Family Planning Through a Global Lens
As Hobby Lobby and others fight for exemptions from the Obama administration's health care mandate, there has been much discussion about the array of contraceptives available to women in the United States, which we should use, which our employers should cover.
But here in the U.S., we have the luxury to even have this debate at all.
In the developing world, access to tools for healthy timing and spacing of pregnancies can be a matter of life or death, for both the mother and the child. To women in these countries, the debates we have here would seem like a privilege.
There are 220 million women around the world who say they wish to avoid pregnancies but lack access to any effective contraceptives, counseling, or services. Reaching just 120 million of these women in the next decade could save millions of lives – including preventing an estimated 51 million abortions.
While some Americans may associate the widespread use of birth control with the sexual revolution, sex outside of marriage, and today's hookup culture, the developing world has a different reality. In many cases, the women who want to prevent pregnancies are married—very young or with several children already. In Ethiopia, girls—on average—marry at age 16, and the bodies of young girls are not yet ready to have children. Arguably, the sex inside these marriages is not truly consensual. These young girls are often forced to please their husbands at will, and as a result, are often forced into pregnancy after pregnancy.
Sadly, in Africa, 1 out of 39 women died in childbirth last year. That's compared to just 1 in 3,800 in more developed countries. Across the developing world, more than 287,000 women died last year due to complications during pregnancy and childbirth. Additionally, over 6.9 million children died of preventable, treatable disease, 40 percent were newborns.
For us to help these women and families, to reverse the course of dying mothers and dying children, we need to think differently about birth control. We can't merely see contraceptives as a drug of convenience or a political pawn or a subject of debate. Condoms, oral contraception, injectables, implants, and natural family planning: these are necessities for the health and flourishing of many areas of Africa and developing nations worldwide.
Healthy spacing and timing of pregnancy saves lives—as a strikingly successful means to reduce maternal mortality and improve child survival. It also can be a key to saving lives and economic empowerment in the developing world. The good news is that we have the information and highly effective tools, including both fertility-based natural methods and modern contraceptives, to make this a reality.
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