开罗关于人口和发展的宣言30年后:计划生育测量是否已经赶上?
Nour Horanieh1,2, Alice Witt1, Marieme Fall1
1Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Frontiers in global women's health
|June 30, 2025
概括
计划生育计划仍然依赖于过时的指标,如避孕药的流行率,尽管有转向人权的转变. 专家强调了采取新措施的障碍,这些措施更好地反映了知情选择和妇女赋权.
科学领域:
- 公共卫生 公共卫生
- 生殖健康 生殖健康
- 社会学 社会学 社会学
背景情况:
- 1994年国际人口发展会议 (ICPD) 将计划生育 (FP) 的重点从人口控制转移到人权和妇女赋权.
- 目前FP计划的成功主要以现代避孕药的使用量来衡量,使用诸如避孕药流行率 (CPR) 和未满足需求等指标.
研究的目的:
- 评估全球北方和南方FP专业人士对当前FP计划指标的看法.
- 了解阻碍FP计划采用新指标的障碍.
主要方法:
- 与31名参与者 (学者,非政府组织工作人员,政府官员,资助机构工作人员,倡导者) 进行了半结构化采访.
- 参与者代表了全球不同地区,包括法语西非.
- 对采访数据进行了专题分析,探索FP目标和指标.
主要成果:
- 对当前FP指标的看法各不相同,从主张删除它们到对它们的有用性感到满意.
- 确定的局限性包括潜在的胁迫,偏向长效可逆避孕药 (LARCs) 的倾斜培训,以及优先考虑现代而不是自然方法.
- 报告指出,人们担心资金削减以及全球北方资助机构对保持传统人口统计方法的影响.
结论:
- 当前FP指标塑造了对计划成功和服务交付的看法.
- 开发和实施新指标的障碍包括需要承认非使用是成功指标,当它源于知情选择时.
- 国际利益相关者的观点对于克服采用更全面的FP指标的挑战至关重要.
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