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CONTRACEPTIVE SECURITY Issues for Central Asian Republics USAID SOTA Course

CONTRACEPTIVE SECURITY Issues for Central Asian Republics USAID SOTA Course October, 2002 Washington DC Mary Skarie, USAID/CAR. U.S. Agency for International Development Central Asia Regional Mission

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CONTRACEPTIVE SECURITY Issues for Central Asian Republics USAID SOTA Course

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  1. CONTRACEPTIVE SECURITY Issues for Central Asian Republics USAID SOTA Course October, 2002 Washington DC Mary Skarie, USAID/CAR

  2. U.S. Agency for International Development Central Asia Regional Mission Population *Life expectancy *Per capita income *Religion Kazakhstan - 14,9 mln. 57.8 - male $1,421 47%Muslim 68.9 - female Kyrgyzstan - 4,7 mln. 59.2 - male $322 75%Muslim 67.9 - female Tajikistan - 6,5 mln. 61.0 - male $286 80%Muslim 67.4 - female Turkmenistan - 4,6 mln. 57.4 - male $652 89%Muslim 64.7 - female Uzbekistan - 25 mln. 60.2 - male $488 88%Muslim 67.5 - female

  3. DEMOGRAPHIC DATA - RECENT DHSFERTILITY

  4. DEMOGRAPHIC DATA - RECENT DHS CONTRACEPTIVE USE

  5. Use of Contraception by Currently Married Women in Turkmenistan (DHS/2000)

  6. DEMOGRAPHIC DATA - RECENT DHS CONTRACEPTION: UNMET NEED

  7. DEMOGRAPHIC DATA - RECENT DHS ABORTION

  8. Lifetime Abortion in Kazakhstan

  9. Contraceptive Supply in Uzbekistan (1993-2002)

  10. Government-18,6% UNFPA-40,7% USAID-1,7% UNFPA: 1993 - 2002 KfW: 2003 USAID: 1995, 2001 Government: 1995 KfW-39%

  11. Reproductive HealthSalient Issues: • High reliance on abortion (legal) • Very limited range of contraceptives; heavy reliance on IUDs • Severe constraints on government spending and non-convertible currencies • Tepid donor commitment • Dysfunctional/failing systems, including logistics

  12. USAID Response • Limited contraceptive donations to pilot areas in Uzbekistan • Launch of Social Marketing Program • New regional program on MCH/RH • Planned contraceptive donations in selected areas

  13. USAID Response • Policy dialogue with MOHs - partially successful collaboration with other donors: • DfID condom donation to Kyrgyzstan • KfW donations in Uzbekistan • Uzbek tender to procure 10% of national need

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