HORMONAL CONTRACEPTION AND HIV

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HORMONAL CONTRACEPTION AND HIV #AIDS2018 FAM ILYPLANNING.ORG # FP2020PROG RESS @ FP2020 GLOBAL FACEBOOK. COM /FAM ILYPLAN NING 2 0 2 0

LAUNCHED IN LONDON IN 2012 With the goal of enabling 120 million additional women and girls in the world s lowest income countries to use voluntary modern contraception by the year 2020. The partnership includes: Focus country governments Donor governments Foundations Civil society organizations Multilateral institutions Private sector partners Academia

Annual Growth in All Women mcpr Average annual % point increase in mcpr (2012-2018) by Region 0.0% 0.2% 0.4% 0.6% 0.8% 1.0% 1.2% South Asia Middle East and Northern Africa 0.2% 0.2% Southeast Asia and Oceania Eastern and Central Asia Latin America and Caribbean 0.3% 0.3% 0.4% Central Africa Western Africa 0.6% 0.6% Eastern and Southern Africa 1.1% FP2020 Total (ex South Africa) 0.3%

Where do countries fall on the S-Curve? Where do countries fall on the S-Curve? ` South Sudan Chad Guinea DR Congo Nigeria Benin Mali Low - Prevalence Slow or Little Growth Mauritania Sierra Leone Niger Côte d'ivoire Togo Afghanistan Cameroon Somalia Growth Potential for Rapid Acceleration Burkina Faso Solomon Islands Burundi Senegal Ghana Mozambique Liberia Pakistan Haiti Uganda Tanzania Ethiopia Madagascar Philippines Nepal Zambia Lao PDR Rwanda Myanmar India High-Prevalence: Leveling-Off South Africa Bangladesh Kenya Egypt Indonesia Malawi Viet Nam Zimbabwe * Based on mcpr (MW)

Most Common Method by Country Africa

Most common method by country Asia

POPULATION STRUCTURE OF 69 FP2020 COUNTRIES, 2018 95-99 90-94 85-89 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 Total population in 69 FP2020 countries: 3.6 billion 250,000 200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000 250,000 Male Female Population in 000s FP2020 Reference Group Meeting 9-10 July 2018 Seattle, Washington

WOMEN OF REPRODUCTIVE AGE IN 69 FP2020 COUNTRIES 95-99 90-94 85-89 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 Women of Reproductive Age (WRA): 925 million 250,000 200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000 250,000 Male Female Population in 000s FP2020 Reference Group Meeting 9-10 July 2018 Seattle, Washington

ADOLESCENTS AND YOUTH - A LARGE PORTION OF WOMEN OF REPRODUCTIVE AGE 95-99 90-94 85-89 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 15-24 yr. olds comprise 1/3 to 1/2 of WRA in FP2020 countries 250,000 200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000 250,000 Male Female Population in 000s FP2020 Reference Group Meeting 9-10 July 2018 Seattle, Washington

SDG GENERATION ADOLESCENTS, RISKS, AND HEALTH BEHAVIORS 95-99 90-94 85-89 80-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4 89 million Incoming cohort twice the size of outgoing cohort 182 million 250,000 200,000 150,000 100,000 50,000 0 50,000 100,000 150,000 200,000 250,000 Male Female Population in 000s FP2020 Reference Group Meeting 9-10 July 2018 Seattle, Washington

PATTERNS OF KEY LIFE EVENTS FOR YOUTH First Marriage First Sex First Birth First Sex First Marriage First Birth Average gap between first marriage and first birth: 2 Years Min: 1.4 Years - Afghanistan Max : 3.5 Years Comoros Average gap between first sex and first birth: 2.4 Years Min: 1.4 Years - Zimbabwe Max : 4.8 Years - Haiti FP2020 Reference Group Meeting 9-10 July 2018 Seattle, Washington

Youth What do we Know about Young adolescents, aged 10-14? Very little fertility among this young age group. Data also shows low levels of sexual activity MacQuarrie, Kerry L.D., Lindsay Mallick, and Courtney Allen. 2017. Sexual and Reproductive Health in Early and FP2020 Later Adolescence: Reference Group DHS Data Meeting on Youth Age 10-19. DHS Comparative Reports No. 45. Rockville, 9-10 Maryland, July 2018 USA: Seattle, ICF. Washington

ACCESS POINT AND MAIN METHOD FOR YOUTH Married Public Facility Bangladesh India Myanmar Burkina DRC Nigeria Uganda Private Facility Pharmacy/ Shop Unmarried Friend/Relative

FP2020 Update July 2018

Indonesia Zimbabwe Egypt Lesotho Myanmar Bangladesh Yemen Malawi Kenya Rwanda Zambia Pakistan India Senegal Timor-Leste Ethiopia Uganda Cambodia Tanzania Tajikistan Kyrgyz Republic Nepal Afghanistan Niger Burundi Comoros Ghana Nigeria Mali Gambia Liberia Sierra Leone Are More Postpartum (PP) Women Using FP? PPFP Large variation is seen in PPFP use across FP2020 Countries, ranging from 74% in Indonesia down to 4% in Sierra Leone and Liberia, and a median value of 24%. % of Postpartum Women Using a Modern Method at 6 Months 80% 70% Modern LAM Median 60% 50% 40% 30% Median 24% 20% 10% 0% Limited to countries with a DHS calendar post 2012

GROWING COMMITMENT TO ADOLESCENTS AND YOUTH

@FP2020Global #FP2020PROGRESS VIEW OUR FULL REPORT www.familyplanning2020.org/progress CONTACT US info@familyplanning2020.org Core Partners