A looming election joining me Steve Clemons in conversation with leading voices on the bottom line your weekly take on u. S. Politics and society on aljazeera. Say theyre welcome to the stream home edition hi im josh rushing sitting in for femi ok now look at youre watching this on the you tube live stream i need your help to that chat box over there thats a live chat box theres actually a stream producer in there right now waiting to get your comments and questions to me so i can get into our experts that are in the show today and it could not be a more important show were talking about Family Planning tearing coated in 1000 im going to queue right to my computers to show you a table here now its not a its not a pretty picture but it is an important picture i want you to look right down here at this number 6 months of lockdown will what happens if were in 6 months and lockdown is this is the estimated number of women not able to use modern contraceptives 47000000 women and now this is from about 114 low to mid Income Countries already 7000000 women there will not be able to use modern contraceptives because of 6 months of lockdown this is from the u. N. F. P. A. And why is that important because it could lead to an estimated and this is the number over here in the column on the far right 7000000 unintended pregnancies now let me add some more numbers to this and again this is from the u. S. U. N. F. P. A. That if the lockdown goes for 6 months we can expect over the next 10 years 31000000 more cases of gender based violence 2000000 more cases of female genital mutilation and 13000000 more cases of Child Marriage now weve got in a lot of video comments from our community were going to go to those right now check this out. And until this is it now has been nothing but this pandemic im not down and this is the limitation of so this isnt because of lack of. Good pro i do this fear of losing Health Facilities that gov supplies for contraception closure of some of the into you and nonprofit clinics that as many stops supply chains continue to be disrupted and distribution is not what it used to be and women and men understandably still have concerns about visiting pharmacies and Health Care Providers to access their family plan. You take that compounded with the Economic Uncertainty used and we are concerned that there will be a lot of unintended pregnancies as a result we have seen women in their adolescence unable to reach Family Planning services we have seen say Propulsion Services suspended considered not essential in these times of crisis yet we know from talking to women that these services are essential so we need to Work Together as an International Community now to make sure that we did live at the services to women. International weve been trying to scale up access to telemedicine by continuing rule nabl out which program and by working with governments to make sure that these Family Planning services consider it an integral part of the cave it was spawns. To discuss this were joined by the executive director of Family Planning which will each wave thats lecture about how are you today can you tell me 1st what is the only plan a 2020 and then tell me why baby planning is so important expression. That and dip. Thank you so much for having us on today and for opening up this really critical topic so 1st of the 2020 is a Global Partnership that came together 8 years ago to put a focus on access to contraception as a Priority Development to the jetty for countries to help countries to meet their own goals for providing access to contraception its always challenging because access to contraception isnt just a Service Delivery issue and were seeing the disruptions of Service Delivery around the world right now because of covet but its also importantly a social issue a family issue and a cultural issue and so women face challenges in reaching access to contraception even the best of times because even if supply chains are working and a range of contraceptives are available they may face other restrictions to access that or because maybe families dont believe in access to contraception maybe young girls arent allowed to get those services or there are a lot of pressure put on young women as well so at the 2020 was put together to help everybody to solve these cultural and systemic challenges that death impeded access to contraception women and girls around the world. Thank you but they were actually joined by 2 Health Care Experts on the front line a doctor from zambia dr natasha. Yes it is. When youre part of copper rose can you tell me about copper rose. So far as sales lead organization that where extreme prove the lives of women and young people and we do programming in section are productive how if we do programming and Menstrual Health management economic and parliament programs as well as leadership and mentorship so radio agriculture young people that just want to. Be fine zambia speaking to young people oratory by a look in kurdistan. With a peer to peer educator can wonder what we were here last name of them to tell me about the organization that youre with. A i am a soul but to go you know so im going to have an invention is forever if i can help the lines of. So briefly if i will tell about our vision its not. A hole so you. Can reach. Or the fire can combination to young people and not only about this i dont char actually be patient and also the planing we have our. Basic sexual rights all woman in. Gold. And mens so look what were some of the challenges in doing that before called in that it was cool be changed. Oh it was challenging cultural and its a really shame to talk about that actually never i have tried and its also challenging to educate all this actually to cation in school and before it was challenging. Because we were going to have this conversation. That organisation. Was that old well now we dont tell ending because we wanted x. And that young people from the rural areas for example as before because of the illegal length of their Internet Connection at all because of the length of their brains they are all. Lets review a tweet from someone in our community here this is omar faruq who says. People need to have access to all the Health Care Services are pursuing these are probably financed theres no better time for lower middle Income Countries to adopt performance based financing to solve the issue of financing and access to services. What are some of the challenges that you face in getting out the message about billy planning as ambien it was go big change that. The biggest challenge really is trust it was ambience declared christian nation and so we usually get a lot of really just push back because people want to use social and cultural norms to determine what decisions women make about their bodies well that is good enough what can i say penetration of crummy planning but sometimes many young people or just any precedent is afraid to go because of their many misconceptions so there is stick my around from any planning say its in terms of coping and i would say that what he does and inspect it has reduced the penetration because 1st of all people are afraid of hospitals so even if the host