National Strategic Plan for Sexual and Reproductive Health 2019-2023
- Records contraceptive use barely moving in five years, 31 percent in 2012 against 32 percent in 2017, while unmet family planning need rose from 35 to 38 percent, so demand grew faster than supply.
- Notes modern contraceptive use among women aged 15 to 49 in union reaching only 34 percent despite universal knowledge of modern contraception at 100 percent, which locates the constraint in access rather than awareness.
- Records use rising from 22 percent in 2000 to 32 percent in 2017, a 10-point gain over seventeen years.
- Finds the fertility decline not explained by adolescent behaviour alone, with the share of 15 to 19 year olds having begun their reproductive life falling from 14 percent in 2012 to 10 percent in 2017.
- Records HIV prevalence among pregnant women at 1.4 percent in 2016-2017, down from above 3 percent in 2012, with syphilis prevalence estimated at 5.8 percent on 2012 sero-sentinel surveillance.
- Reports conflicting mother-to-child transmission figures and gives both: 5.6 percent on MESI data against 9.1 percent presented by the CARIS Foundation at a 2017 workshop.
- Records service availability as the binding constraint: of 1,007 health institutions surveyed, only 46 percent provide HIV testing and 16 percent antiretroviral treatment.
- Notes 45 percent of deliveries assisted by a doctor among those with skilled attendance, and 54 percent of pregnant women receiving pre-test HIV counselling.
Prepared by the Direction de la Santé de la Famille of the Ministry of Public Health and Population and dated March 2019, this plan sets an overall objective of improving sexual and reproductive health and respect for the associated rights of women, young people and adolescents. Its framing argument is that reproductive-health indicators serve two purposes at once: as a barometer of the population's health, and as a measure of a country's capacity to meet its people's essential needs - maternal and child mortality in particular are increasingly read that way. On that basis the plan restates the reduction of maternal and infant mortality as a ministry priority, carried both through the National Health Policy and through this plan. The document proceeds from the context of its own preparation to a situation analysis, including the socio-demographic setting, before setting out its strategic content. It is the standing sectoral plan for reproductive health over 2019-2023 and the reference for reading later program and donor activity in this area.
How to cite
Ministry of Public Health and Population (MSPP), National Strategic Plan for Sexual and Reproductive Health 2019-2023, https://oldwebsite.mspp.gouv.ht/wp-content/uploads/Sant%C3%A9-Sexuelle-et-Reproductive.pdf