Discuss contraception openly

Editorial

WITH cultural barrier, the word “contraception” is often brushed aside when it comes to talking about basic health services.
Contraception, also known as birth control or fertility control, is a method or device used to prevent pregnancy.
A recent PNG Institute of Medical Research survey found that some 35 per cent of more than 6,000 women need contraception but do not have access to it.
The study, through the comprehensive health and epidemiological surveillance system led by Dr Bang Pham, revealed that 49 per cent of the women wanted to delay their pregnancy and 51 per cent did not want to have any more children.
The women surveyed were aged between 15 and 49.
Rather than waiting for the World Contraception Day on Sept 26 to raise awareness, contraception should be openly discussed not only with mothers and baby clinics, but on all front of the health sector.
Women need to be made aware of all contraceptive methods available that will enable young people to make informed choices on their sexual and reproductive health.
Such barriers prevent the women from accessing contraception and comprehensive sexuality education are increasing unplanned pregnancies.
Family planning should be promoted always – and ensuring access to preferred contraceptive methods for women and couples – which is essential to securing the well-being and autonomy of women, while supporting the health and development of communities.
It is perfect timing to raise awareness as our country’s population is growing at an alarming rate, which some say is already putting a strain on the Government in terms of providing basic services.
Papua New Guinea’s population is increasing at the rate of 3 per cent per annum; the total fertility rate is still more than 4 per cent (for instance; women are on average having more than four children each).
This has the effect of doubling our population every generation (25-27 years), and means that the age structure of our population is such that more than half the population is less than 18 years old.
It is time to help raise awareness of women’s right to choose when or how many children they want to have.
Having fewer children can help break the cycle of poverty and puts families, communities and countries on a stronger, more prosperous and sustainable path.
Women have used birth control methods for thousands of years, both traditional and modern, to reduce the risk of pregnancy and encourage birth spacing.
Today, we have safer and effective birth control methods available to women and men.
All of us want to find the best method that is good for us and each of us has different needs when choosing a method that is most suitable.
Again, everything falls back to education, not just any education, but quality education in both urban and rural schools. Quality education includes outcomes that encompass knowledge, skills and attitudes and are linked to national goals for education and positive participation in society.
Unless the young population are educated to a standard to understand the advantages and disadvantages of having children very early in life, the population of PNG will continue to increase at an alarming rate.
Blocking access to contraception and comprehensive sex education increases the chance that young women will experience an unplanned pregnancy, often derailing their hopes and dreams for the future.
The impact of this is devastating.
Government policies should support the availability and use of family planning services.

3 comments

  • What do the data tell us?
    About 35% of women of reproductive age (15-49 years), who participated in the study reported that their need for contraception was not met. For these women, their last birth and/or their current pregnancy were unwanted, either in terms of timing (spacing between births) or limiting (wanting no more children). In other words, this figure means one in every three children born to PNG women were unplanned or unexpected. That is the intended pregnancy has a direct contribution to the high maternal deaths in the country.

  • What is contraceptive prevalence rate (CPR)?
    PCR is the proportion of women who currently use a contraception method (either modern or traditional) among the total of women of reproductive age (15-49 years).
    In PNG, the CPR was about 31%, comprising 29% from modern contraception methods and only 2% from traditional contraception methods, meaning only one third of women of reproductive age were currently using a contraception.

  • What is Modern Contraceptive Method Mix (MCMM)?
    MCMC is the distribution of various modern contraceptive methods (%) currently being used by women aged 15-49 years.
    in PNG the use of implant and injectable contraceptives appear more prevalent, accounting for 40% and 30% of the MCMM, respectively. The majority of MCMM (92%) is achieved through contraception methods administered to women such as implant, injectable, oral pill, female sterilization and female condom, with only 8% coming from male led methods such as male condom.
    Family planning services should provide a full range of contraception, including short term and long term, reversible and permanent modern contraceptive methods to meet different needs of birth spacing and limiting among PNG women and couples.

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