Reproductive Health

Measurement, Learning & Evaluation of the Urban Health Initiative

Measurement, Learning & Evaluation of the Urban Health Initiative
Uttar Pradesh, India, Baseline Survey 2010

Priya Nanda, Pranita Achyut, Anurag Mishra, Lisa Calhoun
2011

The Measurement, Learning & Evaluation (MLE) project is the evaluation component of the Urban Reproductive Health Initiative, a multi-country program in India, Kenya, Nigeria and Senegal that aims to improve the health of the urban poor. A key objective of the project is to undertake a rigorous impact evaluation of the country programs, identifying the most effective and cost-efficient programmatic approaches to improving contraceptive use among the urban poor.

This report presents baseline survey results from samples in six cities in Uttar Pradesh, India. These findings provide an in-depth, quantitative examination of the factors that influence contraceptive use and fertility. Data from this survey can help guide program planners and policymakers as they determine which policies and programs are likely to lead to the desired reproductive health outcomes.

The MLE project is implemented by the University of North Carolina’s Carolina Population Center, in collaboration with African Population and Health Research Center and the International Center for Research on Women. For more information about the MLE project, visit www.urbanreproductivehealth.org.

(1.49 MB)

We encourage the use and dissemination of our publications for non-commercial, educational purposes. Portions may be reproduced with acknowledgment to the International Center for Research on Women (ICRW). For questions, please contact publications@icrw.org; or (202) 797-0007.

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International Conference on Family Planning

ICRW experts will present research at the second annual International Conference on Family Planning, which brings together participants to share research, best practices and progress on national strategies to deliver family planning services. To be held in Dakar, Senegal, the conference is organized by the Bill and Melinda Gates Institute for Population and Reproductive Health at the Johns Hopkins Bloomberg School of Public health and the Ministry of Health and Prevention in Senegal. 

When: 
Tue, 11/29/2011 - 4:00pm - Fri, 12/02/2011 - 5:30pm
Where: 
Le Méridien President
Pointe des Almadies BP 8181
Dakar, Senegal

Commentary: Girls Education for the 21st Century

Programs Should Focus on Preparing Girls for Life
Thu, 06/16/2011

Beyond success at getting girls into school, the next generation of education programs needs to focus on keeping them there and helping them grow into healthy, productive, confident adults.

No single intervention in the lives of girls in developing countries ensures that they will have the chance to live their full potential. But one does stand out as holding great promise: Education.

Evidence shows that when girls, in particular, have equal access to a quality education, they are more likely to become productive, healthy and empowered citizens, parents and partners.Attaining an education is widely and consistently linked with economic growth, better health and advancing equality and human rights. Evidence shows that when girls, in particular, have equal access to a quality education, they are more likely to become productive, healthy and empowered citizens, parents and partners. And, when they go to school, families’ and community members’ views of girls change for the better, helping to contribute to more gender-equitable norms and attitudes. These benefits have long been recognized by national governments, multilateral institutions, development practitioners and corporate donors.

Despite this realization, adolescent girls are not being adequately served by the education and international development communities. This is because until recently, programmatic efforts concentrated on just getting girls into school rather than focusing on keeping them there, or ensuring that they learn something. There is increasing recognition that too often, girls drop out of school early because of poverty, or because of parents’ concerns for their safety, or because they are expected to marry, bear children and shoulder domestic responsibilities. They may leave school because the quality of education is low, and the opportunity costs of sending a girl to school for a sub-par education are too high. We are also finding that many girls are not learning much even if they stay in school because the quality is so poor, or because challenging girls is not a high priority.

That said, the next generation of education programs must focus on keeping girls in classrooms, at least to the secondary level. We also must ask ourselves, what are we educating girls to do? We need to ensure that schools help girls develop the skills, knowledge and social networks necessary to navigate the global health, environment and economic challenges they are likely to face as adults in the 21st century. Instead, we are still at a stage where large numbers of girls leave school uneducated, often stepping into adult roles as wives and mothers much too early, and lacking the ability to prevent the perpetuation of inter-generational cycles of ill health, poverty and inequality. 

One reason that adolescent girls’ needs aren’t being met is because international development programs on education, reproductive health, livelihoods and girls’ empowerment tend to operate in isolation of each other. These groups share common long-term goals, such as improving girls’ autonomy and well-being, but they seldom combine or coordinate strategies and resources. This lack of coordination is hindering progress at a very critical time, as the population of girls in the developing world is at an all-time high.

