Common Wealth by Jeffrey Sachs

Author:Jeffrey Sachs [D. Sachs, Jeffrey]
Language: eng
Format: epub
ISBN: 9780141919317
Publisher: Penguin Books Ltd
Published: 2011-05-26T16:00:00+00:00

Access to Reproductive Health Services

Even when households would prefer to reduce fertility, they need reproductive health services, including family planning and contraception, in order to turn aspirations into reality. Yet in large parts of Africa and other very poor regions, health services do not reach the households. Families cannot afford contraception at the prices that are charged, and they lack access to clinics where the contraceptive services would be obtained. Social marketing schemes, in which poor households are granted access to contraception at subsidized prices, may work in some poor settings, but they often exclude the poorest of the poor, who have no money, even when the subsidized prices are quite low. Experience has shown, moreover, that while a clinic in a village can make a huge difference, additional door-to-door outreach to households by trained community health workers can be decisive. Many women in poor societies are not empowered enough within their communities to travel to public clinics to seek health care. When outreach health workers come to them, however, they may be able to make critical choices within the privacy of their own households.

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