Step UP Strengthening evidence for programming on unintended pregnancy

STRENGTHENING EVIDENCE FOR PROGRAMMING ON UNINTENDED PREGNANCY

Collaborating to generate policy-relevant research
that reduces unintended pregnancy

STEP UP (Strengthening Evidence for Programming on Unintended Pregnancy) is a six-year research program that accelerates progress toward achieving MDGs 4 and 5 through strengthening evidence-based programming for reducing unmet need for family planning and safe abortion services. The STEP UP Research Program Consortium (RPC) generates policy-relevant research that promotes the use of an evidence-based approach for improving access to family planning and safe abortion services, reducing unintended pregnancy in target countries in Africa and South Asia.

The roles of the consortium's six partners include the following:

Population Council, primary partner
Nairobi, Kenya

    • Manage RPC and subcontracts
    • Liaise with DFID
    • Implement research, utilization of findings, and communication
    • Coordinate communication of RPC findings to the global development community

African Population and Health Research Center (APHRC)
Nairobi, Kenya

    • Ensure activities in sub-Saharan Africa address regional and national priorities
    • Ensure efficiency of national research and research-utilization capacities
    • Tailor communication and knowledge utilization to the needs of local stakeholders

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B)
Dhaka, Bangladesh

    • Ensure activities in South Asia address regional and national priorities
    • Ensure efficiency of national research and research-utilization capacities
    • Tailor communication and knowledge utilization to the needs of local stakeholders

London School of Hygiene & Tropical Medicine (LSHTM)
London, United Kingdom

    • Ensure research builds upon existing knowledge base
    • Ensure research addresses information needs around unmet need for family planning and safe abortion
    • Ensure all research is of the highest technical quality
    • Coordinate communication of RPC findings

Marie Stopes International (MSI)
London, United Kingdom

    • Ensure quality and appropriateness of all family planning and abortion service delivery and health financing models
    • Ensure strong management information system to support rigorous monitoring and evaluation
    • Develop and implement interventions or provide technical assistance through MSI's service-delivery networks

Partners in Population and Development (PPD)
Dhaka, Bangladesh

    • Engage with key policymakers to identify demand-driven research agenda that has stakeholder commitment
    • Build capacity of policymakers to use research results
    • Communicate research findings through linking policymakers in Africa and Asia

Collaborating to generate policy-relevant research
that reduces unintended pregnancy

Population Council

The Population Council confronts critical health and development issues—from stopping the spread of HIV to improving reproductive health and ensuring that young people lead full and productive lives. Through biomedical, social science, and public health research in 50 countries, we work with our partners to deliver solutions that lead to more effective policies, programs, and technologies that improve lives around the world. Established in 1952 and headquartered in New York, the Council is a nongovernmental, nonprofit organization governed by an international board of trustees.

The Population Council is the coordinating partner of the RPC.

Address: One Dag Hammarskjold Plaza, 9th floor, New York, NY, 10017
Phone: +1 212 339 0500; +1 877 339 0500
Fax: +1 212 755 6052
Website: http://www.popcouncil.org

African Population and Health Research Center (APHRC)

The APHRC is a nonprofit, nongovernmental organization established in 1995 and located in Nairobi, Kenya. It seeks to promote the well-being of Africans by conducting policy-relevant research on population and health issues facing sub-Saharan Africa.

Address: APHRC Campus, 2nd floor, Kirawa Road, off Peponi Road, P.O. Box 10787-00100, Nairobi, Kenya
Phone: +254 20 400 1000; +254 20 266 2244; +254 20 266 2255
Mobile: +254 722 205 933; +254 722 205 933; +254 720 098 388; +254 733 410 102
Email: info(a)aphrc.org
Website: http://www.aphrc.org

International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR, B)

The ICDDR,B is an international health research organization located in Dhaka, Bangladesh. The ICDDR,B works to translate research into treatment, training, policy advocacy, extension activities, and program-based activities.

Address: GPO Box 128, Dhaka 1000, Bangladesh
Phone: +88 02 8860523-32
Fax: +88 02 8819133; +88 02 8823116
Email: info(a)icddrb.org
Website: http://www.icddrb.org

The London School of Tropical Medicine and Hygiene (LSHTM)

The LSHTM is a institution for research and postgraduate education in public and global health, and is engaged in collaborative research activities around the world. The LSHTM focuses primarily on research in Africa, and houses multidisciplinary experts specializing in fields such as epidemiology, statistics, social science, molecular biology, and immunology.

Address: Keppel Street, London WC1E 7HT, UK
Phone: +44 0 20 7636 8636
Fax: +44 0 20 7436 5389
Website: http://www.lshtm.ac.uk

Marie Stopes International (MSI)

MSI is an international family planning organization with sexual health centers located in 40 countries across the world. Headquartered in London, MSI provides men and women with health services such as family planning, safe abortion & post-abortion care, maternal & child healthcare, diagnosis & treatment of STIs, and HIV/AIDS prevention.