ICRW wants to change that. With funding from the David and Lucile Packard Foundation, we recently convened a two-day consultation of educators, girls’ health, livelihoods and empowerment specialists as well as donors and researchers. Our goal was to address how these varied sectors working on behalf of girls could collaborate to guarantee that girls’ education facilitates healthy, safe and productive transitions to adulthood. We want to ensure that education isn’t only available to girls – especially in poor corners of the world – but that it is also transformative for them. By that I mean that girls finish school not only adept at reading and mathematics, but that they’re also armed with the skills necessary to seek opportunities, demand their rights and earn a living.

The good news is that this call for coordination and shared investment resonates with the various actors in international development. There is an emerging realization that with 600 million – and growing – adolescent girls in the developing world, the education, reproductive health, economic development and girls’ empowerment communities need to work together to ensure that we are reaching girls with the right services at the right time. The consultation at ICRW was the first step in changing that reality by starting to build a joint plan of action among a diverse group of stakeholders. Like ICRW, these groups want to help lead new collaborative efforts in the areas of research, funding and on-the-ground interventions that can be replicated on a larger scale.

Organizations committed to supporting adolescent girls will achieve more by working together than apart from one another.

Anju Malhotra is ICRW’s vice president of research, innovation and impact.

Realizing Reproductive Rights and Choice

Realizing Reproductive Rights and Choice

Anju Malhotra, Laura Nyblade, Sulabha Parasuraman, Kerry MacQuarrie, Namita Kashyap, Sunayana Walia
2003

This report presents results from an innovative, large-scale, household-based study designed to explore the determinants of women’s reproductive choices and behaviors in Madhya Pradesh, India. The study piloted a groundbreaking survey approach developed to more accurately capture a comprehensive picture of women’s reproductive lives. In total, data were collected between 2000 and 2002 on 11,341 individual pregnancies from 2,444 women ages 15 to 39.

Findings show that the vast majority of women had limited reproductive choices and rights despite the fact that abortion has been legal in India since 1972. The data also point to the unequivocal link between contraceptive access and abortion.

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We encourage the use and dissemination of our publications for non-commercial, educational purposes. Portions may be reproduced with acknowledgment to the International Center for Research on Women (ICRW). For questions, please contact publications@icrw.org; or (202) 797-0007.

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Quiet Determination

A Child Bride Chooses Her Own Path

She wanted to stay in school, but was forced to marry at 16. After just two days at her husband’s home, she ran away, back to her parents’ doorstep. They refused to take her in.

Improving Reproductive Health Services for Urban Poor

Half of the world’s population now lives in urban areas, and almost all global population growth will occur in towns and cities in developing countries in the coming decades. As the world's urban poor population increases, the need for reproductive health services also is accelerating. The Urban Health Initiative (UHI) addresses family planning and reproductive health needs of the urban poor in India, Kenya, Nigeria and Senegal.

ICRW, through the Measurement, Learning and Evaluation (MLE) project, will conduct rigorous evaluations of the UHI in Uttar Pradesh, India. The goal is to measure the project’s impact on the prevalence of contraceptives, identify which interventions are most cost-effective and which ones are most likely to increase the use of contraceptives among the urban poor. The UHI project will explore a variety of approaches to improve the availability of contraceptives, such as integrating family planning into existing maternal and child health services and improving demand through vouchers. Ultimately, the MLE project aims to assist the Uttar Pradesh government in revitalizing the state’s family planning program in urban areas.

The MLE website features selected research and publications on urban reproductive health, presentations, feature stories and updates on activities. Visit MLE's website to access ICRW's report on the findings from an analysis of the baseline survey results from urban samples in six cities in Uttar Pradesh, India.

Duration: 
2009 - 2014
Location(s): 
India

Prevention of HIV and Sexually Transmitted Infections among Married Women in Urban India

A majority of women in India are exposed to HIV and sexually transmitted infections (STI) because of the behavior of their spouses. Yet few interventions focus on addressing the HIV and STI prevention needs of married women. To fill this gap, ICRW has launched an innovative four-year program to engage women and couples in culturally-appropriate, HIV/STI prevention programs based in reproductive health clinics. The program is in partnership with the University of Connecticut and with financial support from the U.S.-based National Institute of Mental Health.

