EPHA Conference Systems, 31st EPHA Annual Conference

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Effect of scaling up family planning on maternal survival in Ethiopia: Spectrum modeling
Abebaw Wasie Kasahun

Last modified: 2020-02-10


Ethiopia has made a great stride on under-five and maternal mortality reduction as demonstrated in achieving millennium development target of child mortality reduction at a head of 2015. According to the recent demographic and health survey report; Ethiopia has 67 per 1000 under-five mortality rate and 412 per 100000 live births maternal mortality ratio. The current trend of maternal and child mortality reduction is not sufficient to achieve the sustainable development goal three of maternal and child mortality reduction target. This paper aimed to model the effect of scaling up family planning on pregnancies, live births, still birth, abortion, maternal mortality in Ethiopia.
Methods: We used spectrum software package to model impact of family planning on maternal and child survival. Spectrum has different modules consisting of demproj module, famplan module, LiST (life saved tool, AIM (Aids Impact model). We have used famplan and LiST modules for this particular paper. Base line national data were taken from findings of Ethiopian demographic and health survey 2016 results, World Bank and World Health Organization country specific reports.
Results: Total fertility rate will decline to 3 children per women by the year 2030 when contraceptive prevalence is scaled up by 2% annually from 2016 to 2030. As a result of scaling up family planning use to 58% by 2030 around 3.17 million additional unintended pregnancies can be averted. Unmet need for family planning will significantly decline to below 5% by 2030
Ninety four thousand unsafe abortions could be averted and one thousand two hundreds thirty three additional maternal lives can be saved by scaling up contraceptive use to 58% by 2030 in Ethiopia.
Conclusion and recommendation: Family planning is effective and less costly intervention to reduce maternal mortality in countries with high fertility. Scaling up family planning has shown significant effect to achieve sustainable development goal three of maternal mortality reduction target. Considerable proportion of unintended pregnancies and unsafe abortion can be averted by scaling up contraceptive prevalence by 2% annually until 2030.