It's Not About Choice; It's About Choices

Through Pathfinder programs in Ethiopia, millions of young people have accessed youth-friendly sites for information and services, including contraception.

What if your best option for contraception was off limits, simple because of your age? This is the reality for many young people who want to use contraceptive implants. But it doesn't have to be this way.

Birhan Gebre, a young woman from the city of Adigrat, Ethiopia, grew up one of six children. When she was married at eighteen, Birhan and her husband agreed to wait a while before having kids of their own.

"But pills had some side effects on me," says Birhan, who is now twenty. She remembers the monthly trips to the health center being a real expense, costing her family time and money. There had to be a better option.

One in three women in Ethiopia have had their first child by the time they are 18 years old. But when Birhan was married at 18, she decided to wait.

"I heard about long-acting methods on television," Birhan remembers. Then, with the help of the Integrated Family Health Program, led by Pathfinder, she received knowledge and counseling on a variety of contraceptive methods. "We received education at the health center and in the kebele (community) during women's meetings."

In Ethiopia, only five percent of young women (ages 15-19) report using a contraceptive of any type. One in three women have had their first child by the time they are 18 years old. But Birhan and her peers learned they don't have to become statistics. They have options.

Implants and Adolescents, a Good Match?

Young people face particular obstacles that make them less likely to use short-acting methods, such as pills or condoms, consistently, or to use contraception at all. These include a lack of information on how to use contraception effectively, unpredictable sexual activity among those that are unmarried, and community norms that don't support adolescents' use of contraception.

Given these factors, implants are particularly suitable for many young people who want to delay pregnancy for a couple of years, or space their next birth. After a small contraceptive rod is inserted under the skin of a young woman's arm, the implant lasts for 3-5 years. It does not interfere with sex, and no daily action is required.

So What's the Problem?

Restrictive policies, misconceptions, and stigma—on the part of both providers and the community—often limit young people's access to highly effective long-acting methods. Here's where Pathfinder comes in.

"Before the training, we wrongly assumed that this type of contraceptive was relevant only for older women and those who have started giving birth," says Genet Desta, a clinical nurse at Adigrat Health Center.

Since 2009, Pathfinder has supported the Ethiopian Ministry of Health by training clinical care providers in long-acting contraception across six regions of Ethiopia. We have trained them to provide quality counseling services—to help dispel common myths about contraception, and long-acting methods in particular, and to deliver information and services adolescents and youth need, free from judgment and bias.

"As I got special training on implants and IUDs," says Genet, "I became aware that long-acting methods are appropriate for adolescent girls. More girls, especially the ones who go to the university, prefer these options. They can avoid the burden of traveling to the health centers again and again. I think the adolescent girls choose this method because they believe it doesn't affect the probability of pregnancy in the future."

Implants are not only effective, they are completely reversible. As soon as the implant is removed, a woman's fertility returns. When Birhan heard this—that she has the ability to get pregnant when she and her husband decide they are ready—she made her choice.

"My husband is very happy, and we have decided together to use this method. Our families even know we use an implant and they are all supportive."

This Is Change

Pathfinder was one of the first organizations to address the unique sexual and reproductive health needs and interests of young people. We have implemented project in more than 30 countries, guided by the core belief that sexual and reproductive health is fundamental for young people to realize their full potential and lead healthy, free, productive lives. Always, this means they must have information on and access to a full range of contraceptive options.

We are not alone in this belief. Women like Genet and Birhan in Ethiopia are sharing their powerful experiences. National governments are taking action. Young people across the world are shaping the sexual and reproductive health programs they want and need. These are our partners, and their words speak for themselves.

"I believe the availability of different types of contraceptive methods is an advantage," Birhan says. "So you can choose the method that is comfortable for you and make your own decision."

Read more about how Pathfinder is changing the family planning landscape in Ethiopia through our Integrated Family Health Program.

Maren Vespia

Maren Vespia

Maren Vespia is Pathfinder's Communications Specialist.

