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Ashley Judd

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Family Planning: It's Time to Welcome Men Into the Discussion

Posted: 07/12/11 03:18 PM ET

Yesterday, on World Population Day, the United Nations Population Fund officially launched 7 Billion Actions -- a campaign to raise awareness and action around our planet's growing population, which is set to reach 7 billion later this year.

The campaign is a wake-up call to the health, environmental, and social challenges associated with rapid population growth. It is also a wake-up call to the importance of voluntary family planning.

In 2011, more than 200 million women worldwide are still denied access to desired family planning services due to unavailable resources or lack of support from their husbands and communities. As a woman, I believe it is time to make universal access to family planning a global priority. And as a woman, I believe it is essential to welcome men into the conversation.

Why Family Planning?

According to World Health Organization statistics, approximately 1,000 women die every day from preventable causes related to pregnancy and childbirth. Over 99 percent of these maternal deaths occur in the developing world, in countries where a mother's death can leave children -- and entire families -- in a perilous scenario.

Many, if not the majority, of these women want smaller families but often do not know how to prevent pregnancies. During my travel as Global Ambassador for the public health organization PSI (Population Services International), I have personally met some of these women.

I remember Therese, a woman in the Democratic Republic of Congo, who was so desperate after having given birth to six children that she ingested poisonous herbs to terminate three different pregnancies -- leaving her in agonizing, life threatening pain. Her husband, Victor, watched each time in helpless fear. Like his wife, he had never been given information on family planning methods that could protect his wife and his family.

Their story is all too common and is a reminder that family planning communication must incorporate men into the equation.

Men and Family Planning

Research shows that men have a significant influence over women's reproductive health decisions in the developing world, especially in Africa. Men who receive education on sexual and reproductive health are far more likely to support their partner's decision on family planning.

Despite these facts, many family planning programs continue to follow the traditional woman-focused model, excluding men from research, service provision, and information campaigns.

A program in the Democratic Republic of Congo is addressing this problem, tailoring communication to reach men. Moreover, it uses an innovative and remarkably simple avenue to do so: the cell phone.

2011-07-12-VictorandTherese.jpg
Approximately 24 percen of women of reproductive age in the Democratic Republic of Congo have an unmet need for modern family planning. Victor and Therese (pictured) reached out as a couple for family planning services to protect the health and well-being of their family.

Reaching Men in the DRC

In 2011, 70 percent of worldwide cellular phone users live in developing countries. The World Bank has identified mobile phones as one of the most powerful ways to deliver health services and information to people living in remote areas, particularly in largely rural countries like the DRC.

PSI and its local partner, Association de Sante Familiale, saw a unique opportunity within these statistics and, in 2005, launched a family planning hotline in the DRC called Linge Verte.

Open 5 days per week, 8.5 hours per day, Ligne Verte provides free, accurate information on family planning and refers clients to family planning clinics across a wide geographic range.

Most importantly, Ligne Verte provides a safe, confidential zone for Congolese men and women to ask sensitive questions about family planning, as well as other sexual health concerns such as HIV.

To date, 84 percent of Ligne Verte callers have been men. Parallel PSI hotlines in other countries reflect similar statistics. In Benin and Pakistan, men make up 77 percent and 78 percent of callers, respectively, to national PSI family planning hotlines.

These numbers speak for themselves.

Family planning is not a gender specific issue. Men, as much as women, are interested in learning about ways to protect the physical and economic health of their families. They are asking questions and seeking answers.

It is our responsibility to listen and respond to them.

For more information on family planning:

2011 International Conference on Family Planning, Dakar, Senegal, November 29- December 2

7 Billion Actions Campaign

 
 
 
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HUFFPOST SUPER USER
Michael Dadtka
Grim
03:46 PM on 07/23/2011
It takes two to have children. Even in the West, men must be taught sex ed.
Bernique
Solar is clean, cheap and plentiful
10:13 PM on 07/17/2011
Thank you, Ms. Judd. A very important issue. Scary, too.
08:09 PM on 07/17/2011
Birth control is one of the very few things gov't should give away for free (including reversible vasectomies).
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thorrsman
Why should I define myself by quoting others?
09:12 PM on 07/17/2011
"reversible vasectomies" often aren't.
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HUFFPOST SUPER USER
FLECKENSTEIN44
Pointing out the hypocrisy of the Left and Right
09:22 PM on 07/17/2011
maybe but not abortion im 100% against government having anything to do with abortions and if people want one they need to fund it themselves.

