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Objective: The objective of this study was to assess the availability and quality of FP services in health facilities (HFs) on Idjwi Island in the eastern Democratic Republic of the Congo (DRC). Methods: From March 1 to 31, 2022, a descriptive cross-sectional study was conducted in several HFs on Idjwi Island. Identified 31 HFs have been comprehensively included. Data were collected through interviews, literature reviews, and observations, guided by a questionnaire. Results: Of the 31 HFs included, 29 (93.6%) of them provided FP services on an availability basis, of which 27.6% (8/29) met the criteria for high-quality services. The most widely available methods were male condoms, combined oral contraceptive pills, and progestin-only injectable contraceptives. Conclusion: The availability of FP services in HFs on Idjwi Island remains high but their quality is low. To improve access to and use of FP, efforts should focus on improving quality in this rural part of the country.

Integrated Coastal Zone Management (ICZM) as a means of enhancing sustainability has been the topic of a model project promoted by the EU during the late 1990s. Meanwhile, all member states are urged by an EU recommendation to develop national ICZM strategies, based on a set of criteria derived from this model project. The most prominent rationale of the criteria is a request to reassess existing spatial planning procedures and routines, in order to make them more participative and to strengthen and diversify the role of civil society actors. However, before ICZM was promoted, many European countries had already developed more or less complex features to include a growing number of actors in various stages of spatial planning processes: In concept building, decision making, and implementation. As a consequence, the EU recommendations have not been unanimously appreciated. One of the main arguments against them claimed that already existing schemes and procedures (i) provide a wide array of participative elements, and that (ii) participation has thus been a core element of spatial planning, even before ICZM appeared on the scene. Against this background, our study evaluated the performance of the German spatial planning system, in terms of integrating and co-ordinating different stakes into planning procedures of large scale infrastructure projects in the German coastal zone. The mechanisms for ensuring participation were assessed as well. The research was part of the development of a German National Strategy for Integrated Coastal Zone Management, a reaction to the EU recommendation. Based on the assumption that the established German spatial planning and approval system fulfils a decisive role in environmental regulation, regional economic development and the co-ordination of sectoral policies, the connection between ICZM and spatial planning will be discussed, with reference to the theoretical discussion about sustainable governance. The study thus helps to understand the prerequisites for participative management, and the relation between formal and informal administrative, as well as political, processes in countries with highly developed administrations and tightly applied regulations for decision-making. To introduce sustainability-oriented governance concepts, such as ICZM, in countries like Germany requires the government to combine instruments of spatial planning with participatory forms of vision building, in order to create new governance arrangements. ; 147