FAMILY PLANNING WORLDWIDE

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1 POPULATION REFERENCE BUREAU FAMILY PLANNING WORLDWIDE 2013 DATA SHEET INFORM EMPOWER ADVANCE

2 FAMILY PLANNING WORLDWIDE 2013 Women s Decisionmaking Relates to Contraceptive Use. Percent of Married Women Using Contraception, Ages Women who have a role in household and family decisions, such as making major purchases, managing their own health care, or visits to relatives, also exercise greater control over their own lives and surroundings. contraceptive use increases with the number of decisions women make, either alone or jointly with their husbands. Number of decisions in which women participate So u rc e s : ICF International, Demographic and Health Surveys. Mozambique 2011 Burkina Faso 2010 Ethiopia 2011 Bangladesh 2011 Honduras Educated Men More Open to Women s Decisionmaking on the Number of Children. Percent of Married Men, Ages 1-49, Who Think Wife Should Participate in Decision on Number of Children No education Zambia 2007 Malawi 2010 In some countries, men feel strongly that women should have an equal or greater say in the number of children the couple will have. Husbands with higher levels of education are more likely to feel that decisions about family size should be made together with wives. Joint decisionmaking among couples, especially on family planning use, is a critical component in reaching desired family size. Primary Secondary So u rc e s : ICF International, Demographic and Health Surveys. More than secondary Population Reference Bureau See notes on page 1 FAMILY PLANNING WORLDWIDE 2013 DATA SHEET 2

3 FAMILY PLANNING WORLDWIDE 2013 Data Show Uneven Progress in Contraceptive Use. contraceptive use has risen steadily over time in most developing countries, as is the case in Colombia and Bangladesh. However, use of family planning has remained stable or even declined in others, such as Jordan and Nepal. Percent of Married Women, Ages Colombia 0 Indonesia Bangladesh Jordan Nepal Sources: ICF International, Demographic and Health Surveys Senegal Tanzania Ethiopia Women in Developing Countries Generally Have More Children Than They Desire. In most developing countries, women generally have more children than they desire. In Senegal and Ethiopia, for example, women have, on average, about two more children than their ideal number. The smaller the gap between wanted and actual fertility shows that couples have been successful in achieving their reproductive intentions. In Burkina Faso and other West African countries, women still desire large families. Uganda 2011 Burkina Faso 2010 Senegal Ethiopia 2011 Haiti 2012 Lifetime Births per Woman Note: Actual lifetime births per woman is from the survey year cited in the graph and may not be the same as the rate listed in the data sheet. Sources: ICF International, Demographic and Health Surveys. Nepal 2011 Colombia Actual fertility Wanted fertility 2013 Population Reference Bureau See notes on page 1 FAMILY PLANNING WORLDWIDE 2013 DATA SHEET 3

4 FAMILY PLANNING WORLDWIDE 2013 Contraceptive Use Varies Substantially Around the World. While most women in more developed countries use contraception, in many of the poorest countries, fewer than one in five married women use a modern method. Percent of married women ages 1-49 currently using a modern method of contraception Less than 20% 20% to 49% 0% to 9% 70% or more No data Note: Data shown refer to 2002 to Source: Donna Clifton and Toshiko Kaneda, Family Planning Worldwide 2013 Data Sheet (Washington, DC: Population Reference Bureau, 2013) Population Reference Bureau See notes on page 1 FAMILY PLANNING WORLDWIDE 2013 DATA SHEET 4

