Current status of sexual and reproductive health: Prospects for achieving the Programme of Action of the International Conference on Population and Development and the Millennium Development Goals in the Pacific

Robertson, A.

doi:10.18356/3ee6a581-en

Cited by 4 publications

(9 citation statements)

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“…Emergency contraceptives are the least known and used method and not available in most health facilities. The use of traditional methods such as the ‘rhythm’ and ‘withdrawal’ methods were also reported but were not recommended because they were unreliable [ 36 , 50 ]. The availability of these methods depend on the level of health facilities.…”

Section: Resultsmentioning

confidence: 99%

“…The availability of quality and relevant SRH, including FP data was a common and ongoing challenge in PICTs. Robertson [ 36 ] and UNFPA [ 14 , 70 , 72 , 74 ] documented poor reporting systems and processes that made it difficult to determine whether valid data existed for most countries. Prior to 2006, DHS were undertaken in only two countries in the region: PNG and Samoa.…”

Section: Resultsmentioning

confidence: 99%

“…Information on unmet needs for contraceptives was not initially included [ 36 ]. The sociocultural and demographic diversity of PICTs made it difficult to interpret certain indicators and targets such as maternal mortality rates, within the context of very small populations.…”

Section: Resultsmentioning

confidence: 99%

“…After 1994, the integration of these services into more holistic and comprehensive approaches including SRH was considered [ 28 , 34 ]. More recently, this MCH/FP approach included the broader context of Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH) to reach the unmarried and adolescents [ 35 , 36 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, many adolescents, women and men do not access these services [ 36 ]. Little is known about how FP services are accessed and provided at health facilities throughout the Pacific [ 37 , 38 ].…”

Section: Introductionmentioning

confidence: 99%

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Family planning in Pacific Island Countries and Territories (PICTs): A scoping review

et al. 2021

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The use of contraceptives for family planning improves women’s lives and may prevent maternal deaths. However, many women in low and middle-income countries, including the Pacific region, still die from pregnancy-related complications. While most health centres offer family planning services with some basic contraceptive methods, many people do not access these services. More than 60% of women who would like to avoid or delay their pregnancies are unable to do so. This scoping review identifies and analyses evidence about family planning service provision in Pacific Island Countries and Territories (PICTs), with the aim of better informing family planning services for improved maternal health outcomes in the Pacific. We used Arksey and O’Malley’s scoping review guidelines, supported by Levac, Colquhoun and O’Brien to identify gaps in family planning service provision. Selected studies included peer-reviewed publications and grey literature that provided information about family planning services from 1994 to 2019. Publication data was charted in MS Excel. Data were thematically analysed and key issues and themes identified. A total of 45 papers (15 peer-reviewed and 30 grey literature publications) were critically reviewed. Five themes were identified: i) family planning services in the Pacific; ii) education, knowledge and attitudes; iii) geographical isolation and access; iv) socio-cultural beliefs, practices and influences; and v) potential enabling factors for improved family planning, such as appropriate family planning awareness by health care providers and services tailored to meet individual needs. While culture and religion were considered as the main barriers to accessing family planning services, evidence showed health services were also responsible for limiting access. Family planning services do not reach everyone. Making relevant and sustainable improvements in service delivery requires generation of local evidence. Further research is needed to understand availability, accessibility and acceptability of current family planning services for different age groups, genders, social and marital status to better inform family planning services in the Pacific.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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