reserves are open and services are being provided people are just after 8 to go there because they have to wait they make it they might sit next to someone. Was waiting to be attended to whats called the done so people are seeking these services a lot less also has been a deeper at times nation of things like Family Planning because Health Care Providers are being taken to do screening and many other things so what the authorities are doing is theyre now being able to provide maybe 3 months supply so that people can reduce their its. Part i think of all these things the hardest thing and the biggest challenge is just how people are unable to access information because our trajectory which is our stock completely and we may think lets go digital but in a lot of there are communities we have to get in Digital Infrastructure youve been as we think of Going Digital. Speaking to Going Digital natasha i have a clip from a video that you guys together which looked at. It once to get rid of the baby otherwise his uncle. I dont know what did. Thank you dont call my baby a thing kind of the truth. David will marry you because youre pregnant. How girls. Could i speak to you for a moment. Yes please dont tell my parents very. Dont drink some concoction you know nothing about come to the clinic we will discuss options such as keeping the baby adoption to me nation can i think im sure you can i really appreciate it. So the times are you going to be about by divine creating a video like that and then what kind of response have you gotten. Bad idea is to start to share all of this information on social media platforms because a lot of people are online even though a country is there for this people well Trained Group even reach the people that we have the information so that you know talks about someone having an unplanned pregnancy and just talks through some of the options but sometimes a lot of these discussions have very heavy in the sense that people are telling people what to do and what not to do and so we thought animation is something which can relate to a young person and or depression but also shares the options in a way thats lists has a list are going to and weve gotten it really Quick Response and a lot of people have been messaging us and so were using some of these tools to also restraints people for services that they may need during a time such as this. Well look were going to some comments in our youtube chat room here. Is so true im dead scared to go to the hospital during this covert season so thats going to be one element that you have to deal with people scared to Access Health care facilities because it may be we have another comment this as well if were not careful of the side effects as far as causing couldnt up more damaging than the virus itself all types of health care need to be easier to access at this time not heard or hearing courtesy of look what are some of the things youre doing to help people get access to health care. So we are. All men and. Them expand on these and search our service in our country you know all its. Heart because i do think. That we have. Is hearing approaches and all the doctors. Whether if i. Go into separations they go into there and zones to roar and to. Have. Medical specialists on the bases on the rural areas want to be we are free now its to our why didnt online consultation stalls in social media is instagram my organization personally. Genealogists clean then dont turn from the beginning of the star. To all we think twice of course the pieces we need that matter and so on by doing this totally coming this not all the women get access and our. Working with that story government to not forget about how they have Family Planning issues to not get all of that and sort of char issues. In this time and yeah. A little patience and whore. I want to come in on the back of that look with another video from our community this is from michelle look at shes a Research Fellow at the London School of hygiene and tropical medicine that. Access to Family Planning for refugees was already its challenge before the ban to make strict lockdowns and disrupted services and or in the made it enjoyed in many primary Health Centers outside refugee camps closed during the lockdown leaving women are unable to access contraception during this period more than half a Family Planning nice to be recognised as vital to Womens Health and wellbeing changes must be made to house absent electorate and must become the norm to do it especially dispensed Family Planning services to provide for new video appointments and to continue to provide families with information on hunches section options despite the tension mick Family Planning is not an add on its like i say. In our youtube live chat liz i want you know i hear you say the video is fantastic really great work i want you to know if you go look up copper rosie and be on facebook we just show 42nd so well video thats like 2 or 3 minutes long so you can check out the whole thing there beth i want to bring you back into the conversation here were talking a kurdistan and zambia with natasha and ruth but this is really a global issue that touches just about every country in the world can you put this in a little bit of clan. A little bit of perspective for us and i do have a comment a says whats the long term fallout of lack of access to contraception mean for women and girls. Well the long term fall out is going to are going to feel it at the individual level women and girls themselves are going to have more unintended pregnancies which on a personal level means baby girls wont be allowed to continue in school for women who are having back to back pregnancies that have less ability to recover physically emotionally and financially between pregnancies which has an impact on their own health as well as the health of intense and their families overall so you can see a Health Impact thats at the family level which then has an impact on the Community Level because youre less able to engage less able to earn money and at the country level as well then these impacts continue to build so when were looking at access to contraception it really has an impact on all levels of family and economy both at the personal level again and then at the country level so what were trying to do is ensure that supply chains continue to flow so that commodities themselves remain accessible and tosh talked about how difficult it is right now to continue to have access and to have access safely but in many places what were seeing as well is that the commodities are no longer available either because production stopped at the factory Level International shipping has been disrupted the ability to get commodities into a country and then delivered all the way out to world communities every step has become more complicated because of covet and so when you add all of that it means less access and again at that personal level it means that women may not be able to manage their reproductive lives as they would have wanted to especially for young people and this is where natasha stories are so important thats where were seeing really a lifetime impact if a young woman cant determine whether or not she