html xmlns="http://www.w3.org/1999/xhtml"
xml:lang="en"
>
<head>
<title>
Johns Hopkins Public Health Magazine | Risk
</title>
<meta name="keywords"
content="Africa, Public Health Magazine, global health, infectious disease, health, Johns Hopkins, Johns Hopkins University, Johns Hopkins Bloomberg School of Public Health, \ J. Klag, education, magazine, news, spring, 2008, public health"
>
<meta name="description"
content="Johns Hopkins Public Health Magazine, Spring 2008 Online Edition"
>
<meta name="date"
content="Tue, 09 Feb 2010 11:31:28 GMT"
>
<meta name="generator"
content="Office of Communications"
>
<link rel="shortcut icon"
href="http://www.jhsph.edu/bin/v/z/jhsph.ico"
>
<link rel="alternate"
type="application/rss+xml"
title="RSS"
href="http://commprojects.jhsph.edu/pr/newsRSS.xml"
>
type="application/rss+xml"
title="RSS"
href="http://commprojects.jhsph.edu/pr/newsRSS.xml"
>
<link href="/2008/Spring/_includes/features.css"
type="text/css"
media="screen"
rel="stylesheet"
>
<link href="/2008/Spring/_includes/print.css"
type="text/css"
media="print"
rel="stylesheet"
>
<script type="text/javascript"
src="http://commprojects.jhsph.edu/_includes/js/external.js"
>
</script>
<script type="text/javascript"
src="http://commprojects.jhsph.edu/_includes/js/flashobject.js"
>
</script>
<script type="text/javascript"
src="http://commprojects.jhsph.edu/_includes/js/common_functions.js"
>
</script>
<script src="http://www.google.com/jsapi?key=ABQIAAAA9pRfVUV3SECiK5IIiqjN8RTbehYWbOWmYUyFvXErUnaX_g3iuRSOYnv7GNM_1rBcCfUqHm1EQHpTMA"
type="text/javascript"
>
</script>
<script type="text/javascript"
>
google.load("prototype", "1.6.0.3");
google.load("scriptaculous", "1.8.2");
</script>
<script src="http://commprojects.jhsph.edu/_includes/js/overlay.js"
type="text/javascript"
>
</script>
<script type="text/javascript"
>
// function unsetOverlay() {
// if(overlay) {
// overlay.hide();
// }
// }
function checkRadio(inp) {
if(inp == 'yes') {
document.getElementById("cse-search-box").as_q.value='inurl:http://magazine.jhsph.edu/ OR inurl:http://www.jhsph.edu/publichealthnews/magazine/';
} else {
document.getElementById("cse-search-box").as_q.value='';
}
}
</script>
<link rel="stylesheet"
href="http://commprojects.jhsph.edu/_includes/css/overlay.css"
type="text/css"
>
<style type="text/css"
>
style type="text/css"
>
input.textFieldInput {
width:60%;
float:left;
}
div.hiddenDiv {
display:none;
}
</style>
<script type="text/javascript"
>
</head>
function OnLoad(f_q,f_cx,f_ie,f_epq) {
// Create a search control
var searchControl = new google.search.SearchControl();
searchControl.setResultSetSize(google.search.Search.LARGE_RESULTSET);
//Type of search format
options = new google.search.SearcherOptions();
options.setExpandMode(google.search.SearchControl.EXPAND_MODE_OPEN);
// create websearch
var wse = new google.search.WebSearch();
wse.setSiteRestriction(f_cx);
//var ise = new google.search.ImageSearch();
//ise.setSiteRestriction(f_cx);
//var drawOptions = new google.search.DrawOptions();
//drawOptions.setDrawMode(google.search.SearchControl.DRAW_MODE_TABBED);
// if there's a subsection to add to the search
if(f_epq != '') {
wse.setQueryAddition(f_epq);
}
// create searchers
searchControl.addSearcher(wse,options);
//searchControl.addSearcher(ise);
// searchControl.addSearcher(new google.search.VideoSearch());
// searchControl.addSearcher(new google.search.
