Family Planning Services in Africa: The Successes and Challenges

The world population is on the increase, and the majority of this increase will be from sub-Saharan Africa (SSA). It is estimated that by 2030 the population of Africa will rise to 1.3 billion. Published peer-reviewed journals, abstracts, Gray literature (government documents, technical reports, other reports, etc.), internet articles and Demographic and Health Surveys (DHS) reports were used as resource materials. Manual search of reference list of selected articles was checked for further relevant studies. Family planning (FP) programmes that started in 1960s across SSA have made steady progress with contraceptive prevalence rates still very low and unacceptably high unmet need. Despite near universal knowledge on contraceptives, there is an obvious knowledge-practice gap. There are barriers, personal, religious and community levels, to contraceptive use. Contraceptives have a lot of benefits to the mother, child and community. Thus, there is a need for publicity campaigns through information, education and communication (IEC) to address social and cultural barriers to FP including misconceptions and misinformation. Contraception should be vigorously promoted in SSA not only for its demographic dividends but also on socio-economic and health grounds and the attainment of sustainable development goals (SDGs).