Kuang Bernice, Brodsky Isabel
Demographer, Palladium, Washington, DC,
Int Perspect Sex Reprod Health. 2016 Mar 1;42(1):33-44. doi: 10.1363/42e0316.
Since 1972, the Family Planning Effort Index has measured national family planning program activities in developing countries and provided a longitudinal perspective on a standardized set of program characteristics.
In 2014, experts in 90 developing countries assessed national family planning program effort in four main component areas-policies, services, monitoring and evaluation mechanisms, and access to methods-using a standardized questionnaire. Results were compared with previous years' data.
Globally, family planning program effort has progressed in all four main component areas. The service component, historically the weakest, was rated lowest of all components in 2014, at 47% of the maximum effort, despite a marked improvement of 7.6 percentage points since 1999. Policies, generally the strongest component, remained the strongest in 2014, with 55% of the maximum score and a 6.7 percentage-point improvement since 1999. Monitoring and evaluation improved the most, by 7.8 percentage points, from 45% to 53%, while access improved more modestly, by 2.7 points, from 49% to 52%. Family planning efforts were generally strongest in Asia and Oceania and generally weakest in Central Asia and Eastern Europe.
Global family planning programs have improved consistently over the last few decades, although there is room for further development in all regions.
自1972年以来,计划生育努力指数衡量了发展中国家的国家计划生育项目活动,并提供了一套标准化项目特征的纵向视角。
2014年,90个发展中国家的专家使用标准化问卷评估了国家计划生育项目在四个主要组成领域(政策、服务、监测和评估机制以及方法获取)的努力情况。结果与前几年的数据进行了比较。
在全球范围内,计划生育项目在所有四个主要组成领域都取得了进展。服务领域历来是最薄弱的,尽管自1999年以来有显著改善,提高了7.6个百分点,但在2014年仍被评为所有组成部分中最低,为最大努力程度的47%。政策领域通常是最强的组成部分,在2014年仍然是最强的,得分为最高分的55%,自1999年以来提高了6.7个百分点。监测和评估改善最大,提高了7.8个百分点,从45%提高到53%,而方法获取方面改善较为适度,提高了2.7个百分点,从49%提高到52%。计划生育努力在亚洲和大洋洲总体上最强,在中亚和东欧总体上最弱。
在过去几十年里,全球计划生育项目持续改善,尽管所有地区都仍有进一步发展的空间。