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首页> 美国卫生研究院文献>Bulletin of the New York Academy of Medicine >Assessing Gaps and Poverty-Related Inequalities in the Public and Private Sector Family Planning Supply Environment of Urban Nigeria
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Assessing Gaps and Poverty-Related Inequalities in the Public and Private Sector Family Planning Supply Environment of Urban Nigeria

机译：评估尼日利亚城市公共和私营部门计划生育供应环境中的差距和与贫困有关的不平等

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Nigeria is the most populous country in Africa, and its population is expected to double in <25 years (Central Intelligence Agency ; Fotso et al. ). Over half of the population already lives in an urban area, and by 2050, that proportion will increase to three quarters (United Nations, Department of Economic and Social Affairs, Population Division ; Measurement Learning & Evaluation Project, Nigerian Urban Reproductive Health Initiative, National Population Commission ). Reducing unwanted and unplanned pregnancies through reliable access to high-quality modern contraceptives, especially among the urban poor, could make a major contribution to moderating population growth and improving the livelihood of urban residents. This study uses facility census data to create and assign aggregate-level family planning (FP) supply index scores to 19 local government areas (LGAs) across six selected cities of Nigeria. It then explores the relationships between public and private sector FP services and determines whether contraceptive access and availability in either sector is correlated with community-level wealth. Data show pronounced variability in contraceptive access and availability across LGAs in both sectors, with a positive correlation between public sector and private sector supply environments and only localized associations between the FP supply environments and poverty. These results will be useful for program planners and policy makers to improve equal access to contraception through the expansion or redistribution of services in focused urban areas.
机译：尼日利亚是非洲人口最多的国家，预计其人口在25年内将增加一倍（中央情报局 ; Fotso等人 ）。超过一半的人口已经生活在城市地区，到2050年，这一比例将增加到四分之三（联合国，经济和社会事务部，人口司 ；测量学习与评估项目，尼日利亚城市生殖健康倡议，国家人口委员会 ）。通过可靠地获得高质量的现代避孕药，特别是在城市贫民中，减少不必要的和计划外的怀孕，可为减缓人口增长和改善城市居民的生活做出重大贡献。这项研究使用设施普查数据来创建和分配总体水平的计划生育（FP）供应指数得分，并将其分配给尼日利亚六个选定城市中的19个地方政府区域（LGAs）。然后，它探索了公共和私营部门计划生育服务之间的关系，并确定了任一部门的避孕药具获取和可获得性是否与社区一级的财富相关。数据显示，在两个部门中，跨LGAs的避孕药具的可获得性和可用性均存在明显差异，公共部门和私营部门的供应环境之间存在正相关，而FP供应环境与贫困之间仅存在局部关联。这些结果对于计划制定者和政策制定者通过在重点城市地区扩展或重新分配服务来提高平等获得避孕服务的价值很有用。

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