But condoms,morning after pills and all that we need to make easier for kids to get cause when they do have sex at least they can be safe. im not saying kids should be having sex, they shouldn't and its wrong to have sex when your young and you really should wait till your older or married but condoms should be more available.
10:14 PM on 07/19/2011
I agree.
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HUFFPOST SUPER USER
WARHUKKER
“My country, right or wrong
05:54 PM on 07/17/2011
Tell the Iman's that instruct there people to have as many children as possible.
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HUFFPOST SUPER USER
Said One
05:36 PM on 07/17/2011
I agree 100% and a huge education drive is needed to inform people about

1) STDS - are a REAL fact of life - many, people just are so sexually unaware - rich, poor, educated, uneducated people - many just don't know or consider the impact STDS have on their health and quality of life.

2) Family planning is vital for many - people who are too poor to properly look after themselves let alone a child need information as well as people who may be able to afford a child but are not ready in other ways for the responsibility.

3) People need to know that they can own their own reproductive rights

4) Myths need to be dispelled - keeping a man through having a child is the quickest way to lose him for example and men can play a very active part in their own contraception and control of reproductive rights
tonybfine
fractional reserve lending is counterfeiting
03:58 PM on 07/17/2011
It is ironic that in a country like the Democratic Republic of Congo Ashley is seeing some progress, yet here in the Plutocratic Republic of the United States of America we are seeing regression on the very same issue. A lesson here is that both men and women need to support access to family planning, one way to do this here is to support Planned Parenthood. When I was a teenager in the 1960s they were concerned that the global population was reaching 3.5 billion. 7 billion is scary.
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thorrsman
Why should I define myself by quoting others?
09:06 PM on 07/17/2011
The American population only grows through immigration these days. To be certain, encouraging citizens to be irresponsible with the promise that the government will pay for their actions is pure foolishness.
HUFFPOST SUPER USER
pa104inf
09:15 PM on 07/17/2011
Why don't you use the proper word which is Abortion. While I think that Birth Control is a good idea even though I am a Catholic, I have a big problem with Abortion which is murder to me!
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HUFFPOST SUPER USER
FLECKENSTEIN44
Pointing out the hypocrisy of the Left and Right
09:23 PM on 07/17/2011
And i agree im all fine with condoms,morning after pills and all that but abortion is taking a life away of a unborn baby and im against that.
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10:50 PM on 07/17/2011
The proper word for family planning is NOT abortion. Family planning encompasses a range of methods to educate and allow women to control their fertility, the vast majority of which are perfectly legal contraceptive practices, measures against STIs and post-natal services.
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HUFFPOST SUPER USER
OtayPanky
You're welcome
03:55 PM on 07/17/2011
Ashley Judd: And as a woman, I believe it is essential to welcome men into the conversation.

---

You can't have it both ways, really.

If you believe that a woman has a right to terminate her pregnancy, because the fetus is merely an extension of her body, then you are de facto making this a woman's rights issue - and men don't have a real say in the matter either way.

That's my own belief, btw.

But the inevitable corollary is that family planning is also a woman's issue. If a woman chooses not to get pregnant, she won't. And if she does anyway, because of the failure of her birth control, she can abort.

Men may be more, or less, responsible. But women bear the burden of carrying, bearing and (too often) raising the child whether their men are responsible or not.

You can protest against that all you want, or invite men into some conversation all you want, but at the end of the day, biology is destiny.

Of course, if men had to bear the burden of pregnancy, childbirth and child rearing, the conversation would be entirely different.

But we're having this conversation on planet Earth, not Zandori.
04:45 PM on 07/17/2011
It's stated in the article that men have significant influence over family planning, particularly in Africa, and the more educated they are, the more likely they are to support their wives decision. Your comment "if a woman chooses not to get pregnant, she won't" makes me wonder if YOU have visited planet earth lately.
03:52 PM on 07/17/2011
There are not many problems in the world that can't trace back to overpopulation at its root,energy,food,pollution,deforestation,etc,etc.
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HUFFPOST SUPER USER
jabailo
(Participant) Texeme.Construct()
03:42 PM on 07/17/2011
99 percent of the control for having a child rests with women. The man is basically a catalyst. The man has seconds to make a go/no go decision while a woman has months.

Hence 99 percent of the responsibility should rest with women and they should drive the creation of support systems for their own benefit.
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HUFFPOST SUPER USER
jamenta
There are other human values besides greed
03:58 PM on 07/17/2011
Have you ever heard of the term "father"?

Just a shot in the dark ...
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HUFFPOST SUPER USER
Yvetter
08:09 PM on 07/17/2011
Many men who sleep around and get women pregnant are not fathers. They don't stick around or take responsibility for what they helped create. They are mearly sperm donors who brag about having kids but do nothing for them. A woman should never be forced by any man to concieve and have a baby if she doesn't want to. It is not 99 percent the womans right to decide. It is 100 percent the womans right to decide.
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thorrsman
Why should I define myself by quoting others?
09:10 PM on 07/17/2011
Have you heard the term "sperm donor"?

