Family Planning Empowers People and Transforms Community
Dhiraj Kumar Nath
Dhiraj Kumar Nath
The World Population Day is observed round the world since 11 July 1987 when World Population reached 5 billion (500 Crore). The World population in total has reached to 760 crore in June 2017. The world population increases by 100 millions approximately in every 14 months and the major thrust of growth is in developing countries like ours. According to UN Department of Economic and Social Affairs as published on 21st June 2017, global population will reach 980 crore by 2050. The present population of China is 140 crore and India 130 crore. It is estimated that Nigeria will overtake United Sates by 2050 to become the third most populous country in the world. The World Population Day is observed mainly to address 5 major issues such as, increase the acceptance level of family planning, ensure gender equality, reduce poverty and ensure maternal health and establish human rights. These are broad areas on which every year UNFPA declares a theme to concentrate and emphasises particular aspects. Whatever might be the theme, mainly some public health and reproductive health issues are highlighted every year with the vision to improve the capacity of human being and understanding of the better life style with good health and build nation of healthy citizens competent to face any eventually and transform the nation quickly into a welfare state. This years theme is Family Planning: Empowering People, Developing Nations. Access to safe, voluntary family planning is a human right. It is also central to gender equality and womens empowerment and is a key factor in reducing poverty. Yet around the world, some 225 million women who want to avoid pregnancy are not using safe and effective family planning methods, for reasons ranging from lack of access to information or services for lack of support from their partners or communities. Most of these women with an unmet demand for contraceptives live in 69 of the poorest countries. Investments in making family planning available also yield economic and other gains that can propel development forward. This years World Population Day, 11 July, coincides with the Family Planning Summit, the second meeting of the FP 2020Family Planning 2020 initiative, which aims to expand access to voluntary family planning to 120 million additional women by 2020. To be more specific and precise, world population day is observed to protect and empower youth of genders boys and girls. It is to offer them knowledge about sexuality and benefit of delay in marriage. This is to educate youth to avoid unwanted pregnancies by using reasonable and youth friendly means and educate about pregnancy, related illness to raise public awareness and about dangers of early parenthood. All these are mostly related to empowerment of people as responsible citizens who can contribute to the rapid progress of a country. But someone might ask how it empowers a person to be a responsible citizen for a developing country like ours. Empowerment does not mean economic strength or social and political capacity building alone. From the point of view of a public health specialist like us, such empowerment indicates the increased capacity of mental, physical, emotional and social activities experimented during the five stages of a human being like prenatal, infancy, childhood, adolescent and adulthood. It includes the behaviour as dictated by culture, societal value, morals, ethics and genetics. So, empowerment is not a simple word but a concept and a philosophy of life. Empowerment is not a simple arithmetic or a visible concrete pillar of building. It is in fact a value that a person can acquire by dint of much hard works and sacrifices. Naturally one can ask how such empowerment could be acquired by practising family planning and advocating improved life style. Family Planning includes broad based areas as UNFPA Executive Director Dr. Babatunde Osotimehin once observed, Every woman deserves a safe birth. Yet every day, more than 500 women and adolescent girls die of pregnancy and childbirth in humanitarian and fragile settings. Access to services, delivering safely, preventing unintended pregnancy and being safe from HIV are just as crucial as food, water and shelter. Every person is entitled to human rights without discrimination of any kind. Yet every day, people affected by crisis, face impossible choices that jeopardise their health, safety and dignity. How do we conceive the concept of empowerment? It is the authority or power given to someone to do something. Empowerment is the process of becoming stronger or more confident, especially in controlling ones life and claiming ones right. Family planning is an integral part of human right. Right to choose profession and decide the way of life and right to education, right to speak and right to live in a decent manner is close to empowerment. Family planning and choice to decide family size are issues of such empowerment. Peoples Republic of China understood this reality and switched over to two family norms and thus allowed freedom of choice of planned parenthood. To gain this empowerment one needs to understand the spirit and his right to choice correctly. Herein lies the importance of behaviour changed communication strategy to disseminate accurately and according to needs and level of understanding of the incumbent. The National Family Planning Policy of Bangladesh in fact emphasised this issue of empowerment so that a person can take a decision with informed consent choice while cafeteria approach is opened to him Family Planning Programme is a success story of Bangladesh. To sustain the gains so far achieved and overcome future hurdles, there are ways of new interventions to make it more inclusive. When a person of a country is empowered with knowledge, capacity and skill supported by good health, the country must be capable of making remarkable improvement by any means with its capable human resource. The challenges of attaining the targets of Sustainable Development Goals 2030 are major issues for the Family Planning Programme in Bangladesh. The SDG goal 3.7 categorically stated, by 2030, ensure universal access to sexual and reproductive health care services including family planning, information, education and integration of reproductive health into national strategies and programmes. It also indicated few specific targets like reduction of maternal mortality rate to 70 for 100,000 live births and neo-natal mortality rate to reduce to 12 for 1,000 live births and under -5 mortality to 25 for 1,000 live births. To achieve all these targets, there must be massive information campaign and activities for small family norms and family planning. The inter-linkage and integrated nature of programmes with specific vision to empower people must be taken to build up social capital development and make radical changes in the life style of people who are very rapidly being urbanised with changes in their way of living and thoughts. Before we conclude, we can recollect the observation A P J Abul Kalam, former President of India as follows: Almost half of the population of the world lives in rural regions and mostly in a state of poverty. Such inequalities in human development have been one of the primary reasons for unrest and, in some parts of the world, even violence. To bring an end to violence and unrest, there must be substantial efforts to improve the capacity of the people, develop human resource of a nation with strong workforce for the country. This is possible by adopting meaningful family planning and generating consciousness toward planned parenthood. The writer is a former Secretary to the government