Hoke Theresa H, Mackenzie Caroline, Vance Gwyneth, Boyer Brooke, Canoutas Eva, Bratt John, Mbulo Agatha, Waceke Nancy
Director, Health Services Research, FHI 360, Durham, NC, USA,
Int Perspect Sex Reprod Health. 2015 Mar;41(1):43-50. doi: 10.1363/4104315.
Voluntary use of family planning is instrumental to the health and social well-being of women, families and communities.Although contraceptive use in Sub-Saharan Africa is increasing, unmet need for family planning remains high. Even within countries that have achieved increases in contraceptive prevalence, use remains low among some population subgroups. Contraceptive prevalence is generally lower in rural areas than in cities, and is consistently lower among women in the lowest wealth quintile than among those in the highest. Achieving progress in health and social indicators, such as those captured by the Millennium Development Goals, depends on expanding family planning services to poor, remote rural areas in Africa.
自愿使用计划生育对妇女、家庭和社区的健康及社会福祉至关重要。尽管撒哈拉以南非洲地区的避孕药具使用率在上升，但计划生育的未满足需求仍然很高。即使在避孕药具普及率有所提高的国家，某些人群亚组的使用率仍然很低。农村地区的避孕药具普及率通常低于城市，最贫困的五分之一人口中的妇女的使用率始终低于最富裕人口中的妇女。要在健康和社会指标方面取得进展，例如实现千年发展目标所涵盖的指标，就必须将计划生育服务扩展到非洲贫困、偏远的农村地区。