For far too many First World women today, that is what men are. A relationship that actually last long enough to exchange family names is becoming more unusual among the younger generation. We old folks--why, I'll be lucky to see another fifty or sixty years, myself--hold standards that the teens and twenties set seem to disdain.
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HUFFPOST SUPER USER
Said One
05:51 PM on 07/17/2011
Nonsense - men can use vasectomies, and condoms to ensure that they own their reproductive rights - also take the current gf/partner etc to a doctor and watch that she gets the contraceptive jab - there are really many ways that men can own their own reproductive rights and not be caught by an STD or child support or both
03:42 PM on 07/17/2011
wildcats blow...
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03:27 PM on 07/17/2011
Until the US can put a drugstore at every dirt road intersection in the undeveloped world, they may have to practice birth control the old fashioned way..... but that may be asking too much just to save themselves from starvation. In our own welfare culture, the monetary incentive to reproduce contributes to the problem. Making inroads in the population problem may require some politically incorrect discussion first.
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HUFFPOST SUPER USER
jamenta
There are other human values besides greed
03:48 PM on 07/17/2011
The only welfare I see going on in this country - is the welfare the super rich are enjoying - where 1% of them now control more American wealth than 95% of Americans at the bottom. Where huge corporations are not only not paying US taxes, but are receiving billions back from our government.

The welfare that's going on is the welfare to CEOs and Wallstreet - where ordinary American workers are not being payed a fair honest wage at the end of the day - where the lions share of profits from business and labor are going to a relatively few obscenely rich individuals.

The rich are not the ones who create wealth in this country. The wealth creators are the ordinary Americans who go to work every day for their families. Without Labor - there would be no Capital. LABOR IS PRIMARY and more important than Capital.
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04:44 PM on 07/17/2011
I agree with much of what you say but I think you may have missed the context of the comment as it relates to the article. I'll have to assume you don't get around much but I can say that AFDC(aid for dependent children) is a well known and over-utilized form of public assistance in the US that will provide a "check"(the vernacular in the culture) for each birth, frequently illegitimate. This and other forms of assistance have become more a way of life than the safety net they were intended to be.
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HUFFPOST SUPER USER
FLECKENSTEIN44
Pointing out the hypocrisy of the Left and Right
09:26 PM on 07/17/2011
ohh please the last time i checked the rich aren't sucking up tax payer's safety nets. (some are yes but alot aren't) welfare and services like that was made to help middle class Americans that hit some bumps on the road. not to support someone from cradle to grave.
HUFFPOST SUPER USER
janalyce
03:07 PM on 07/17/2011
Whenever I say that we need to voluntarily reduce world population--please note the word "voluntarily"--I get accused of everything from racism to genocide to wanting to "exterminate the human race."

All from suggesting that we encourage people to have fewer children. Not mandate. Encourage.

This article shows that many women would like to have fewer children....and rightly adds that men often want to be involved. A woman who bears three children instead of six has more resources to keep those children healthy.....and the same is true of her husband.

We are moving out of the era when disease, war, drought and famine often made it hard to keep ANY children alive. But those killers are waiting in the wings, to reappear with a vengence if we overrun the natural resources at our disposal....and these day, we can't migrate to somewhere else when that happens. The whole planet is feeling the strain now. There's nowhere to go.

It is not "genocide" to let women and men plan their families. A world wide reduction in population from 8 billion to 4 billion, over three or four generations, is not a plan to "make humanity extinct."

Popultions WILL drop. We can do it ourselves, in a planned way that benefits our children, their children and our planet....or we can wait until we are slaughtering each other by the millions, not for oil but for food and water, with disease waiting to decimate the victors.
wsdave
Abusive or Insulting? I won't be responding.
03:50 PM on 07/17/2011
"A world wide reduction in population from 8 billion to 4 billion, over three or four generation­s, is not a plan to "make humanity extinct."

Agreed. But it would realistically take 6-7 generations to get down there. Folks just aren't dying as fast as they used to.
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HUFFPOST SUPER USER
Lulo
Lord Snarkist I of Aragon
04:43 PM on 07/17/2011
Jerry Maguire opened in 1996.
HUFFPOST SUPER USER
janalyce
10:28 AM on 07/19/2011
I've never seen the movie, so I don't understand the connection.....
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HUFFPOST SUPER USER
jamenta
There are other human values besides greed
02:12 PM on 07/17/2011
Without jobs, and increasingly an overworked labor base - I'm not sure how much "meaningful" family planning can take place.

