Kabra Rita, Ali Moazzam, Kiarie James
Department of Reproductive Health and Research including UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organisation, Avenue Appia 20, 1211, Geneva, Switzerland.
, 22 chemin Henry Wissner, 1212, Grand Lancy, Geneva, Switzerland.
Reprod Health. 2017 Jun 15;14(1):74. doi: 10.1186/s12978-017-0335-0.
Strengthening contraceptive services in sub Saharan Africa is critical to achieve the FP 2020 goal of enabling 120 million more women and girls to access and use contraceptives by 2020 and the Sustainable Development Goals (SDG) targets of universal access to sexual and reproductive health (SRH) services including family planning by 2030.
The World Health Organization (WHO) and partners have designed a multifaceted project to strengthen health systems to reduce the unmet need of contraceptive and family planning services in sub Saharan Africa. The plan leverages global, regional and national partnerships to facilitate and increase the use of evidence based WHO guidelines with a specific focus on postpartum family planning. The four key approaches undertaken are i) making WHO Guidelines adaptable & appropriate for country use ii) building capacity of WHO regional/country staff iii) providing technical support to countries and iv) strengthening partnerships for introduction and implementation of WHO guidelines. This paper describes the project design and elaborates the multifaceted approaches required in initial implementation to strengthen contraceptive services.
The initial results from this project reflect that simultaneous application these approaches may strengthen contraceptive services in Sub Saharan Africa and ensure sustainability of the efforts. The lessons learned may be used to scale up and expand services in other countries.
加强撒哈拉以南非洲地区的避孕服务对于实现“2020年计划生育目标”（即到2020年使另外1.2亿妇女和女孩能够获得并使用避孕药具）以及“可持续发展目标”（即到2030年普及包括计划生育在内的性与生殖健康服务）至关重要。
世界卫生组织（WHO）及其合作伙伴设计了一个多层面项目，以加强卫生系统，减少撒哈拉以南非洲地区避孕和计划生育服务未得到满足的需求。该计划利用全球、区域和国家层面的伙伴关系，促进并增加基于证据的WHO指南的使用，特别关注产后计划生育。采取的四种关键方法是：i）使WHO指南适用于并适合各国使用；ii）建设WHO区域/国家工作人员的能力；iii）向各国提供技术支持；iv）加强引入和实施WHO指南的伙伴关系。本文描述了该项目设计，并阐述了初始实施中加强避孕服务所需的多层面方法。
该项目的初步结果表明，同时应用这些方法可能会加强撒哈拉以南非洲地区的避孕服务，并确保这些努力的可持续性。所汲取的经验教训可用于在其他国家扩大和推广服务。