5 FAMILY PLANNING WORLDWIDE 2013 Demand for Family Planning Is High Among Young Unmarried Women. Haiti 2012 Percent of Unmarried Women Ages 1-19 Who Are Sexually Active Contraceptive use and total demand for contraception is generally higher among young unmarried women. In some countries, such as Haiti and Mozambique, almost half of sexually active, unmarried women ages 1 to 19 have an unmet need for family planning. Meeting the family planning needs of young unmarried women can be particularly challenging given the stigma many face when accessing reproductive health services. Mozambique 2011 Cameroon Note: value indicates the total demand for family planning, which is the sum of total unmet need and total contraceptive use. Honduras Sources: ICF International, Demographic and Health Surveys. Unmet need for family planning Currently using a modern method Side Effects and Health Concerns Are Common Reasons for Discontinuing Injectables. Percent of Women Ages 1-19 Who Discontinued Using Injectables Within 12 Months of Starting 47 A key concern for family planning programs is the rate at which couples stop using their methods, and the reasons for stopping. Common reasons for discontinuing use of injectables, for example, are side effects and health concerns. Relatively high rates of discontinuation, as in Honduras and Bangladesh, indicate that family planning programs should focus greater attention on counseling and follow-up to help women deal with the various obstacles to continued use. Note: Method-related reasons include lack of access/too far, costs too much, inconvenient to use, method failure, and wanted more effective method. Other fertility-related reasons include infrequent sex/husband away, difficult to get pregnant/menopausal, and marital dissolution/separation. Sources: ICF International, Demographic and Health Surveys Uganda Zimbabwe Bangladesh Side effects/health concerns Desire to become pregnant Method-related reasons Other fertility-related reasons Other reasons 2013 Population Reference Bureau See notes on page 1 FAMILY PLANNING WORLDWIDE 2013 DATA SHEET

6 DEMOGRAPHY MARRIED WOMEN USING MARRIED FAMILY WOMEN PLANNING* USING FAMILY PLAN WORLD 1,834 1, MORE DEVELOPED , LESS DEVELOPED 1,42 1, LESS DEVELOPED (EXCL. CHINA) 1,12 1, LEAST DEVELOPED AFRICA SUB SAHARAN AFRICA NORTHERN AFRICA Algeria Egypt Libya Morocco Sudan a Tunisia WESTERN AFRICA z z z Benin b Burkina Faso Cape Verde Côte d'ivoire Gambia b Ghana Guinea b Guinea Bissau Liberia Mali b Mauritania Niger b Nigeria Senegal Sierra Leone Togo EASTERN AFRICA Burundi Comoros Djibouti Eritrea Ethiopia Kenya Madagascar Malawi Women Ages 1-49 (in millions) Lifetime Births per Woman (TFR) % of Women Ages Giving Birth by Age 18 Lifetime Risk of Maternal Death, in: Any Method (%) (%) 2013 Population Reference Bureau See notes on page 1 FAMILY PLANNING WORLDWIDE 2013 DATA SHEET Long-Acting Reversible Contraceptives Sterilization Permanent Female Male IUD Injectables Pill Male Condom Other

7 DEMOGRAPHY MARRIED WOMEN USING MARRIED FAMILY WOMEN PLANNING* USING FAMILY PLANNIN Women Ages 1-49 (in millions) Lifetime Births per Woman (TFR) % of Women Ages Giving Birth by Age 18 Lifetime Risk of Maternal Death, in: Any Method (%) WORLD Malawi 1, , MORE Mauritius DEVELOPED ,000 3, LESS Mozambique DEVELOPED 1,42.9 1, LESS Rwanda DEVELOPED (EXCL. CHINA) 1,12.9 1, LEAST Somalia DEVELOPED AFRICA South Sudan a SUB SAHARAN Tanzania AFRICA NORTHERN Uganda AFRICA Algeria Zambia Egypt Zimbabwe MIDDLE Libya AFRICA z z.8 z Morocco Angola Sudan Cameroon a Central Tunisia African Republic WESTERN Chad AFRICA z 0.1 z z Congo Benin b Burkina Congo, Faso Dem. Rep Cape Equatorial VerdeGuinea Côte Gabon d'ivoire Gambia Sao Tome b and Principe SOUTHERN Ghana AFRICA z 11.3 Botswana Guinea b c Lesotho Guinea Bissau Namibia Liberia South Mali b Africa Swaziland Mauritania NORTHERN Niger b AMERICA , Canada Nigeria c , United Senegal States , LATIN Sierra AMERICA Leone AND THE CARIBBEAN CENTRAL Togo AMERICA EASTERN Belize AFRICA Long-Acting Reversible Contraceptives (%) Sterilization Permanent Female Male IUD Injectables Pill Burundi Costa Rica , Comoros El Salvador Djibouti Guatemala Eritrea Honduras Ethiopia Mexico d Kenya Nicaragua Madagascar Panama Malawi Mauritius 2013 Population Reference Bureau ,000 See 7.8 notes on page FAMILY 0.1 PLANNING 1.4 WORLDWIDE DATA SHEET Mozambique Male Condom Other Tota Traditio Metho

