Population Dynamics & Reproductive Health

Family Planning, Fertility and Population Growth

Progress towards goals 4 (reducing child mortality) and 5 (improving maternal health) of the millennium development goals (MDGs) has been generally slow in sub-Saharan Africa.  To meet these and other MDGs, sub-Saharan Africa’s best hope remains its vast and untapped Human Capital. Yet, about 4 million infants and children continue to die annually from preventable causes, whilst unchecked unintended pregnancy increasingly contributes to unsafe abortion and consequently poor maternal health outcomes. Emerging evidence asserts that the disparity in key family planning and sexual reproductive health indicators is widening, making it clear that our Human Capital has been and is under threat. We need to focus our efforts toward providing robust scientific evidence to guide crucial policy generation and implementation to curb the needless hemorrhage. In doing this we would not only have a fighting chance at meeting the MDGs but we would also have saved and positively impacted countless lives.

Current Project


Evidence to Action for Strengthened FP and RH Services for Women and Girls (E2A)

Program: Population Dynamics & Reproductive Health

The Evidence to Action (E2A) project seeks to increase global support for the use of evidence-based best practices (BPs) to improve family planning and reproductive health (FP/RH) service access and quality while integrating FP/RH with other health and non-health services, mitigating gender barriers, and enhancing informed decision-making for women and girls. The project will help foster an environment in which women and girls can fulfill their reproductive intentions and aspirations. By strengthening FP/RH service delivery, E2A will reduce unmet need at each stage of the reproductive life cycle—a major contribution to reducing unintended pregnancies.

Significant investment has been made by USAID and others to identify BPs that strengthen FP/RH service delivery, but questions still remain about how to adapt them to country contexts and align them with country priorities, how to get BPs adopted at country, facility and community levels and how to sustainably scale them up. New BPs that may improve service delivery continue to be developed and work is needed to identify and generate evidence about them. To address the challenges facing the adoption and scale-up of BPs, it is critical to explore why knowledge is not acted upon and to produce local evidence on BPs to cultivate country ownership. The E2A team will seek to answer these questions, contributing to the overall global evidence base, and ultimately strengthening FP/RH service delivery in the GHI-Plus/BEST countries, as well as others.

Partner Institutions

  • Pathfinder

 Project Period

  • September 2011 – August 2016

Project Funders

  • usaid

    www.usaid.gov ...

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