Welcome to Journal Of Pakistan Medical Association

 Supplement Vol:63, No:4 April, 2013

Editorial >>

Family Planning in Pakistan Moving Evidence to Programmatic Action

Fariyal F. Fikree,

Extensive debate on the focus of family planning programming in Pakistan continues, often ignoring the fundamental argument for a strategicevidence based approach to addressing the underlying determinants of poor performance — a slowly increasing trend in contraceptive prevalence rate, cont....

Family Planning in Pakistan: Applying What We Have Learned

Adnan Ahmad Khan, Ayesha Khan, Wajiha Javed, Hasan Bin Hamza, Mejzgaan Orakzai, Aliya Ansari, Khadija Abbas,

Despite six decades of government and private sector programs, CPR in Pakistan is among the lowest in the region. This article reviews published and grey literature to understand why despite sufficient time and usually sufficient funding, CPR remains low in Pakistan. This paper looks beyond the u....

From Contraceptive Prevalence to Family Planning Service Users: Implications for Policy and Programmes

Adnan Ahmad Khan, Khadija Abbas, Hasan Bin Hamza, Ahmed Bilal, Ayesha Khan,

Introduction: Contraceptive prevalence rate (CPR) is a widely accepted measure of maternal health and uptake of family planning (FP) services. However, the overall CPR obscures the actual utilization of FP services due to over-representation of long-term methods. This study used CPR from 2....

Specific Issues in Family Planning in Pakistan >>

Policy and Programme Implications of Unmet Need for Family Planning in Pakistan

Shirin Ahmed, Ayesha Khan, Adnan Ahmad Khan,

Introduction: With the contraceptive prevalence rate (CPR) at 30% in 2006-7, the rates of contraception use among married women of reproductive age (MWRA) in Pakistan are among the lowest in the region. This paper explores some options of unmet need as a means of addressing the low CPR.

The Context and Limitations of Female Sterilization Services in Pakistan

Adnan Ahmad Khan, Ayesha Khan, Khadija Abbas, Syed Farhan Ali Tirmizi, Zia ul Islam,

Introduction: Female sterilization has long been the most popular method of family planning (FP) in Pakistan, and yet most public health experts feel it contributes little to controlling family size or to population welfare. We used Pakistan Demographic Health Survey (PDHS) data to underst....

Induced Abortion in Pakistan: Community Based Research

Ayesha Khan,

Introduction: This paper highlights the findings pertaining to profiles of abortion seekers, reasons for induced abortions and methods used, and treatment for post-abortion complications (PACs).
Methods: This paper is a review of community studies on induced abortion in Pakis....

Costs and Utilization of Public Sector Family Planning Services in Pakistan

Khadija Abbas, Adnan Ahmad Khan, Ayesha Khan,

Introduction: The public sector provides a third of family planning (FP) services in Pakistan. However, these services are viewed as being underutilized and expensive. We explored the utilization patterns and costs of FP services in the public sector.
Methods: We used overall....

Service Delivery Models >>

Performance and Measurement of a Community-Based Distribution Model of Family Planning Services in Pakistan

Syed Khurram Azmat, Waqas Hameed, Mohsina Bilgrami, Ghulam Mustafa, Shirin Ahmed, Ayesha Khan, Adnan Ahmad Khan,

Introduction: Community-based distribution (CBD) has been successfully applied to family planning (FP) services worldwide. It forms the basis for the large lady health worker (LHW) programme in Pakistan which serves a limited number of women with contraception services. Thus, the concept h....

Social Franchising and Vouchers to Promote Long-Term Methods of Family Planning in Rural Pakistan:A Qualitative Stocktaking with Stakeholders

Syed Khurram Azmat, Ghulam Mustafa, Waqas Hameed, Jamshaid Asghar, Aftab Ahmed, Babar T. Shaikh,

Background: The overall use of modern contraception in Pakistan is quite low, especially in rural areas. Several studies have demonstrated the effectiveness of social franchising (SF) approaches in increasing access to modern contraception and improving the quality of healthcare in resource-poor ....

Investing in the Health of Future Populations Through a Youth-Focused Programme

Asifa Khanum, Amna Akhsheed, Dr. Azeem Sultan Mir,

Objective: This paper describes different approaches and results of the holistic integrated model of Rahnuma Family Planning Association of Pakistan(R-FPAP). The model seeks to provide sexual and reproductive health (SRH) services to adolescents and young people based on their rights as op....

Accessibility of Antenatal Services at Primary Healthcare Facilities in Punjab, Pakistan

Muhammad Ashraf Majrooh, Seema Hasnain, Javaid Akram, Arif Siddiqui, Fatimah Shah, Zahid Ali Memon,

Introduction: Almost one-fifth of the world\'s population constitutes women of reproductive age who are repeatedly exposed to pregnancy and childbearing. Many are often at high risk of illness and mortality during pregnancy and require maternal healthcare services for early detection of ....

Lessons from Islamic Countries >>

Family Planning and Contraception in Islamic Countries: A Critical Review of the Literature

Babar Tasneem Shaikh, Syed Khurram Azmat, Arslan Mazhar,

Introduction: The population of the world reached seven billion in 2012. Pakistan\'s population stands at more than 180 million, is growing rapidly, and has the highest unmet need for family planning (FP) in isolated rural areas. The low usage of contraception in the rural areas of Pakis....

Population and Family Planning in Bangladesh

Peter Kim Streatfield, Nahid Kamal,

Introduction: The family planning programme (FPP) in Bangladesh and its role in reducing the fertility rate in the country has been at the centre of much scholarly debate. The current contraceptive prevalence rate (CPR) is 61%- double the rate observed in Pakistan, while the total fertilit....

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