Contraception Options for Women
Course Number: PH 614
Date: April 11, 2014
Introduction and Background:
Infant mortality is the fourth and sixth leading cause of death in Afghanistan (HEALTH PROFILE : AFGHANISTAN).According to The World Fact Book, 119.41 infants died per 1,000 live births, which is the highest infant mortality rate in the world. Infants die due to low birth weights, labor complications, and lack of family planning. On average a woman dies every 30 minutes in Afghanistan from a perinatal event; therefore, the infant mortality rate will remain at a high level (Johnson, 2011). Family planning provides safe alternatives to the risk of infant and maternal mortality; also, it is a low cost economical way to reduce maternal and fetal deaths in countries that lack adequate recourse for women (Diamond-Smith & Potts, 2011). Family planning is essential to the health of infants and expecting mothers. Babies born to mothers with no prenatal/family planning care are five times more likely to die than those born to mothers who received care (Guidotti, et al., 2009). Improving access to family planning options is a key element in the fight against infant mortality.
Afghanistan has a total fertility rate of 5.54 (The World Fact book, 2013), but that rate could be higher according to, Infant and under-five mortality in Afghanistan: current estimates and limitations. Female births are often underreported due to the stigma of having girls in the Afghan culture (Viswanathan, et al., 2010). Also, speculations indicate that preference for boys can manifest itself before birth in sex-selective abortions and girls maybe neglected or treated unequally after birth which causes them to die. Women in Afghanistan lack education and resources to adequate healthcare; therefore, they are unaware of the risks associated with giving birth. Furthermore, a study was conducted that concluded through the increase of contraception use one million fewer maternal and infant deaths took place in developing countries (Diamond-Smith & Potts, 2011). Infant mortality in Afghanistan can be addressed through the implementation of family planning resources. The maternal mortality rate in Afghanistan is 1,600 women die during child birth per 100,000 live births, this is the second highest maternal mortality rate in the world (Afghanistan: High birth rate killing mothers, infants-UNFPA expert, 2008). Family planning services will provide Afghan women with birth spacing options and alternatives to having children prior to being ready.
The program objective is to decrease the infant mortality rate in Afghanistan through providing women contraception options and education. Contraception Options for Women (COW), employees will reach out to mullahs (Religious Leaders), and provide them with contraception education/resources to share with women in the community.
Afghanistan’s capital city Kabul is home to...