8 CENTRAL AMERICA Belize Costa Rica , El Salvador DEMOGRAPHY MARRIED WOMEN USING MARRIED FAMILY WOMEN PLANNING* USING FAMILY PLANNIN Guatemala Honduras (%) Mexico d Women 34.0 Ages Lifetime 2.2 % of Women Lifetime 790 Risk of (in millions) Births per Ages Maternal Death, Any Long-Acting Sterilization Tota Nicaragua Woman 2. Giving 27 Birth Method Reversible 3.4 Permanent Male 3.8 Other 0.0 Traditio 2. Panama (TFR) 2. by Age in: 2.2 (%) 48.8 Contraceptives Female 1.8 Male IUD 4.7 Injectables Pill Condom 3.1 Metho 3.4 CARIBBEAN WORLD 1, , MORE Cuba DEVELOPED ,000 3, LESS Dominican DEVELOPED Republic 1,42.7 1, LESS Haiti DEVELOPED (EXCL. CHINA) 1,12.7 1, LEAST Jamaica DEVELOPED AFRICA Puerto Rico , SUB SAHARAN Trinidad and Tobago AFRICA , NORTHERN SOUTH AMERICA AFRICA Algeria Argentina Egypt Bolivia Libya Brazil Morocco Chile , Sudan Colombia Ecuador Tunisia WESTERN Guyana AFRICA z.3 z 0.0 z Paraguay Benin b Peru Burkina Faso Suriname Cape Verde Uruguay Côte d'ivoire , ASIA Gambia b 1, , Lifetime % of 23 Women Lifetime 290 Any Long-Acting IUD 0.3 Injectables 3.9 Pill 2.1 Male 0. 7 Other 0. 1 Tota 0.9 Female Male ASIA Ghana (Excl. China) Women 71.7 Ages Births per Ages Risk of Method (%) Reversible 2.4 Permanent Condom Traditio 11.3 Woman Giving Birth Maternal Death, Contraceptives Sterilization Metho WESTERN Guinea b ASIA 2.7 (in millions) 73.9 (TFR) by Age Guinea Bissau Armenia , in: (%) Liberia Azerbaijan , Mali Georgia Mauritania Iraq Niger Jordan b Nigeria Lebanon , Senegal Oman f , Sierra Palestinian LeoneTerritory Togo Saudi Arabia f , EASTERN Syria AFRICA Burundi Turkey , Comoros Yemen SOUTH Djibouti CENTRAL ASIA CENTRAL Eritrea ASIA z Ethiopia Kazakhstan Kenya Kyrgyzstan b Madagascar Tajikistan b Malawi Mauritius 2013 Population Reference Bureau ,000 See 7.8 notes on page FAMILY 0.1 PLANNING 1.4 WORLDWIDE DATA SHEET Mozambique

