1. CONTRACEPTIVE SECURITY Issues for Central Asian Republics Issues for Central Asian Republics USAID SOTA Course October, 2002 Washington DC Mary Skarie, USAID/CAR

3. U.S. Agency for International Development Central Asia Regional Mission Central Asia Regional Mission Population *Life expectancy *Per capita income *Religion Kazakhstan - 14,9 mln. 57.8 - male $1,421 47%Muslim 68.9 - female Kyrgyzstan - 4,7 mln. 59.2 - male $322 75%Muslim 67.9 - female Tajikistan - 6,5 mln. 61.0 - male $286 80%Muslim 67.4 - female Turkmenistan - 4,6 mln. 57.4 - male $652 89%Muslim 64.7 - female Uzbekistan - 25 mln. 60.2 - male $488 88%Muslim 67.5 - female

4. DEMOGRAPHIC DATA - RECENT DHS DEMOGRAPHIC DATA - RECENT DHS FERTILITY

5. DEMOGRAPHIC DATA - RECENT DHS CONTRACEPTIVE USE

6. Use of Contraception by Currently Married Women in Turkmenistan (DHS/2000)

7. DEMOGRAPHIC DATA - RECENT DHS CONTRACEPTION: UNMET NEED

8. DEMOGRAPHIC DATA - RECENT DHS ABORTION

9. Lifetime Abortion in Kazakhstan

10. Contraceptive Supply in Uzbekistan (1993-2002 )

12. UNFPA-40,7% Government-18,6% USAID- 1,7% KfW-39% UNFPA: 1993 - 2002 KfW: 2003 USAID: 1995, 2001 Government: 1995

13. Reproductive Health Salient Issues: High reliance on abortion (legal) Very limited range of contraceptives; heavy reliance on IUDs Severe constraints on government spending and non-convertible currencies Tepid donor commitment Dysfunctional/failing systems, including logistics

14. USAID Response Limited contraceptive donations to pilot areas in Uzbekistan Launch of Social Marketing Program New regional program on MCH/RH Planned contraceptive donations in selected areas

15. USAID Response Policy dialogue with MOHs - partially successful collaboration with other donors: DfID condom donation to Kyrgyzstan KfW donations in Uzbekistan Uzbek tender to procure 10% of national need