Two countries, two different approaches to population programs

Research has shown that when young people have their basic needs met and feel positive about their futures, they are less likely to engage in risky behaviors. The Carrera Adolescent Pregnancy Prevention Program has reduced pregnancy rates by 40 percent in New York by meeting teens educational, emotional, and employment needs.

Uganda has one of the highest rates of teen pregnancy in Africa, but a unique mobile health clinic is helping to reduce the rates of conception. Marie Stopes’ tuk tuks brings health care, sexual education and contraceptives to women in poor communities.

In Uruguay, illegality and stigma surrounding abortions resulted in problems with maternal mortality rates. Utilizing a unique solution, a medical protocol was created to provide initial information and followup care to women seeking abortions.

Reproductive Health Uganda (RHU) Clinic is taking a youth centered approach towards teaching reproductive health. Their methods, which include having youth days, hiring youth peer counselors, and providing private rooms for youth to discuss their sexual health, allow them to reach teenagers. “As a result, their uptake of contraception has increased.”

Research, and the evidence from global development campaigns in multiple countries, shows that cash transfers to women can help women to gain more freedom in choosing sexual partners, decrease HIV transmission, and decrease domestic violence. However, the short term cash transfers show proof of short term impact -- for longer term success, greater amounts that allow for greater investment might be necessary.

Uganda’s education ministry requires all schools to have incinerators to burn used sanitary pads. Lack of funding limits schools’ ability to comply. Even when incinerators exist, girls don’t necessarily use them. Educating both girls and boys about menstruation reduces stigma and increases the likelihood that girls feel comfortable enough to collect pads instead of throwing them in pit latrines.

Gen Z activists such as Olivia Julianna and Savannah Craven are using TikTok to spark discussions about abortion, driving conversations with short video snippets ranging from music videos to educational explainers about various political topics. Each creator has amassed hundreds of thousands of followers and their content has attracted attention and offers of collaboration from significant political players such as Gen Z for Change and Candace Owens.

Amid the pandemic, medical researchers and an abortion-rights advocacy group in the U.S. are working to make the abortion pill available via mail. Although there is ambiguity surrounding the rules and regulations of how the pill must be distributed to patients, some doctors have helped efforts by agreeing to register with F.D.A.-approved manufacturers and a handful of states are allowing the pill to be mailed after an in-person ultrasound has been conducted.

Better Reproductive Health, Better Communities Project is a partnership between nonprofits and medical providers working to increase awareness about unintended pregnancies and unsafe abortions, while also ensuring women have better access to high-quality post-abortion care. The project has focused on providing family planning and emergency contraception to women in low-income urban areas. Volunteer peer educators and social media has helped reach over 4,000 women, spreading information about sexual and reproductive health services and connecting women to quality abortion care.

Following the overturn of Roe v. Wade, access to safe, legal abortion in the U.S. is scarce. While several states have banned mifepristone and misoprostol — the two drugs that makeup abortion pills — misoprostol, which has been found to be the more effective of the two, can still be accessed at some pharmacies and through nonprofits in the U.S. and overseas like Plan C and Aid Access.