Transcript Family Planning Saves Lives: Achieving the MDGs

FP as a critically important
intervention to achieve the MDGs
Malcolm Potts MB, BChir, PhD, FRCOG
University of California, Berkeley
“The evidence is overwhelming, the MDGs are
difficult or impossible to achieve with the current
levels of population growth in the least developed
countries and regions”
- All Party Parliamentary Group on Population,
Development and Reproductive Health
58,000 pupils in school
BUT
11,000 more pupils
each day in Pakistan &
Afghanistan
MDG 3: Eliminate gender disparity in primary
and secondary education, preferably by 2005 ,
and at all levels of education not later than
2015.
When barriers are removed,
family size falls
8.00
7.00
Voluntary family planning
6.00
Voluntary FP
2 per. Mov. Avg. (TFR- Iran)
4.00
2 per. Mov. Avg. (TFR- China)
3.00
2.00
One-child policy
1.00
2006
2004
2003
2002
2000
1996
1995
1992
1990
1988
1985
1982
1980
1978
1976
1974
1972
1970
1968
1966
1964
1962
1960
0.00
1955
TFR
5.00
Iran: number of university
students by sex. 1969-2002
MDG 6: to halt and begin to reverse the spread
of HIV/AIDS by 2015.
• The incidence of new HIV infections is falling in India.
• No country in the Middle East and Asia is going to have a self
sustaining heterosexual epidemic.
MDG 7: Integrate the principles of sustainable
development into country policies and
programmes and reverse the loss of
environmental resources.
Cost Verses Tonne of Carbon
Averted
$57
$47
$37
$27
$17
$7
-$3
solar panel
windmill
condom
Investment in
family planning
is highly costeffective
India
Malcolm add your title here: Global Health Money is not spent rationally….
1200
1000
800
600
400
200
0
HIV/AIDS Funding ($
million), 1083
HIV/AIDS DALY X 100,000,
579
Bacterial pneumonia and
meningitis Funding ($
million), 33
Bacterial pneumonia and
meningitis DALY X
100,000, 1046
“Meeting the unmet need for
family planning has been
highly successful in slowing
rapid population growth.
Ready access to contraception
and safe abortion has
decreased family size, even in
illiterate communities living
on less than a dollar a day.”
Yemen
The ultimate population size depends on when the country reaches
replacement fertility.
Yemen in 2140: Three Scenarios of
Fertility Decline
Population (Millions)
120
100
80
60
2020
2040
40
2060
20
0
2010-15: TFR = 4.65
Year
The Perfect Storm
“There is an intrinsic link between the challenge we face
to ensure food security through the 21st century and
other global issues, most notably climate change,
population growth and the need to sustainably manage
the world’s rapidly growing demand for energy and
water. It is predicted that by 2030 the world will need to
produce 50 per cent more food and energy, together
with 30 per cent more available fresh water, whilst
mitigating and adapting to climate change. This
threatens to create a ‘perfect storm’ of global events.”
John Beddington, UK Government Chief Scient
www.agricultureandfoodfordevelopment.org/i
ry.