Inclusive Family Planning Towards The Achievement Of Agenda 2030 The Case Of Slum Households In Yeka Sub-city Of Addis Ababa

The international community has long agreed that every individual has the right to health,rnand that Reproductive Health including Family Planning is a fundamental right of allrnpeople. The rights-based approach of Family Planning calls on providers and programsrnto focus on the needs of hard-to-reach and marginalized groups, removing unnecessaryrneligibility requirements that exclude clients based on age, marital status, etc. andrnincorporating interventions at the policy, community, and individual levels.rnContraceptives are available in Ethiopia. Persistently high fertility rates indicate thatrnwomen fail to use effective contraceptives. Drivers for use of inclusive family planningrnservices need to be identified in order to enable more Ethiopian women to access andrnutilize contraceptives. The Sustainable Development Goals Report 2018 shows that, inrnsome areas, the progress is insufficient to meet the Agenda‟s goals and targets by 2030.rnThis is especially true for the most disadvantaged and marginalized groups like urbanrnslums. Therefore, this study has examined the level of family planning utilization and therndrivers of inclusive family planning in urban slums. The study evaluated the approach andrncontribution of family planning intervention model in enhancing the livelihood of urbanrnslums. The study was conducted in the slum area of woreda 4 with in Yeka sub-city ofrnAddis Ababa. For this purpose, 287 women of reproductive age group were selected fromrnthe slum areas using multi-stage sampling technique and survey was conducted.rnDescriptive method was employed to analyze the level of family planning utilization andrnthe drivers of inclusive family planning. In addition to the survey, key informant interviewrnand direct observation were also employed to further explore and triangulate the datarnobtained about the drivers of inclusive family planning and to evaluate the familyrnplanning intervention model. The study revealed that the level of family planningrnutilization by the slum households was very low. The most important drivers of inclusivernfamily planning were found to be Media, Availability of facilities and family planningrnmethods, Individuals‟ behaviors and attitudes, Government support, donor support, nongovernmental and public–private partnerships and the Health Extension Program andrnYouth friendly clinic (e.g. Privacy). The study revealed that there are a number of gapsrnand challenges observed in the family planning intervention model some of which are lackrnof training of service providers and Urban Health extension workers, lack ofrnaccountability by the Urban Health extension workers, the Urban Health extensionrnProgramme being not fit for purpose and doesn‟t capture the dynamics of social problem,rnabsence of multiple service delivery channels, lack of peer led approach at the facility,rnvery low policy support for community engagement in slum area, government not giving arnpriority to FP which implies sectorial level marginalization besides to the community levelrnmarginalization in the slum area and others. The study forwarded recommendations forrnthe government, policy makers, service providers and different partners working on FP tornconsider and to work for better access and utilization of family planning and mostrnimportantly for inclusive family planning service which will hasten the progress towardsrnthe achievement of Agenda 2030.

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