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[The role of family planning programs in the fertility transition in Latin America].

"This article traces the origins of fertility changes, of attitudes towards contraception and of lower family size values in Latin America, on the basis of information collected during the 1960s and 1970s on abortion, fertility and contraceptive prevalence. It explores the origins and the role of family planning programmes and suggests that they acted as facilitators of the 'mass' transition rather than as the agents that unleashed this process." (SUMMARY IN ENG)

Abortion, Induced↗

Integrating the Lactational Amenorrhea Method into a family planning program in Ecuador.

This paper reports the results of a 12-month implementation study documenting the process of integrating the Lactational Amenorrhea Method (LAM) into a multiple-method family planning service-delivery organization, the Céntro Médico de Orientación y Planificación Familiar (CEMOPLAF), in Ecuador. LAM was introduced as a family planning option in four CEMOPLAF clinics. LAM was accepted by 133 breastfeeding women during the program's first five months, representing about one-third of postpartum clients. Seventy-three percent of LAM acceptors were new to any family planning method. Follow-up interviews with a systematic sample of 67 LAM users revealed that the method was generally used correctly. Three pregnancies were reported, none by women who were following LAM as recommended. Service providers' knowledge of LAM resulted in earlier IUD insertions among breastfeeding women. Relationships with other maternal and child health organizations and programs were also established.

Adult↗

The record of family planning programs.

In the developing countries in recent years there has been a great expansion of public programs to provide modern means of fertility control. This paper is an effort to appraise the demographic impact of such programs through a comprehensive evaluation of the record. The paper briefly reviews the criticisms of such programs and the historical and comparative background before turning directly to issues of performance. After establishing the broad range of acceptance, the paper reviews the nature of acceptors and of fertility control methods as they affect overall impact. Then follow a series of tabulations and analyses of country performance by both social setting and program effort in an attempt to discern the effect of "modernization" and "family planning" in line with the current controversy over their relative importance. That detailed analysis is followed by an extensive review of 14 country cases, similarly organized, plus brief summaries of 15 major experiments/demonstrations in this field and one example of a developed country program. After a brief section on the alternatives to family planning programs, the paper concludes with a summary of major findings-underlined in the text-and the authors' personal commentary on their implications for both study and action.

Abortion, Legal↗