and above compared to women 15–19 years. The odds of UMNFP were higher among women and men who were educated up to the primary level compared to those with no education. Odds of UMNFP were higher among women from the poor wealth quintile compared to the poorest wealth quintile; similarly, it was significantly lower among women who were from the richer and the richest wealth quintile compared to the poorest wealth quintile. The odds of UMNFP were lower among women who were employed compared to those who were not employed. Lastly, the odds of UMNFP were higher among women whose husbands opposed to using contraceptives, who perceived that there was a religious prohibition for such use and when a decision on the contraception use was solely made by the husband. Conclusions Husband’s attitude towards the usage of contraceptives is an important predictor of UMNFP. Liaising with the community and religious leaders to persuade people particularly men about the usefulness of family planning programs and encouraging men to understand their women’s say in using contraceptives should be encouraged.

scholarly journals Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Asmamaw Demis Bizuneh ◽  
Getnet Gedefaw Azeze
Keyword(s):  
Family Planning ◽  
Marital Status ◽  
Meta Analysis ◽  
Grey Literature ◽  
Eastern Africa ◽  
Determinant Factors ◽  
Unintended Pregnancies ◽  
Pooled Prevalence ◽  
History Of ◽  
Post Abortion

Abstract Background Utilization of post-abortion family planning is very critical to reduce high levels of unintended pregnancy, which is the root cause of induced abortion. In Eastern Africa, it is estimated that as many as 95% of unintended pregnancies occurred among women who do not practice contraception at all. Therefore, this meta-analysis aimed to assess post-abortion family planning utilization and its determinant factors in Eastern Africa. Methods Published papers from Scopus, HINARI, PubMed, Google Scholar, and Web of Science electronic databases and grey literature repository were searched from database inception to January 30, 2020, with no restriction by design and date of publishing. We screened records, extracted data, and assessed risk of bias in duplicate. Cochrane I2 statistics were used to check the heterogeneity of the studies. Publication bias was assessed by Egger and Biggs test with a funnel plot. A random-effects model was calculated to estimate the pooled prevalence of post-abortion family planning utilization. Results A total of twenty-nine cross-sectional studies with 70,037 study participants were included. The overall pooled prevalence of post-abortion family planning utilization was 67.86% (95% CI 63.59–72.12). The most widely utilized post-abortion family methods were injectable 33.23% (95% CI 22.12–44.34), followed by implants 24.71% (95% CI 13.53–35.89) and oral contraceptive pills 23.42% (95% CI 19.95–26.89). Married marital status (AOR=3.20; 95% CI 2.02–5.05), multiparity (AOR=3.84; 95% CI 1.43–10.33), having a history of abortion (AOR=2.33; 95% CI 1.44–3.75), getting counselling on post-abortion family planning (AOR=4.63; 95% CI 3.27–6.56), and ever use of contraceptives (AOR=4.63; 95% CI 2.27–5.21) were factors associated with post-abortion family planning utilization in Eastern Africa. Conclusions This study revealed that the marital status of the women, multiparity, having a history of abortion, getting counselling on post-abortion family planning, and ever used contraceptives were found to be significantly associated with post-abortion family planning utilization.

scholarly journals Association between media exposure and family planning in Myanmar and Philippines: evidence from nationally representative survey data

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Pranta Das ◽  
Nandeeta Samad ◽  
Hasan Al Banna ◽  
Temitayo Eniola Sodunke ◽  
John Elvis Hagan ◽  
...  
Keyword(s):  
Family Planning ◽  
Mass Media ◽  
Health Survey ◽  
Unmet Need ◽  
Media Exposure ◽  
The Philippines ◽  
Education Level ◽  
Demographic And Health Survey ◽  
Modern Contraceptive ◽  
Mass Media Exposure

Abstract Background Although women in South Asia and South-east Asia have developed their knowledge regarding modern contraceptive and other family planning techniques, limited information exists on the influence of mass media exposure on the utilization of contraceptives and family planning. The current study examined the association between media exposure and family planning in Myanmar and Philippines. Methods The study analyzed data from the 2017 Philippines National Demographic and Health Survey (NDHS) and 2015–16 Myanmar Demographic and Health Survey (MDHS). Three family planning indicators were considered in this study (i.e., contraceptive use, demand satisfied regarding family planning and unmet need for family planning). A binary logistic regression model was fitted to see the effect of media exposure on each family planning indicator in the presence of covariates such as age group, residence, education level, partner education level, socio-economic status, number of living children, age at first marriage, and working status. Results The prevalence of contraception use was 57.2% in the Philippines and 55.7% in Myanmar. The prevalence of demand satisfied regarding family planning was 70.5 and 67.1% in the Philippines and Myanmar respectively. Unmet need regarding family planning was 16.6% and 19.9% in the Philippines and Myanmar respectively. After adjusting for the covariates, the results showed that women who were exposed to media were more likely to use contraception in Philippines (aOR = 2.24, 95% CI = 1.42–3.54) and Myanmar (aOR 1.39, 95% CI = 1.15–1.67). Media exposure also had a significant positive effect on demand satisfaction regarding family planning in the Philippines (aOR = 2.19, 95% CI = 1.42–3.37) and Myanmar (aOR = 1.34, 95% CI = 1.09–1.64). However, there was no significant association between media exposure and unmet need in both countries. Conclusions The study established a strong association between mass media exposure and the use and demand satisfaction for family planning among married and cohabiting women in Philippines and Myanmar. Using mass media exposure (e.g., local radio, television- electronic; newspapers) to increase both access and usage of contraceptives as well as other family planning methods in these countries could be pivotal towards the attainment of United Nations Sustainable Development Goal 3 (SDG 3) of improving maternal health.

scholarly journals Family planning program under low fertility: where to go

2021 ◽  
Author(s):  
Baochang Gu
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Unmet Needs ◽  
Family Planning Program ◽  
Population Control ◽  
First Century ◽  
Low Fertility ◽  
Planning Program ◽  
The People ◽  
The Family

AbstractThis commentary is intended to take China as a case to discuss the mission of the family planning program under low fertility scenario. After a brief review of the initiation of family planning program in the 1970s, as well as the reorientation of family planning program since ICPD in 1994, it will focus on the new mission for the family planning program under low fertility scenario in the twenty-first century, in particular concerning the issue of induced abortion among the others. Given the enormous evidence of unmet needs in reproductive health as identified in the discussion, it is argued that family planning programmes are in fact even more needed than ever before under low-fertility scenario, and should not be abandoned but strengthened, which clearly has nothing to do to call back to the program for population control in the 1970s–1980s, and nor even go back to the program for “two reorientations” in the 1990s, but to aim to serving the people to fulfill their reproductive health and reproductive rights in light of ICPD and SDGs, and to become truly integral component of “Healthy China 2030” Strategy.

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