BlogSearch());
// searchControl.addSearcher(new google.search.NewsSearch());
// searchControl.addSearcher(new google.search.ImageSearch());
// searchControl.addSearcher(new google.search.BookSearch());
// searchControl.addSearcher(new google.search.PatentSearch());
// create our searchers' target.
var dlgBx = document.getElementById('cse-search-results');
dlgBx.innerHTML = '';
Element.insert(dlgBx,new Element("div", {id:'cdDiv',className:"closeDialog"}));
Element.insert(document.getElementById('cdDiv'),new Element("span", {id:"cDia",className:"closeDialog"}));
document.getElementById('cDia').innerHTML="close";
Element.insert(dlgBx,new Element("div", {id:"srCnt",className:"srContainer"}));
searchControl.draw(document.getElementById('srCnt'));
searchControl.setLinkTarget(google.search.Search.LINK_TARGET_SELF);
searchControl.execute(f_q);
var ovrly = new DialogOverlay(dlgBx);
ovrly.show();
// Search!
}
function loadSearch(f_q,f_cx,f_ie,f
_epq) {
google.load("search", "1", {
"callback" : function() {
OnLoad(f_q,f_cx,f_ie,f_epq);
}
});
}
</script>
<body>
</html>
<div id="aligner"
>
<table id="mainContainer"
cellspacing="0"
cellpadding="0"
>
</div>
table id="mainContainer"
cellspacing="0"
cellpadding="0"
>
<tr>
<td class="banner"
>
<img src="/2008/Spring/_images/header_small.gif"
width="700"
height="104"
alt="Public Health Magazine"
>
</td>
img src="/2008/Spring/_images/header_small.gif"
width="700"
height="104"
alt="Public Health Magazine"
>
<td class="banner2"
rowspan="2"
>
</tr>
<img src="/2008/Spring/_images/issue.gif"
width="150"
height="128"
alt="Issue"
>
</td>
img src="/2008/Spring/_images/issue.gif"
width="150"
height="128"
alt="Issue"
>
<tr>
<td id="topMainnav"
>
</tr>
<a href="#mainFeature"
title="skip main navigation"
>
</a>
<ul class="topNav"
>
</td>
<li class="homeLink"
>
<a href="http://www.jhsph.edu/"
title="Johns Hopkins Bloomberg School of Public Health"
>
www.jhsph.edu
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/default.cfm"
title="Home"
>
Home
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/contents/"
title="Contents"
>
Contents
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/departments/letters/"
title="Introduction"
>
Introduction
</a>
</li>
<li class="selected"
>
<a href="/2008/Spring/biology/conceptual_problems/"
title="Sections"
>
Sections
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/online_extras/"
title="Online Extras"
>
Online Extras
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/departments/open_mike/"
title="Departments"
>
Departments
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/archive.cfm"
title="Archives"
>
Archives
</a>
</li>
<li class="navigation"
>
</ul>
<a href="/2008/Spring/sex_quiz/"
title="Quiz"
>
Quiz
</a>
</li>
<tr>
<td id="subnav"
>
<a href="#mainFeature"
title="skip sub-navigation"
>
</a>
<div id="topSubnav"
>
</td>
<ul class="topSubNav"
>
</div>
<li class="navigation"
>
<a href="/2008/Spring/biology/conceptual_problems/"
title="Biology"
>
Biology
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/age/generation_sex/"
title="Age"
>
Age
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/culture/living/"
title="Culture"
>
Culture
</a>
</li>
<li class="navigation"
>
</ul>
<a href="/2008/Spring/risk/sexual/"
title="Risk"
>
Risk
</a>
</li>
<td id="thisIssue"
>
</tr>
<a href="/2008/Spring/web_forms/subscribe.cfm"
title="Subscribe"
class="issueLink"
>
Subscribe
</a>
</td>
<tr>
<td>
<table id="mainContent"
cellspacing="0"
cellpadding="0"
>
</td>
table id="mainContent"
cellspacing="0"
cellpadding="0"
>
<tr>
</table>
<td id="leftNavigation"
valign="top"
>
<!-- request subsection id = 130 -->
<h2>
Risk
</h2>
<div id="leftTitleBorder"
>
</div>
<a href="#mainFeature"
title="skip feature navigation"
>
</a>
<div id="leftItems"
>
</td>
<ul>
<li class="navigation"
>
<a href="/2008/Spring/risk/healthy_sexual_beings/?subsection_id=130"
title="Healthy, Sexual Beings (essay)"
>
Healthy, Sexual Beings (essay)
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/sexual/?subsection_id=130"
title="Sexual Healing"
>
Sexual Healing
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/std_king/?subsection_id=130"
title="STD King"
>
STD King
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/world_of_risk/?subsection_id=130"
title="A World of Risk"
>
A World of Risk
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/depression_hivs_ally/?subsection_id=130"
title="Depression: HIV's Ally"
>
Depression: HIV's Ally
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/gauging_sexual_risk/?subsection_id=130"
title="Gauging Sexual Risk"
>
Gauging Sexual Risk
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/sexual_abuse_hiv/?subsection_id=130"
title="Sexual Abuse's Link to HIV"
>
Sexual Abuse's Link to HIV
</a>
</li>
<li class="selected"
>
Why Has Family Planning Become Almost Invisible as a Public Health Issue?