ICRW and partners first gathered baseline information about the nature of reproductive health care for women through interviews with health care providers and married couples. ICRW will design and implement an intervention to deliver high quality women- and couple-centered counseling services to empower women. These services also will engage men in how to reduce their risk of sexually transmitted infections. The results of the intervention are expected have major policy and programmatic implications for how women-centered services are delivered through the public health system.

Duration: 
2008 - 2012
Location(s): 
India

Focusing on Hyper-Vulnerable Women and Girls

Women Deliver 2010, "Delivering solutions for girls and women," will focus on political, economic, social/cultural and technological solutions to achieve Millennium Development Goal 5 – to improve maternal health.

ICRW will participate in Women Deliver, including a panel discussion, "Focusing on Hyper-Vulnerable Women and Girls." Innovative community-based programs around the world have demonstrated success in changing underlying vulnerabilities of sex workers, women who use drugs, transgender women and highly vulnerable adolescent girls. This panel will discuss approaches to reducing the economic, socio-cultural, political and environmental vulnerabilities these women and girls face including: advocacy, facilitating an enabling environment, providing critical services, reducing stigma and discrimination, and anti violence programs. 

For more information about the conference, www.womendeliver.org/conferences.

Speakers: 

Natasha Sakolsky, International HIV/AIDS Alliance
Annie George, International Center for Research of Women, India
Liudmyla Shulga, International HIV/AIDS Alliance in Ukraine
Sass Rogando Sasot, International Lesbian, Gay, Bisexual,Trans & Intersex Association, Asia / Phillipines  Suzanne Leclerc-Madlala, Office of HIV/AIDS, United States Agency for International Development

When: 
Tue, 06/08/2010 - 11:00am - 12:30pm
Where: 
Walter E. Washington Convention Center
801 Mount Vernon Place NW Room 140 B
Washington, DC
United States
Host: 
Women Deliver
Cost: 
Registration at the Women Deliver conference required

Men Deliver: Men’s Role in Family Planning

Women Deliver 2010, "Delivering solutions for girls and women," will focus on political, economic, social/cultural and technological solutions to achieve Millennium Development Goal 5 – to improve maternal health.

ICRW will participate in Women Deliver 2010, including a panel discussion, "Men Deliver: Men's Role in Family Planning." This panel will explore questions around men's roles: Where is the evidence for engaging men in family planning? Do we know it works? What are men’s own family planning needs? How can we engage young men as community-based distribution agents? How can we scale up family planning interventions with men?  Panelists will also discuss the achievements and challenges faced by the Young Men as Equal Partners programme in Zambia.

For more information about the conference: www.womendeliver.org/conferences

Speakers: 

Beth Fredrick, Deputy Director, Advanced Family Planning Project, The Bill & Melinda Gates Institute for Population and Reproductive Health
Gary Barker, Director, Gender, Violence and Rights, International Center for Research on Women
Holo Hochanda, Chief Technical Administrator, Planned Parenthood Association of Zambia
John Townsend, Vice President, Reproductive Health Program, Population Council
Aminata Touré, Chief, Gender, Human Rights Culture Branch, United Nations Population Fund

When: 
Mon, 06/07/2010 - 1:30pm - 3:00pm
Where: 
Walter E. Washington Convention Center
801 Mount Vernon Place NW
Washington, DC
United States
Host: 
Women Deliver
Cost: 
Registration at the Women Deliver conference required

Men, Childhood Violence and Gender Equality in India

The Global Health Council conference, "Dateline 2010: Global Health Goals and Metrics,"
brings together more than 2,500 practitioners, global health and world leaders, activists, multi-lateral organizations, the public and private sectors, members of academia, and researchers. The conference will center around four pillars of discussion including program implementation, financing, leadership and politics, and lessons learned.

ICRW will participate in the Global Health Council conference, including a moderated panel on "Men, Violence and Gender Inequality: Cases from Brazil, India and South Africa."

http://www.globalhealth.org/conference_2010

Speakers: 

Christine Ricardo, Promundo, Brazil
Ravi Verma, International Center for Research on Women, India
Kristin Dunkle, Emory University Rollins School of Public Health, United States
 

When: 
Thu, 06/17/2010 - 3:45pm - 5:30pm
Where: 
Omni Shoreham Hotel
2500 Calvert St., NW
Washington, DC
United States
Host: 
Global Health Council
Cost: 
Registration at the Global Health Council conference required
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