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P E R U

National Family Planning and Optimal Birth Spacing. P E R U. Carlos Sanchez C., MD, MPH, Fellow Population Leadership Program - PLP. Population by Sex and Ages. Peru - Demographic Data. Almost 28 million people (2005) Annual Growth Rate: 1.6% Urban 71.9% - Rural 28.1%

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P E R U

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  1. National Family Planning and Optimal Birth Spacing P E R U Carlos Sanchez C., MD, MPH, Fellow Population Leadership Program - PLP

  2. Population by Sex and Ages Peru - Demographic Data • Almost 28 million people (2005) • Annual Growth Rate: 1.6% • Urban 71.9% - Rural 28.1% • Birth Rate is 22.6 / 1,000 • Mortality Rate is 6.2 / 1000 • Life Expectancy at Birth • Men 68.5 Women 73.3 • Global Fertility Rate • Urban 2.3 Rural 4.3 • Source: National Institute of Statistics and Information (INEI) 2000

  3. Socio Economical Situation • 49% lives in poverty - 18% in extreme poverty (70% and 35% in rural areas) • Literacy 88% - 40% of indigenous women do not have access to education • 20% of rural households have electricity, 60% have water and 30% have • sanitary sewage system. • 25% of the population doesn’t have access to health care • 25% of children under 5 years are chronically undernourished (5 – 80%) • 50% of the population does not have access to medicines.

  4. PERU’S NATIONAL FAMILY PLANNING – BRIEF REVIEW • Environment - Politics and Public Policies - Health Sector Reform - Economic Support

  5. PERU’S NATIONAL FAMILY PLANNING – BRIEF REVIEW • Client Demand and Use • Contraceptive prevalence - 59% to 69% • Modern Contraceptive 41% to 61% (from 18% to 40% in rural areas) • Services • MOH - NGO’s

  6. Market Segmentation PERU’S NATIONAL FAMILY PLANNING – BRIEF REVIEW

  7. PERU’S NATIONAL FAMILY PLANNING – BRIEF REVIEW Financing

  8. Catalyst Consortium – Pathfinder International, USAID Peru’s Optimal Birth Spacing – 2003 / 2006 – Questionnaire Field • Policy and training materials - MOH no offers policy articulating a recommended birth interval - No standards or guidelines, no service training • Programmatic Implementation - Mass media no mention of benefits of birth intervals for mother and child - Newly married is not a target population • Barriers to FP/Birth Spacing - “Machismo” mentality - Contraceptive products shortage - Youth restrictions

  9. Peru’s Optimal Birth Spacing – 2003 / 2006 • Awareness - Services do not consider zero parity women as being “eligible” to receive contraceptive services or counseling services to postpone first birth. • Emergency contraception (EC) is available from pharmacies, not public sector. • Evidence-based interventions - Increased percentage of women who have a met need for spacing, 15% in the rural areas, and 8% in the urban areas Ayacucho and Huancavelica 19% and 22% respectively

  10. Catalyst Consortium – Pathfinder International, USAID • Initiative based on research - Dr. Agustín Conde-Agudelo, Rutstein, Shea,and in focused group developed in Bolivia, Perú, Egipto, India y Pakistán. • Objectives: • - Include OBSI guidelines in national FP norms • Sensitize health authorities • Conduct technical assistance activities – Empowerment individuals and families • - Results : 93 Events with 3350 participants

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