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Barriers to and motivation for modern contraceptives use in East and Southern Africa

Why is progress in modern contraceptives uptake slower or stagnant in some countries but progressing in others? What facilitates or hampers progress? What can countries learn from each other?

Operational aims: to accelerate uptake of mod­ern contraceptives; to inform the design, plan­ning and scale up of family planning programmes; to contribute to FP2020 targets; and contribute to SDGs 3.1 and 3.7 (reduction of maternal mortality and universal access to sexual and reproductive health).

Preliminary findings include that demand satisfied is high – above 80 per cent, including among the poorer and rural women - and about 30 per cent of women do not use family planning and don’t wish to.

When traditional access barriers are removed, the main barriers to uptake seem to pertain to: the impact of inequitable gender norms and of couple-level dynamics on family planning use; limited access to family planning for youth; and quality of services.