In rural sub-Saharan Africa, the provision of analgesics during tubal ligation procedures can be expensive, subject to frequent stock-outs, and associated with potential side effects.
Marie Stopes International successfully provides and increases access to long-acting reversible contraceptives and permanent methods of family planning through task sharing to lower level providers in Uganda and in other country programmes. Task sharing is now widely acknowledged as a key strategy for addressing the critical shortage of health providers that affects healthcare in many low income and rural areas.
There is a vast unmet contraceptive need in sub-Saharan Africa, a region that has a high fertility rate coupled with a desire among women to space and limit their number of births.
Task sharing is the process of enabling lay and mid-level healthcare professionals – such as nurses, midwives, clinical officers and community health workers – to provide clinical tasks and procedures safely that would otherwise be restricted to higher level cadres. It can be a vital strategy in overcoming the shortage of doctors in many countries.
Marie Stopes International is driven by the mission that people should be able to have children by choice, not chance, regardless of where they live, how old they may be, their marital status or economic means. From our work on the ground in nearly 40countries we know that for many women in the developing world, being able to plan for their family can transform their lives and ultimately mean the difference between life and death.
Marie Stopes International’s experience around the world has shown that the best way to reach young people with information about sexual and reproductive health is to provide it in a convenient, low-cost and confidential way. Setting up hotlines in countries such as Timor Leste and Mexico has also shownthat helplines can offer the anonymity that is invaluable when addressing topics that are typically considered embarrassing or taboo. With this in mind, MSI Ethiopia launched a sexual health telephone helpline in Ethiopia in May 2011 to expand access to sexual and reproductive health advice particularly for young adults.
This is a summary of our Global Impact Report which report tracks progress during 2012 towards our global mission ‘children by choice, not chance’.