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2018年国际计划生育大会的计划生育科学与实践经验教训。

Family planning science and practice lessons from the 2018 International Conference on Family Planning.

作者信息

Rusatira Jean Christophe, Silberg Claire, Mickler Alexandria, Salmeron Carolina, Twahirwa Rwema Jean Olivier, Johnstone Maia, Martinez Michelle, Rimon Jose G, Zimmerman Linnea

机构信息

Bill & Melinda Gates Institute for Population and Reproductive Health, Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.

Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, 21205, USA.

出版信息

Gates Open Res. 2021 Mar 2;4:43. doi: 10.12688/gatesopenres.13130.2. eCollection 2020.

Abstract

Since 2009, the International Conference on Family Planning (ICFP) has served as an opportunity for the global reproductive health community to share FP advances and practice lessons in the areas of research, programming, and advocacy. The purpose of this paper was to synthesize the key results and findings presented by members of the FP community at the 2018 ICFP Conference. More than 700 abstracts from all 15 conference tracks were reviewed and 64 abstracts total were selected for this paper based on the novelty and urgency of the findings. The content analysis of conference abstracts were grouped into six final thematic areas. 1 . FP continues to face a shortage of funding. Domestically based and locally owned funding models provide alternative financing solutions. 2) Various populations still face challenges in accessing FP. Youth-inclusive and user-centered programming show promise in addressing such challenges. 3) Unsafe abortions tend to be more common among younger, poor, uneducated and rural women. Legislation is still needed to facilitate a culture of safe abortions. 4) Couples who share equitable responsibility in decision-making processes are more likely to use contraceptives; couple disagreement influences women's decisions to covertly use FP. 5) Male champions can successfully promote uptake of FP. Gender-transformative programming promotes gender equity and impacts behavior change. 6) Recent advances include user-centered contraceptive technologies that allow for self-administration and information systems which optimize supply chain management. The research, advocacy, and programmatic abstracts at ICFP 2018 highlighted research advances, showcased implementation science wins, and provided evidence of critical knowledge gaps in global FP access and use.

摘要

自2009年以来,国际计划生育大会(ICFP)为全球生殖健康界提供了一个分享计划生育在研究、规划和宣传领域的进展及实践经验的契机。本文旨在综合计划生育界成员在2018年国际计划生育大会上所展示的关键成果与发现。我们对来自所有15个会议主题的700多篇摘要进行了评审,并根据研究结果的新颖性和紧迫性,总共挑选了64篇摘要纳入本文。会议摘要的内容分析被归纳为六个最终主题领域。1. 计划生育仍然面临资金短缺的问题。基于国内和本地所有的资金模式提供了替代性融资解决方案。2) 不同人群在获取计划生育服务方面仍面临挑战。包含青年且以用户为中心的规划在应对此类挑战方面显示出前景。3) 不安全堕胎在年轻、贫困、未受过教育的农村妇女中往往更为常见。仍需要立法来促进安全堕胎的文化。4) 在决策过程中分担平等责任的夫妻更有可能使用避孕药具;夫妻意见不一致会影响女性秘密使用计划生育服务的决定。5) 男性倡导者能够成功促进计划生育服务的采用。具有性别变革意义的规划促进性别平等并影响行为改变。6) 近期进展包括以用户为中心的可自我给药的避孕技术以及优化供应链管理的信息系统。2018年国际计划生育大会上的研究、宣传和项目摘要突出了研究进展,展示了实施科学的成果,并提供了全球计划生育服务获取和使用方面关键知识差距的证据。

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