RamaRao Saumya, Jain Anrudh K
Senior Associate, New York, NY 10017.
Stud Fam Plann. 2015 Mar;46(1):97-104. doi: 10.1111/j.1728-4465.2015.00017.x.
A flurry of policy initiatives in the fields of both population and development and reproductive health, many addressing the provision of family planning services, are currently underway: FP2020, the ICPD Beyond 2014, and the post-2015 development agenda, among others. This is an opportune time, therefore, to reflect upon and take into consideration what five decades of family planning programs can teach us about ensuring that policies and programs integrate their underlying intents, concrete goals, and performance indicators. The family planning field has encountered instances in its history when inconsistencies between goals, intents, and indicators arose and adversely affected the delivery of services. This commentary presents our observations concerning potential misalignments that may arise within the many promising initiatives underway. We examine the relationship between the intent, goal, and indicators of FP2020 as a case study highlighting the need for ensuring a tight alignment. We offer suggestions for ensuring that this and other initiatives use carefully calibrated indicators to guide the achievement of explicit program goals without undermining their underlying intent--namely, promoting well-being and reproductive rights.
目前，人口与发展以及生殖健康领域正在开展一系列政策举措，其中许多举措涉及提供计划生育服务，包括“2020年计划生育”、“2014年后国际人口与发展会议”以及2015年后发展议程等。因此，现在是一个合适的时机来反思并考虑五十年来的计划生育项目能让我们了解到什么，以便确保政策和项目能够整合其基本意图、具体目标和绩效指标。计划生育领域在其历史上曾出现过目标、意图和指标不一致的情况，这对服务的提供产生了不利影响。本评论阐述了我们对当前许多有前景的举措中可能出现的潜在不一致情况的观察。我们以“2020年计划生育”的意图、目标和指标之间的关系为例进行研究，强调确保紧密一致的必要性。我们提出了一些建议，以确保这一举措及其他举措使用经过精心校准的指标来指导实现明确的项目目标，同时又不损害其基本意图，即促进福祉和生殖权利。