Address: 1 Conway Street , Fitzroy Square, London, W1T 6LP, UK
Phone: +44 0 (20) 7636 6200
Fax: + 44 0 (20) 7034 2369 
Email: info(a)mariestopes.org
Website: http://www.mariestopes.org

Partners in Population and Development (PPD)

PPD is an intergovernmental initiative launched in 1994 at the International Conference on Population and Development. It comprises country members from across the world, and was created for the purpose of expanding and improving South-South collaboration in the fields of reproductive health, population, and development. 

Location: IPH Building (2nd Floor), Mohakhali, Dhaka-1212, Bangladesh
Mailing address: PO Box 6020, Gulshan 1, Dhaka 1212, Bangladesh
Phone: +88 02 9881882; +88 02 9881883; +88 02 8829475
Fax: +88 02 8829387; +88 02 9880264
Email: partners(a)ppdsec.org
Website: http://www.partners-popdev.org

 

What's New

    New journal article: Despite the steep increase in contraceptive prevalence rate (CPR) in Bangladesh since 1975, nearly a third of pregnancies are still unintended. This literature review -- Contraceptive practices among married women of reproductive age in Bangladesh: a review of the evidence -- examined contraceptive use among married women of reproductive age in Bangladesh and found that method discontinuation and switching, method failure, and method mix may be offsetting achievements in the CPR. The article concludes that government and independent bodies must renew their commitment to implement and monitor family planning strategies as a means to ensuring adherence to and provision of the most appropriate contraceptive method for couples.

    New journal article: This article, The Challenges Posed by Demographic Change in sub-Saharan Africa: A Concise Overview, presents a regional overview of some of the main challenges posed by the huge demographic change sub-Saharan Africa has undergone in the twenty-first century (and will experience going forward). According to the UN Population Division, 35 years from now the population of Africa will be around 22 percent of the global total. The way that associated challenges are faced may have high stakes both regionally and globally. This article examines challenges of pressure on health and education provision, food security and agriculture, urban living conditions, employment and livelihoods, and intra-regional migration.

    New research report: In Bangladesh, early marriage and childbearing have led to an adolescent fertility rate that is among the highest in the world. This study, Expanding access to integrated family planning intervention packages for married adolescent girls in urban slums of Dhaka, Bangladesh, implemented and evaluated the efficacy of three interventions on reducing unintended pregnancy and unmet need for FP among married adolescent girls in Dhaka slums: (1) formation of a married adolescent girls’ club, (2) strengthening brac community health volunteer (Shyastha Shebika) activities on family planning counselling, and 3) involving government marriage registrars (Kazis) in FP service promotion. The girls’ clubs were strongly well-received and were effective in enhancing knowledge and support throughout the community on issues of unintended pregnancy and FP. Both the girls’ groups as well as the activities of Shyastha Shebikas were seen to significantly increase contraceptive uptake, and were mutually reinforcing of one another’s activities.

    New Evidence brief: In Senegal, abortion is illegal unless the life of the mother is endangered. For the past several years there has been increasing public discussion and advocacy surrounding the question of revising this law. Yet throughout this process, the voices of women who experience unintended pregnancy following rape or incest have not been heard. This Evidence Brief -- L’expérience de femmes ayant subi une grossesse non désirée au Sénégal: Une étude qualitative -- summarizes a study that documented the experiences of some of these women as a way of adding their voices to the discussion and to offer evidence in advocacy for revision of the law.

    STEP UP extended for two years: We are pleased to announce that DFID has approved a two-year extension of the STEP UP RPC. During this period, our focal activities will include work on the measurement of unintended pregnancy, education sector responses to early and unintended pregnancy, and access to menstrual regulation and post-abortion contraceptive services. In addition, the RPC's efforts will reflect an increased emphasis on facilitating the uptake of the evidence generated by the program over the past six years.

    Activity update on supporting girls’ re-entry into school after pregnancy in Kenya: Schools have a key role to play in both enabling adolescents to prevent unintended pregnancy as well as supporting their re-entry into school after giving birth. An interview with STEP UP researcher Chi-Chi Undie was recently published by Newsdeeply in which she discusses STEP UP research on adolescent pregnancy and school re-entry in Homa Bay and a related proposed bill currently being debated in parliament in Kenya, the Care and Protection of Child and Parents Bill. Chi also tackles the question of what needs to come first when seeking to improve girls’ learning achievement in areas where dropout rates are high in this blog post—Is girls’ enrolment the chicken or the egg?—on the UNESCO IIEP Learning Portal.