Family planning

Running head: FAMILY PLANNING 1
Family Planning
Name
Institutional Affiliation
FAMILY PLANNING 2
Section 1
Incidence rate
In 2011, for 1000 women between 15-44 years, 98 pregnancies were reported.
Forty-five of them were unintended, meaning, 5% of procreative-age females have
unplanned pregnancy each year.
This totaled to 45% (2.8 million) of the 6 million pregnancies, with 27% “later
wanted” and “18%” being unwanted.
Prevalence rate
In 2012, reports indicated the contraceptive prevalence to be 71.4% for women
between 15 and 49 years.
Prevalence for unwanted pregnancy for 1000 women with income was 112.
Women with no high school diploma had a high unintended pregnancy rate of 73
per 1000 women in 2011.
Death rate
In 1983, the United States death rate was 8 per 100,000 caused by poorly
performed or illegal abortions.
Data and rates on race, ethnicity, and gender
Unlike their white counterparts, Latinos and blacks were in a lesser position to
access oral contraceptives (ratios o.6 and 0.4 respectively), and are in a higher
position to obtain injectable contraceptives (1.4 and 1.6).
Healthy people 2020
FAMILY PLANNING 3
All women at reproductive age should be able to access preconception care.
Instead of limiting it to single visits to health-care, but should be a designed
process that meets an individual’s need.
Healthcare providers should advise patients concerning the importance of
developing a comprehensive reproductive plan to guide them on whether and when
to conceive.
Patients should also learn on the effects of medical decision making and use of
contraceptives on their reproductive life-plan.
Healthcare givers should increase awareness of the benefits of preconception. This
can be done via public outreach, to encourage people on the importance of pre-
pregnancy counseling.
Section 2
Social determinants of health
Maternal age
Many women endure unintended pregnancy, including to the extent of childbearing.
Research indicates that both young and advancing maternal age risk unwanted pregnancies.
Couple’s Educational status
Education is also a significant factor in unintended pregnancy. However, research
indicates rarity in a positive relationship between education and unwanted pregnancy in
developing countries.
Women’s occupational status
This is divided into two; women who don’t work or earn and working women.
Women from both categories have similar patterns regarding the use of contraceptives.
FAMILY PLANNING 4
Place of residence
Women residing in urban areas are more likely to use contraceptives as opposed to
their rural counterparts; therefore those in rural parts are more exposed to unintended
pregnancies than those in the city.
Autonomy of women
Females with low autonomy in decision-making have a higher chance of experiencing
an unintended pregnancy.
Age during marriage
Age at the time of marriage is an excellent indicator of unintended pregnancy, in that
they are inversely proportional. Increase in age during the marriage time decreases the
possibility of unwanted pregnancy.
Gravidity
Reports indicate positive associations in unintended pregnancy and gravity.
Parity
Just like gravidity, parity and unintended pregnancy show positive relations. Research
indicates that women with more alive kids are most likely to have an unplanned pregnancy
than those with less alive children.
Number of sons alive
Research indicates that before pregnancy, women with no sons alive are less likely to
experience unplanned pregnancy compared to those with more sons before their latest
pregnancy.
FAMILY PLANNING 5
Awareness and usage of contraceptives
Knowledge concerning contraceptives plays a significant role in the choice of
contraceptive methods. However, research indicates mixed results as some indicate an
inverse association while others show a positive association concerning contraceptives and
unintended pregnancy.
Section 3
The country has made lots of progress concerning unplanned pregnancies especially
for teenagers, and it has been discovered that the number of unintended pregnancy has
reduced. There are two reasons as to why unplanned pregnancy can reduce; having less sex or
more use of contraceptives. However, research indicates that the use of better contraceptives
has been the significant driver of the decline in unintended pregnancy. In teenagers, for
instance, 615,000 teenagers were reported pregnant, translating to 57 pregnancies for every
10000 women, with 82% of them being unplanned. This is a 51% decline compared to the
1990 peak. The reasons behind the decrease include education programs, which helped in
reducing sex frequency, delaying sexual debut, reducing the number of partners and
awareness on contraception use. Also, the country’s AIDS crisis played a role in persuading
teenagers on the importance of condoms. Through public consciousness, the AIDS epidemic
was addressed increasing condom use.
The use of family planning is getting better as women are ensuring that they are being
autonomous, accessing the preferred contraceptives for family planning. This is because it
reduces infant mortality by preventing ill-timed and closely spaced pregnancies, helps in
preventing the spread of HIV/AIDS by using protection, provides protection against STIs,
reduces teenage pregnancies, empowers and enhances education and slows population
growth.
FAMILY PLANNING 6
The use of contraceptives has increased globally especially in Latin America and
Asia, from 54% in 1990 to 57% in 2015. Women between ages 12-49 are reported to use
contraceptives, while men take a substantially small subset in family planning. Men’s
contraceptive methods are limited to vasectomies and male condoms. However, the unmet
necessities for contraceptives are still very high, due to high population and minimum family
planning services.

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