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/sex_workers/?subsection_id=130"
title="Sex Workers"
>
Sex Workers
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/two_perspectives_hiv/?subsection_id=130"
title="2 Perspectives on HIV Testing"
>
2 Perspectives on HIV Testing
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/abortion_first_understand/?subsection_id=130"
title="Abortion: First, Understand"
>
Abortion: First, Understand
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/abortions_stigma/?subsection_id=130"
title="Abortion's Stigma"
>
Abortion's Stigma
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/abortion_debate/?subsection_id=130"
title="What's Been Overlooked in America's Decades-Long Abortion Debate?"
>
What's Been Overlooked in America's Decades-Long Abortion Debate?
</a>
</li>
<li class="navigation"
>
<a href="/2008/Spring/risk/surprise_pakistan/?subsection_id=130"
title="A Surprise in Pakistan"
>
A Surprise in Pakistan
</a>
</li>
<li class="navigation"
>
</ul>
<a href="/2008/Spring/risk/nafis_sadik/?subsection_id=130"
title="8 Questions for Nafis Sadik"
>
8 Questions for Nafis Sadik
</a>
</li>
<li>
</div>
<a href="mailto:editor@jhsph.edu"
title="Email the Editor"
>
Email the Editor
</a>
</li>
<td valign="top"
id="mainFeature"
>
</tr>
<table cellpadding="0"
cellspacing="0"
id="storyTitle"
>
table cellpadding="0"
cellspacing="0"
id="storyTitle"
>
<tr>
</table>
<td id="titleTableCell"
>
</tr>
<h1>
Why Has Family Planning Become Almost Invisible as a Public Health Issue?
</h1>
<p class="byLine"
>
By Amy Tsui
</p>
</td>
<div id="storyImageCaption"
>
<ul>
</div>
<li class="links"
>
</ul>
<a href="#"
onclick="window.print()"
title="Print"
>
Print
</a>
|
<a href="/2008/Spring/web_forms/SendPageLink.cfm?pageTitle=Why Has Family Planning Become Almost Invisible as a Public Health Issue?"
title="Email"
>
Email
</a>
</li>
<div id="storyText"
>
<p>
That's a good question, especially since the CDC named family planning one of the ten great public health achievements of the 20th century.
</p>
<p>
U.S. leadership in global funding of HIV/AIDS prevention and treatment programs has risen, while its support for contraceptive care programs has fallen. In the mid-1990s, the U.S. led the world in technical and financial support for contraceptive service delivery programs, but since 2002 White House requests for earmarked family planning/reproductive health (FP/RH) funding have either been flat or declined. While the president requested $30 billion for PEPFAR (upped to $50 billion by Congress), the FP/RH funding request in FY 2008 is only $302 million. U.S. foreign assistance averages only 65 cents per woman with contraceptive need.
</p>
<p>
So why should addressing contraceptive care for low-resource settings be more important than saving lives from the scourge of HIV/AIDS? Because family planning can help infected mothers who do not want more children to avoid transmitting the virus, protect couples from unplanned pregnancy and sexually transmitted infection, and provide young people with sexual health information and care that will serve them throughout their reproductive lives. Good public health focuses on prevention and equity, not just treatment. Today contraceptive use in one year in low-resource settings prevents 210.4 million unwanted births, which in turn prevents 34.2 million unsafe abortions, 10.5 million perinatal deaths and 687,000 maternal deaths. Are the lives of the 108 million women at risk of unwanted pregnancies each year less important than the 2.5 million people who may acquire HIV this year? If unwanted pregnancy was an infectious disease, do you think it would receive more attention?
</p>
<p>
<em>
</p>
<a href="http://faculty.jhsph.edu/default.cfm?faculty_id=1025"
title="Amy Tsui"
>
Amy Tsui
</a>
, PhD, is director of the
<a href="http://www.jhsph.edu/gatesinstitute"
title="Bill and Melinda Gates Institute for Population and Reproductive Health"
>
Bill and Melinda Gates Institute for Population and Reproductive Health
</a>
and a professor of
<a href="http://www.jhsph.edu/dept/pfrh"
title="Population, Family and Reproductive Health"
>
Population, Family and Reproductive Health
</a>
.