9 DEMOGRAPHY MARRIED WOMEN USING MARRIED FAMILY WOMEN PLANNING* USING FAMILY PLANNIN Women Ages 1-49 (in millions) Lifetime Births per Woman (TFR) % of Women Ages Giving Birth by Age 18 Lifetime Risk of Maternal Death, in: Any Method (%) (%) WORLD Turkmenistan 1, , MORE Uzbekistan DEVELOPED ,800 1, LESS SOUTH DEVELOPED ASIA 1, , LESS Afghanistan DEVELOPED (EXCL. CHINA) 1,12.8 1, LEAST Bangladesh DEVELOPED AFRICA Bhutan SUB SAHARAN India AFRICA NORTHERN Iran AFRICA , Algeria Maldives Egypt Nepal Libya Pakistan b Morocco Sri Lanka , SOUTHEAST Sudan a ASIA z Tunisia Cambodia WESTERN Indonesia AFRICA z 3.2 z 0.2 z Benin Laos b Burkina MalaysiaFaso , Cape Myanmar Verde Côte Philippines d'ivoire Gambia Thailand b , Ghana Timor Leste Guinea Vietnam b EAST Guinea Bissau ASIA , z Liberia China , Mali China, b Hong Kong SAR Mauritania Japan c , Niger Korea, b North Nigeria Korea, South , Senegal Mongolia EUROPE Sierra Leone , NORTHERN Togo EUROPE , EASTERN Ireland c AFRICA , Burundi Norway , Comoros United Kingdom c,g , WESTERN Djibouti EUROPE , Long-Acting Reversible Contraceptives Sterilization Permanent Female Male IUD Injectables Pill Eritrea Belgium , Ethiopia France e , Kenya Netherlands , Madagascar Malawi Mauritius 2013 Population Reference Bureau ,000 See 7.8 notes on page FAMILY 0.1 PLANNING 1.4 WORLDWIDE DATA SHEET Mozambique Male Condom Other Tota Traditio Metho

10 DEMOGRAPHY MARRIED WOMEN USING MARRIED FAMILY WOMEN PLANNING* USING FAMILY PLANNIN Women Ages 1-49 (in millions) Lifetime Births per Woman (TFR) % of Women Ages Giving Birth by Age 18 Lifetime Risk of Maternal Death, in: Any Method (%) WORLD EASTERN EUROPE 1, , , MORE Belarus DEVELOPED ,300 3, LESS Moldova DEVELOPED 1, , , LESS Russia DEVELOPED (EXCL. CHINA) 1, , , LEAST Ukraine DEVELOPED , AFRICA SOUTHERN EUROPE , SUB SAHARAN Albania AFRICA , NORTHERN Bosnia Herzegovina AFRICA , Algeria Greece , Egypt Macedonia , Libya Montenegro , Morocco Portugal , Sudan Serbia a , Tunisia Spain , WESTERN OCEANIA AFRICA z z z Benin Australia b , Burkina Guam Faso Cape Kiribati Verde Côte Marshall d'ivoire Islands Gambia Nauru b Ghana Palau Guinea Papua New b Guinea Guinea Bissau Samoa Liberia Solomon Islands Mali Tuvalu b Mauritania Vanuatu Niger b Nigeria Senegal Sierra Leone Togo EASTERN AFRICA Long-Acting Reversible Contraceptives (%) Sterilization Permanent Female Male IUD Injectables Pill Burundi Comoros Djibouti Eritrea Ethiopia Kenya Madagascar Malawi Mauritius 2013 Population Reference Bureau ,000 See 7.8 notes on page FAMILY 0.1 PLANNING 1.4 WORLDWIDE DATA 8.9 SHEET Mozambique Male Condom Other Tota Traditio Metho

11 ANNING* MARRIED WOMEN DEMOGRAPHY USING FAMILY PLANNING* UNMET NEED WEALTH MARRIED WOMEN USING FA Traditional (%) Married Women With Unmet Married Women Using (%) Women Ages 1-49 Lifetime % of Women Lifetime Source Risk of of Supply of Need for Family Planning (%) Contraception, by Wealth Quintile (%) (in millions) Births per Ages Other Maternal Death, (%) Any Long-Acting Sterilization Traditional Periodic Woman Giving Traditional Birth 2010 Method Spacing Limiting Reversible Poorest Permanent Middle Richest 2013 Abstinence 202 Withdrawal (TFR) by Age 18 Public 1 in: Private (%) Births Births Contraceptives Fifth Fifth Female Male Fifth IUD Injectables Pill WORLD 1,834 1, MORE DEVELOPED , LESS DEVELOPED 1,42 1, LESS DEVELOPED (EXCL. CHINA) 1,12 8 1, LEAST DEVELOPED AFRICA SUB SAHARAN AFRICA NORTHERN AFRICA Algeria Egypt Libya Morocco Sudan a Tunisia WESTERN AFRICA z 10z z Benin b Burkina Faso Cape Verde Côte d'ivoire Gambia b Ghana Guinea b Guinea Bissau Liberia Mali b Mauritania Niger b Nigeria Senegal Sierra Leone Togo EASTERN AFRICA Burundi Comoros Djibouti Eritrea Ethiopia Kenya Madagascar Malawi Population Reference Mauritius Bureau See notes on 1,000 page FAMILY PLANNING WORLDWIDE DATA SHEET Mozambique Male Condom