Leave a Comment

* Change

Comments

Good publish! This is great post. We believed the many individuals tend to be thinking such as this! I like it. www.favoursplus.com.au
felixchristopher12 September 8, 2014
Al fine di garantire Rolex Replica una potenza di 10 giorni, visualizzato a mezzogiorno, - avvolgimento dalla corona Rolex Replica tradizionale - riserva, il Giga Tourbillon è stato arricchito con due coppie di cilindri a differenza Rolex Replica dei convenzionali gorghi che hanno in genere uno o due. "Fusti sono di un diametro di 16 mm, cioè 4 mm più lungo i fusti convenzionali, che fornisce loro una vicino-costante la forza necessaria per il funzionamento del Giga Tourbillon" garantisce il marchio.
taniawalters2 September 4, 2014
than a regular savings account. Let us assume you have a certain amount of cash which you do not wish to Moncler Coats
Anglerfish use it for the purpose of predation, although it is used for many more purposes by different ray ban sale
careful with words. What you say after a breakup can be held against you, making the moving-on process true religion brand jeans quite
should keep in mind and then go on to incorporate these foods in your diet. Microsoft Outlook cheap nike shoes is not just
look at some of the things that you should never say to your ex.With the nba jerseys launch of the first generation iPod
camera, a personal digital assistant, and a handheld game device. It can true religion outlet connect to the Internet with the Christian Louboutin Shoes Outlet
couple's vacation, inputs from both the partners is required. So before you can make your final decision, get
Niagara falls, Los Angeles, Las Vegas, Alaska are some other popular vacation spots in America.If you are on Michael Kors Outlet Store
best Nirvana songs ever, in alphabetical order.ust when you think that breaking up is pretty difficult, you
Christian Louboutin />inadvertent sense of establishing one's superiority that accompanies every human relationship. From this
spend but rather invest in ture religion sale a low-risk option, then a CD is the perfect option for investing the same. If the
million records. christian louboutin outlet Nirvana's compositions took the world by storm because of their unconventional style of
a pen and a [chenhuangjin] paper, get cozy inside the bed, and find some vacation spots for couples. Though calorie-rich,
the dark. But michael kors outlet it does need a light source at the start to absorb the light. This phenomenon is shown by
free run 2 />brain primarily uses amino acids to make dopamine. One can say that the amino acids are precursor to
life of a couple when they have a baby. But it might be tough to find a perfect name Michael Kors for their little angel.
Their company is unparalleled and comforting, which can coax us to be more like High Heel Shoes them. Let's open our minds,
type of deposit account, or rather, a type of low-risk investment, which pays Moncler Outlet Store a relatively higher interest
you ample time to take necessary safety measures. Carbon monoxide is formed as true religion jeans a result of incomplete
a breeze when you use Outlook on a Windows computer. But we cannot always new balance carry our laptop with us everywhere
we go. Can we? This Buzzle article will guide you with 2 Louis Vuitton easy ways on how you can sync your iPhone with your
all have their individual strengths and make Christian Louboutin shoes amazing carpets. So, do you want the soft, plushy feeling
Louis Vuitton Outlet September 3, 2014
Utilizing microstructural portrayal, Secat recognized inclusions within the sheet as well as suggested feasible sources, that was traced in order to contamination within the lubrication. A number of corrective measures were suggested, which incorporated improved filtering from the lubricant oils throughout the recycling procedure and regular quality manage checks associated with oil harmful particles. Aluminum Testing
Aluminum Testing September 2, 2014
Therefore, you may have made a decision, but your own favorite Classic Series Of Dior Bags is true? If you have selected a false bag socket will eventually be a set of diamond earrings, false bag socket necklace, necklace, diamond ring or bracelet?
anyous August 18, 2014
If you have chosen cheap moncler jackets you can have a false bag unique setting socket type these simple? You will find that there are a lot of options, it may be difficult to choose a simple principal.
annaly August 18, 2014
Currently the aggregation has an aperture all over the World, LV symbolises class, acclimatized and elegance. The replica louis vuitton aloft crisis faced by the aggregation is counterfeiting, alone 1% of the Louis Vuitton articles are authentic. The cast is accepting acclimated about by bargain backpack companies that accomplish affected Louis Vuitton handbags and added accessories. Artist handbags that are in trend for the division are accessible at ebay and added online outlets; they accommodate acceptable account with able shipment facilities. The barter can adjustment for Louis vuitton handbags online and the online casework accord acceptable service. Replica Louis Vuitton accoutrements are aswell accessible at a lot bottom bulk with out compromising on the superior of replica shoes the item. The artist handbags are replicated as it is; the development administration pre-designs the handbags, the superior analysis administration gets the best abstracts accessible and designs the gucci replica as assigned by the development department. Replica handbags are usually in address these days, the aforementioned attending is all that affairs to customers. The 2008 Lois Vuitton backpack collections consists of handbags like Monogram Canvas, Mahina, Monogram mini Lin, Monogram leopard, Monogram Miroir, Epi leather, Suhali Leather, Monogram Denim, Damier Geant Canvas, 07 Collecting Riveting, Cruise Collection, Monogram Vernis, Monogram Perforation, Antigua, Monogram Dentelle, Taiga Leather, Utah, Nomada leather, Groom, Suede, China Run Naviglio, Halo Peach and silver, Comete Peach and silver. Handbags are the a lot of capital accessories of women. Can you anytime brainstorm a woman afterwards her backpack ? Of advance not. The way they backpack their minibags and airing proudly is commendable. They consistently backpack handbags with account to their dress pattern. They would never backpack any handbags with acclimatized look. A lot of of the women buy handbags which are of omega replica top bulk as able-bodied as of top quality. Abounding men animadversion on women and on their minibags that a woman keeps at atomic ten to twelve pairs of it.
Rleaby August 12, 2014
Scroll to top