I've admired Ashley ever since I first saw "Ruby in Paradise" - and like what she writes here. But to me, by far the overwhelming issue we face right now is crushing economic exploitation by the haves over the have nots. Until this fundamental crisis is addressed in our society - I fear not much more will be accomplished with other important human values.

The oppression of money and power, to the point where millions of American men and women now struggle increasingly - 10% unemployed, 10% under-employed, wages that have not been increased since the 1970s - life ruining costs for health care, unaffordable homes - etc. means that many families are in the quicksand right now and sinking. And while you're in the quicksand, you're first priority is to somehow not sink into oblivion. That has become increasingly more the crisis facing millions here in America -
HUFFPOST SUPER USER
janalyce
03:10 PM on 07/17/2011
And having more children will make things better in what way?

This is not an either/or situation. It's not a "first we do this, than we do that" situation. You think things are hard when gas is $4 a gallon? Do nothing to ease the population pressures on the planet, then see what life is like when drinking water is $4 a gallon.

We need to work on all these situations. We need to work hard. We need to work now.
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HUFFPOST SUPER USER
jamenta
There are other human values besides greed
03:23 PM on 07/17/2011
We need to get out of the quicksand first. First things first. If we dont' get out of the quicksand, not much else will matter.
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Maezeppa
Happy-Happy Joy-Joy
03:45 PM on 07/17/2011
Family planning will reduce the competition for jobs. Fewer people will equal out to less ferocious competition for resources.
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HUFFPOST SUPER USER
jamenta
There are other human values besides greed
04:55 PM on 07/17/2011
My point here is that the current economic stranglehold the wealthy now have over our economic system has reached a level where it threatens any kind of reasonable "family planning", or an acceptable quality of "family" life. And that I do not think you can reasonably ignore this threat if you want some kind of viable "family planning" choices.
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Marlyn
If I'm wrong, let me know.
01:57 PM on 07/17/2011
"essential to welcome men into the conversation" ???

Yes. Allow men as well as women the right to terminate a pregnancy, for ANY REASON.
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tnkeating
Dyslexic agnostic insomniac
02:56 PM on 07/17/2011
Well, your micro bio says it all.
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Maezeppa
Happy-Happy Joy-Joy
03:46 PM on 07/17/2011
That right will always be the exclusive provenance of women.
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PalaceOfWisdom
Want gun control? End the MIC
01:11 PM on 07/17/2011
I'm glad to see this seldom expressed sentiment that men should be involved in family planning. Our choice for or against parenthood is far more limited than a woman's (in the developed world) and it's time we were acknowledged. Now if the glaring inequities concerning father's rights could be addressed, we could make real progress for the millions of men whose role in both creating and caring for their children has been marginalized. That's without even getting into the phenomenon of "oops" pregnancies.
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blue rylie
I'm Prochoice Because I'm a Mom
02:22 PM on 07/17/2011
I do think men are largely marginalized for their role in parenting and I'm absolutely on board with men having an active role in parenting, parenting decisions, and all things surrounding whether or not to have kids. The only line in the sand that needs to be drawn is birth vs. abortion. Since it is not the man laying on the table, risking their health and wellbeing, and signing the medical consent forms the man can't make that final decision. Now, that's not to say that his opinion and beliefs and desires shouldn't be taken into account. I think all couples who are engaging in any activity that can lead to a child should be having open, honest, and respectful communication. Men should have a say, and in many things they do, but when it comes time to lay down on the table, only the woman does that.
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HUFFPOST SUPER USER
Lulo
Lord Snarkist I of Aragon
04:53 PM on 07/17/2011
Agree on all.

But in that line in the sand LIES the main problem: The decition to be a father and to pay for that child is removed from him. I 100% understand your view and BY NO MEANS I am an arguing against any of its points, but the equation breaks down...every....single...time... when it gets to that juncture.

If you give the option for fathers to "be" or "not to be fathers" at some level of equal footing with a woman, then you would end up with a massive chaos even worst than now as men every where would be free to walk away without repercussion. The "biological difference" then becomes a burden on the woman, regardless of choice.

If you do not give the option to the father (which is how it is today), then you end with the current injustice of taking that "choice" away from him and subjugating his future the choice made by the woman.

In a society that strives to reach "equality" level between it is assumed two adults make a choice to have sex aware of the consequences. Yet, here in America, the culture and the laws still places the "guilt" on the man side while at the same time not giving him equal rights. This is actually due in great part to fairly backwards and traditionalist view of the roles.