12 Togo EASTERN AFRICA Burundi Comoros MARRIED WOMEN USING FAMILY PLANNING* MARRIED WOMEN USING FAMILY PLANNING* UNMET NEED Djibouti (%) Eritrea 1. Traditional (%) Married 7.3 Women With Unmet 0.4 Married 0.2 Women 0.2 Using Ethiopia Source 7 of Supply 28. of Need for 27.3 Family Planning 3.7 (%) Contraception, 0. by Wealth 0. Quintile (%) Sterilization Other Kenya (%) nt Male Other Traditional Periodic Traditional Spacing 39.4 Limiting 3. Poorest 4.8 Middle Richest s Female Male IUD Injectables Madagascar Pill Condom. Abstinence 7.8 Withdrawal 4. 3 Public 81 Private 39.9 Births 29.2Births 1.9 Fifth 1.2 Fifth Fifth Malawi ASIA Mauritius , Mozambique WESTERN 4. ASIA Rwanda Armenia Somalia Azerbaijan South 9 Sudan 9 a Georgia Tanzania Iraq Uganda Jordan Zambia Lebanon Zimbabwe Oman MIDDLE AFRICA z z 2 1 z 1 Palestinian 2 Territory Angola Saudi 2.2 Arabia f Cameroon Syria Central African Republic Turkey z z 1 Chad Yemen Congo SOUTH 2.9 CENTRAL 12.3A Congo,.2 Dem. 3.2 Rep CENTRAL 1.0 ASIA Equatorial 21.4 Guinea Kazakhstan Gabon Kyrgyzstan Sao 3.9 Tome 2.1 and Principe Tajikistan SOUTHERN AFRICA z z z 1.9 z Turkmenistan Botswana c Uzbekistan Lesotho SOUTH 12. ASIA Namibia Afghanistan South 4.0 Africa Bangladesh Swaziland Bhutan NORTHERN 2.1.AMERICA z 2, India Canada 3.9 c , Iran United.2 States , Maldives LATIN 4. AMERICA 4.0 AND 0.1THE CARIBBEAN Nepal CENTRAL AMERICA Pakistan Belize Sri Lanka Costa Rica , SOUTHEAST 21.3 ASIA El.Salvador Cambodia Guatemala Indonesia Honduras Laos Mexico d Malaysia Nicaragua Myanmar Panama Philippines CARIBBEAN Thailand Population 1.4 Reference Cuba 3.7 Bureau See 9 notes 0.0 on 1,000 page FAMILY PLANNING WORLDWIDE DATA SHEET 1.4Timor Leste Dominican.1 4.Republic Vietnam WEALTH ASIA (Excl. China)