wants she can get pregnant or not. You know we have another video comment from our community this is from prashant yet of he is a senior fellow and professor in washington d. C. Medicines jet attention from global and local agencies contraceptives and profit Home Products are often neglected and this creates respect me undermine. The supply chain for contraceptives and. We can solace through concerted action by working closely cross government. Is a manufacturer is shouldnt be im. Using travel analytics. You know about that the beginning of the show a quarter some numbers from the un f p a report that said that over the next hidden years you can expect a lot from just 6 months of lockdown it said 31000000 more cases of gender based violence i believe 2 or 3000000 more the military will genital mutilation and 13000000 more cases of Child Marriage how did those issues play into this why are they being attacked it why did 6 months of lockdown turn into tin years of impact. Yeah because families are going to solve situations in the near term when you see Economic Crises thats when you see this excel aeration of activities that really are repressive toward girls in particular thats a Child Marriage is all about thats what f t m is about its about controlling girls and women and in many cases especially where theres a lot of poverty the lives of girls are come out of ties to there they are girls are sold to child brides you see and then that has a long term lifetime impact what were seeing with regard to increased Sexual Assault and gender based violence is also a result of the crisis we already knew those numbers were astronomical and unacceptable again the pressures on families and communities means that pressure is also often expressed through violence and violence is often expressed through those who are the least able to protect themselves and these are long term these have a long term impact on the lives of girls particularly where theyre locked in with family members who may be their aggressors or their assailants themselves and i know that natasha and will occur also seeing this play out in their communities are seeing a rise of gender based founts in the United States as well its global its a global scourge and a global problem id be interested to hear what detaches seeing in zambia. So minutes i actually wanted to. When just to bring in the real question about how to. Get there. Work and money in which. My dad and during school any. School look im not that people have. Been today. Back when of course maybe if. They were going to. Have or that opportunity to disadvantage goes on thats a tangible example of how they look down this impacting on the least. You know one little tiny bit of good news is that listen are you to chat right now just as she is sharing your video with all her friends on Facebook Natasha give me some stories of maybe solutions or hope to go in there. What keeps me going is that every single time we go out to communities we see that communities do want to help them said oh its just that sometimes theyre not you know people will be announcing i just speaking to 1000 today and i just got this news that from some work that we did last week with sound chief Center Additional one whole meal a task come together to construct a youth released space because they just learned how many people got pregnant in the last couple of months and so there is a lot of hope people are willing to make changes in their communities its just that sometimes they need really to push and thats what situations like parents are doing and yeah that gives me hope. We have another comment from our you tube audience here to you liam says lack of competence to be with telemedicine is a clear problem look or you could use it much tell of medicine there to do the situation. Unfortunately now we can prove i dont have unlimited and we necessarily char end of the cleaning we are using social media only a lake in the ground and cause a channel. That runs and a warm in our region to get access to our air with dns because intel i mean its also. Only about the nation how to protect themselves but nothing about the primitive brain and how to get access to our and nothing of our. Actually. Well it looks because what sexual education we have an Instagram Video that you put up we took that out right no bullet to the stuff. But this device puts a best of the new this is a russian but theyre talking about islam you know that as long as i understand it so no more of them are going to think it is a true program that means and to what its well. True and not true about how they search our and family meaning and we have one great gulf oil and one goal and what i am i say expert to. Have some conversation and i was explaining. It trawler much. Better about rep to show up here can you give us a sense of what people can do around the world who are concerned about this issue would want to help in some way. Its a great question you can continue to support the World Health Organization and the u. N. Population fund because they have the lead globally to ensure access to contraception and Sexual Reproductive Health services more progeny including in the areas that were already in crisis we had a colleague from the u. K. Talk about refugee situations women and girls dont stop being pregnant they dont stop having Reproductive Health needs in times of crisis displacement or as weve just learned in times of Global Pandemic you can also learn more about what access to contraception actually means in the lives of women and girls around the world and as i mentioned there are a lot of myths but there are also all of those social taboos that natasha talked about earlier as well if all this is people are better educated about what access to contraception means what we mean by reproductive rights what do we mean by the autonomy of women and girls then we can help one another because we can take down that tone of negativity that sort of pervades Sexual Reproductive Health care for women everywhere so i think its a Global Community we can be more empathetic we could learn a lot more about what this means and we can contribute our resources and our time to those global efforts that are seeking to bring the same kind of services and openness to the lives of women everywhere. Thank you so much for being with us today overlooking the taj at the kitchen you as well will be on the streams Instagram Live with the tosh and i in about an hour to discuss this further thank you for being with us and they fit well. The health of humanity is at stake a Global Pandemic requires a global response. W. H. O. Is the god again of Global Health delivery. In lifesaving to School Supplies and training to help the worlds most Vulnerable People uniting across borders to speed up the development of test treatments and of that. Working with scientists and Health Workers to learn all we can about the virus keeping you up to date with whats happening on the ground in the ward and in the lab advocating for everyone to have access to essential Health Services now more than ever the world needs w. H. And making a healthy a world for you. For everyone. 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