</em>
<div id="end"
>
</div>
</div>
<div id="activeLinks"
>
</td>
<div id="bookMarks"
>
<script type="text/javascript"
>
</div>
buildBookmarks();</script>
<ul>
</div>
<li>
</ul>
<a href="/2008/Spring/web_forms/priority_forum.cfm"
title="Online Forum: Sex, Health & the President"
>
Online Forum: Sex, Health the President
</a>
</li>
<td valign="top"
id="rightBar"
>
</tr>
<div id="Giving"
>
<h2>
Support JHSPH
</h2>
<p>
The Johns Hopkins Bloomberg School of Public Health strives every day to keep millions of people around the world safe from injury or illness.
</div>
<br>
<br>
<a rel="external"
title="Make a Gift"
href="http://www.jhsph.edu/giving/"
>
</p>
<img src="http://www.jhsph.edu/bin/a/p/make_a_gift.gif"
alt="Make a Gift"
>
</a>
img src="http://www.jhsph.edu/bin/a/p/make_a_gift.gif"
alt="Make a Gift"
>
<div id="news"
>
<h2>
Public Health News
</h2>
<p>
<a href=""
title="Rotavirus VaccineâA Powerful Tool to Combat Deaths from Diarrhea"
>
Rotavirus VaccineâA Powerful Tool to Combat Deaths from Diarrhea
</a>
</p>
<p>
<a href="http://www.jhsph.edu/publichealthnews/press_releases/2010/baker_china_disparity.html"
title="Significant Urban-Rural Disparities in Injury Mortality Seen in China"
>
Significant Urban-Rural Disparities in Injury Mortality Seen in China
</a>
</p>
<p>
<a href="http://www.jhsph.edu/publichealthnews/press_releases/2010/nachega_health_costs.html"
title="High Antiretroviral Therapy Adherence Associated with Lower Health Care Costs"
>
High Antiretroviral Therapy Adherence Associated with Lower Health Care Costs
</a>
</p>
<p>
<a href=""
title="Transmission Dynamics of H1N1 Similar to Previous Influenza Strains"
>
Transmission Dynamics of H1N1 Similar to Previous Influenza Strains
</a>
</p>
<p>
<a href="http://www.jhsph.edu/publichealthnews/press_releases/2009/zhang_antibiotic_tb.html"
title="Researchers Identify Tuberculosis Strain That Thrives on Antibiotic"
>
Researchers Identify Tuberculosis Strain That Thrives on Antibiotic
</a>
</p>
<p>
<a href="http://www.jhsph.edu/publichealthnews/press_releases/2009/carlson_brain_scan.html"
title="For Older Adults, Participating in Social Service Activities Can Improve Brain Functions"
>
For Older Adults, Participating in Social Service Activities Can Improve Brain Functions
</a>
</p>
<p>
</div>
<a href="http://www.jhsph.edu/publichealthnews/press_releases/2009/who_tobacco.html"
title="WHO Report Shows 95 Percent of Worldâs Population Not Protected from Secondhand Tobacco Smoke"
>
WHO Report Shows 95 Percent of Worldâs Population Not Protected from Secondhand Tobacco Smoke
</a>
</p>
<div id="searchTitle"
>
<h2>
Search
</h2>
</div>
<div id="Search"
>
<div id="searchWindow"
title="Search Window"
>
</div>
<div class="searchformDiv"
>
<form action="http://www.google.com/cse"
id="cse-search-box"
method="get"
onsubmit="loadSearch(this.q.value,this.cx.value,this.ie.value,this.as_q.value); return false;"
>
</div>
<div class="searchformContent"
>
<div class="hiddenItems"
>
<input type="hidden"
name="cx"
value="017423984450203939999:ifdaoajlq-m"
>
input type="hidden"
name="cx"
value="017423984450203939999:ifdaoajlq-m"
>
<input type="hidden"
name="ie"
value="UTF-8"
>
input type="hidden"
name="ie"
value="UTF-8"
>
<input type="hidden"
name="as_q"
value="inurl:http://magazine.jhsph.edu/ OR inurl:http://www.jhsph.edu/publichealthnews/magazine/"
>
</div>
input type="hidden"
name="as_q"
value="inurl:http://magazine.jhsph.edu/ OR inurl:http://www.jhsph.edu/publichealthnews/magazine/"
>
<input type="text"
id="q"
name="q"
class="textFieldInput"
value="Search"
onfocus="this.value='';"
>
onfocus="this.value='';"
>
<span class="buttonInput"