13 10 CENTRAL 9 AMERICA Portugal Belize Serbia Costa 9. Rica , Spain El Salvador OCEANIA Guatemala Australia (%) Honduras Traditional (%) Guam Married 3.8 Women With Unmet.8 Married 22. Women 22.3 Using Mexico.0 d Source 790 of Supply 70.9 of Need for. Family Planning (%) Contraception, by Wealth Quintile (%) 11..0Kiribati Sterilization Other Nicaragua (%) nt Male Other Traditional Periodic Traditional Spacing 9.8 Limiting 3.4 Poorest Middle Richest Marshall 13.Islands3.8 RLDWIDE 2013 Data She 8s Female 1.8 Male IUD 4.7 Injectables 13.1 Panama10.8 Pill Condom Abstinence 1.1 Withdrawal Public Private 2.2 Births 48.8Births 4.7 Fifth 1.8 Fifth 1.8 Fifth Nauru CARIBBEAN ASIA Palau Cuba , ASIA Papua (Excl..2 New China) Guinea Dominican Republic WESTERN Samoa 1.8 ASIA Haiti Solomon Armenia 2.8 Islands Jamaica Tuvalu Azerbaijan Puerto 92.7 Rico , Georgia Vanuatu EFERENCE BUREAU Trinidad and Tobago , Iraq SOUTH AMERICA Jordan 20 b Argentina Lebanon Bolivia Oman3.3 f Brazil Palestinian 24.7 Territory Chile , Saudi 23.3 Arabia f Colombia Syria Ecuador Turkey EALTH MARRIED WOMEN USING FAMILY PLANNING* MARRIED WOMEN USING FAMILY PLANNING* DEMOGRAPHY UNMET NEED WEALTH MARRIED WOMEN USING FA 3.3 z 0.0 z Guyana Yemen NOTES 1 men Using Paraguay (%) 1. SOUTH 18.0 CENTRAL 13.2A, 2by Wealth Quintile 0. (%) Peru Women Ages Lifetime % of 1 Women Lifetime Risk of CENTRAL * 9.4 Women ASIA12.3 who a (in millions) Births per Ages Maternal Death, Any Long-Acting Sterilization generally age Middle 14.8 Richest Suriname Woman Giving Birth Method Reversible Permanent Kazakhstan 24.7 Male Fifth Fifth Uruguay (TFR) by Age ,00 1 in: (%) Contraceptives Female 9.4 Male IUD Injectables Kyrgyzstan z 23.9 Pill Less b than Condom IUD 0.3 Injectables ASIA 3.9 Pill 2.1 Male 0. Other 0. 1,134 1,1 Periodic 3 Withdrawal Other z Public 290 Private Spacing 1 Limiting 171 Poorest 24 Middle 22 2 Richest 17 Data are 7una Lifetime 0.3 % of Women 0.4 Lifetime Any 17 Long-Acting IUD Injectables Tajikistan Pill b Male Female Male Female Male nt Condom Traditional 9 Abstinence 4 Traditional z 1 37 Births 7 Births Fifth 38 Fifth 48 Fifth a ASIA 8.8 (Excl. China) Women 71 Ages Births per Ages Risk of Method 4 7 (%) Reversible 2 Permanent Turkmenistan 10Data Condom use 8 o s Sterilization Woman Giving Birth Maternal Death, Contraceptives Sterilization WESTERN ASIA (in millions) South Sudan (TFR) 0.3 by Age Uzbekistan (%) 4.0 Armenia Traditional (%) ,700 1 Source in: 37 of Supply of Married 27.2 Women 18 With Unmet Married Women Using (%) 9. SOUTH 1. some ASIAcases 14.a (%) Need for Family Planning (%) Contraception, by Wealth Quintile (%) b Azerbaijan , Afghanistan 1.1 contr Georgia are from 13. an e Bangladesh Iraq Bhutan Jordan 2.1 b India Lebanon , Iran Oman.2 f , Maldives Palestinian Territory Nepal Saudi.0 Arabia 2.4 f , Pakistan b Syria Sri Lanka Turkey , SOUTHEAST.3 ASIA Yemen Cambodia SOUTH.1 CENTRAL 10.9 ASIA z Indonesia CENTRAL ASIA z Laos Kazakhstan Malaysia Kyrgyzstan 7.2 b Myanmar Tajikistan.0 b Philippines Turkmenistan Thailand Population 1.4 Reference Uzbekistan 3.7 Bureau See notes 0.0 on 1,400 page FAMILY PLANNING WORLDWIDE DATA SHEET 2.7Timor Leste SOUTH.1 ASIA Vietnam 7

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