>
</div>
<input style="float:left;margin-left:4px;"
type="submit"
name="sa"
value="go"
>
</span>
input style="float:left;margin-left:4px;"
type="submit"
name="sa"
value="go"
>
<div class="searchOptions"
>
</form>
<div class="searchOption"
>
</div>
<input type="radio"
name="sOptions"
value="yes"
onclick="checkRadio(this.value);"
checked="checked"
>
input type="radio"
name="sOptions"
value="yes"
onclick="checkRadio(this.value);"
checked="checked"
>
<span class="Search_Text"
>
This section only
</span>
<br>
<input type="radio"
name="sOptions"
value="no"
onclick="checkRadio(this.value);"
>
input type="radio"
name="sOptions"
value="no"
onclick="checkRadio(this.value);"
>
<span class="Search_Text"
>
Entire site
</span>
</div>
<div class="hiddenDiv"
>
</div>
<div id="cse-search-results"
>
</div>
</div>
<div id="university"
title="Johns Hopkins University"
>
</div>
</td>
<tr>
<td id="bottomNav"
colspan="2"
>
</tr>
<div id="schoolLinks"
>
<a href="http://www.jhsph.edu/publichealthnews"
title="Public Health News Center"
>
Public Health News Center
</a>
|
<a href="http://www.jhsph.edu/"
title="Johns Hopkins Bloomberg School of Public Health"
>
Johns Hopkins Bloomberg School of Public Health
</a>
|
<a href="http://www.jhsph.edu/giving/"
rel="external"
title="Support JHSPH"
>
Support JHSPH
</a>
|
<a href="http://ocw.jhsph.edu/"
title="JHSPH OpenCourseWare"
rel="external"
>
JHSPH OpenCourseWare
</a>
</div>
<div id="compliantLinks"
>
</td>
<a href="http://validator.w3.org/check?uri=http://magazine.jhsph.edu/2008/Spring/risk/family_planning/default.cfm?"
title="XHTML"
rel="external"
>
XHTML
</a>
|
<a href="http://jigsaw.w3.org/css-validator/validator?uri=http://magazine.jhsph.edu/2008/Spring/risk/family_planning/default.cfm?&usermedium=all"
title="CSS"
rel="external"
>
CSS
</a>
|
<a href="http://valet.webthing.com/access/htnorm?url=http://magazine.jhsph.edu/2008/Spring/risk/family_planning/default.cfm?&suite=SECTION508&xslt=compact"
title="508"
rel="external"
>
508
</a>
</div>
<tr>
</table>
<td id="footer"
colspan="2"
>
</tr>
<div id="footerText"
>
© 2010, Johns Hopkins University. All rights reserved.
<br>
<a href="http://www.jhsph.edu/resources/web_policies"
title="Web policies"
>
Web policies
</a>
, 615 N. Wolfe Street, Baltimore, MD 21205, 410-955-6878
</div>
<div id="footerLogo"
>
</td>
<a href="http://www.jhsph.edu/"
title="Johns Hopkins Bloomberg School of Public Health"
>
</div>
<img src="/2008/Spring/_images/logo.gif"
width="208"
height="64"
alt="Johns Hopkins Bloomberg School of Public Health"
>
</a>
img src="/2008/Spring/_images/logo.gif"
width="208"
height="64"
alt="Johns Hopkins Bloomberg School of Public Health"
>
<script type="text/javascript"
>
//<![CDATA[
var gConvert=true;
var gFpc="WT_FPC";
var gDomain="esgwtdc.nts.jhu.edu";
var gDoms = "jhsphmag.nts.jhu.edu";
var gDcsId="dcsg0oz2v10000w4tmzc10kjv_9m8x";
if ((typeof(gConvert)!="undefined")&&gConvert&&(document.cookie.indexOf(gFpc+"=")==-1)&&(document.cookie.indexOf("WTLOPTOUT=")==-1)){
document.write("<SCR"+"IPT TYPE='text/javascript' SRC='"+"http"+(window.location.protocol.indexOf('https:')==0?'s':'')+"://"+gDomain+"/"+gDcsId+"/wtid.js"+"'><\/SCR"+"IPT>");
}
//]]>
</script>
<script type="text/javascript"
src="http://commprojects.jhsph.edu/_includes/js/dcs_tag2.js"
>
</script>
<script type="text/javascript"
>
var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www.");
document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));
</script>
<script type="text/javascript"
>
</body>
var pageTracker = _gat._getTracker("UA-2576482-2");
pageTracker._trackPageview();
pageTracker._setDomainName(".jhsph.edu");
</script>