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PubMedDate not supplied

The impact of development and population policies on fertility in India.

This article examines the impact of development and population policies on fertility decline and regional variations in India during the 1970s. Indicators of development at the household level include female literacy and education, infant mortality, and poverty; at the village level they include availability of such social services as schools, medical facilities, and transportation and communication facilities. Multiple regression analysis of data aggregated at the state level demonstrates that conditions conducive to fertility decline include high adult female literacy and low infant mortality as indicators of social development, and high contraceptive use and, to a lesser extent, high female age at marriage as proximate determinants of fertility. There are reasons to believe that India's national family planning program contributed to the decline in fertility observed since the 1960s. The pace of fertility decline in the future will depend upon the pace of infant mortality decline, enhancement in female education, and improvements in family planning programs.

Birth Rate↗
PubMed1988

[A qualitative study on the reasons why the rural people in Nan province use contraceptive].

The purpose of this study is to investigate the reasons that rural people in Nan Province choose particular contraceptive methods, and places of services. The study utilizes the data from the study on the Impact and Efficiency of the Family Planning Program in Thailand: Phase II, which applied in-depth interview and small group discussion techniques. Findings indicate that wanting to limit the number of children to 2, wanting to space pregnancy, the limit of land, the conflict with working situation, and economic hardship are the reasons for using family planning. The major sources of contraception are health center, community health office, village health volunteer, village health practitioner, the border patrol police unit, and the military unit including other government agencies in the areas. As for the reasons for choosing a particular contraceptive method, convenience in practice and on obtaining services, desire for more children and concern over side effects are important.

Asia↗
PubMed1991

China strives to limit population to 1.294 billion by 2000.

Mme. Peng Peiyun, minister of the State Family Planning Commission, said that China must strive to limit its total population to 1.294 billion by the end of the century as set by the 8th 5-Year Population Plan and the 10-Year Population Program. The average annual net increase of population in the country in this decade will need to drop to 15.1 million with an annual rate of natural increase of no more than 12.49/1000. According to these goals, the total fertility rate of women at childbearing age must be reduced from 2.3 in 1990 to 2.1 in 1995 and continue to decline below the present average in developed countries. These figures were announced at the National Conference for Commending Advanced Units and Model Individuals for Publicity on Family Planning held in Beijing on September 25, 1991. It is very arduous to reach the goals, admitted Minister Peng, because: First,China has a large population base and is at present confronted with the 3rd baby boom since 1949. There will be 19 million planned births each year during the 8th 5-Year Plan (1991-95). Second, the implementation of the family planning program is uneven in the country. During the 1980s, the total fertility rate of urban women was kept below 1.5 while that of rural women was around 2.8. The 1990 national population census shows that the proportion of 3rd and higher parity births is still as high as 19.32%. Facing the present grave situation of population growth, we have to increase the emphasis on publicity and education about population and family planning to better facilitate implementation of the family planning program. At the conference 365 advanced units and 485 model individuals were commended. Mr. Wang Renzhi, head of the Publicity Department of the Party's Central Committee, and Mme. Peng Peiyun attended the awarding ceremony for commendation.

Asia↗
PubMedDate not supplied

Abortions in a hospital setting: hidden realities in Dar es Salaam, Tanzania.

This study investigates the extent of unwanted pregnancy, the use of illegally induced abortion, and the attitudes toward and practice of contraception among women admitted to a hospital with the diagnosis of abortion in Dar es Salaam, Tanzania. (In Tanzania, induced abortion is permitted only to save the mother's life.) A random sample of 300 women with early pregnancy loss admitted to Muhimbili Medical Centre, the teaching hospital in Dar es Salaam, were interviewed between September and November 1987, using a structured questionnaire. Among the 300 respondents, 155 said that their pregnancy had been unwanted: 94 of them presented with an illegally induced abortion and 61 with a spontaneous abortion. The number of spontaneous abortions of unwanted pregnancies increased with age and stability in a relationship. Having a small child to look after and having completed the family were the most common reasons for the pregnancy to be unwanted in this group. Induced abortion was more a problem of the young, unmarried woman. The 61 women with spontaneous abortion but unwanted pregnancy suggest that a much larger group of pregnant women continue to term with what are, at least initially, unwanted pregnancies--precisely the group of women family planning programs want to reach. The low prevalence of contraceptive use in this group indicates the failure of family planning clinics to motivate their target group. Recommendations are made for improved functioning of family planning clinics.

Abortion, Illegal↗
PubMedDate not supplied

Evaluating rural Bangladeshi women's perspectives of quality in family planning services.

Several frameworks for understanding the quality of family planning care have been proposed. However, efforts to measure and quantify their components remain underdeveloped, especially with regard to nonclinical care and community-based distribution. This study examines a large-scale field survey conducted among married women of reproductive age in rural Bangladesh in 1989 and 1990 to measure and evaluate rural women's perceptions of the quality of outreach services they received. Initial analysis indicates that rural women are able to distinguish between good and poor quality of care and that these perceptions can be accurately documented and quantified through sample survey approaches. Implications of the use of a survey in the measurement of quality of care are discussed, as well as implications of the results for managers within the Bangladesh government family planning program, which has been regarded by donor agencies as having limited responsiveness to clients' needs.

Bangladesh↗
PubMed2001

[How do Ivorien rural populations perceive family planning?].

The government of Côte d'Ivoire has recently adopted its population policy. One of the objectives of this policy is to reduce the high rate of population growth through family planning. The success of the family planning program will depend not only on the strength of effort to be deployed, but also on the acceptability of the idea of family planning to the population, given the pronatalist nature of the society, especially in rural areas. The aim of this study is to assess the acceptability of family planning to the rural population. The study is based on a survey conducted in rural areas of the country on various issues including the social representation of family planning. Analyses rely on simple methods such as frequency tables and cross tabulation. The results show that rural populations, somehow, have an open mind towards family planning. They are interested in using family planning services if they are provided with them. However, implementation of family planning programs in rural areas requires some precautions--birth limitation should not be included among the objectives, at least at the beginning of the program; a preliminary advocacy program at the level of rural community leaders is required; there is need to adapt program strategies to the level of infrastructural development of the villages; etc.

Adult↗
PubMed1982

Patterns of contraceptive use among female adolescents: method consistency in a clinic setting.

Major changes in contraceptive use among adolescents in the United States have been documented through surveys and analysis of family planning program service statistics. While we know of the changes in the adolescent population as a whole and those served by organized family planning programs, little is known about the patterns of contraceptive use by individuals. This study examines patterns of contraceptive use among 547 clients of a new contraceptive and counseling service for adolescents in New York City. The principal concern is consistency of contraceptive method use as determined from clinic statistics. Findings show generally high degrees of method consistency, with new and current users displaying more consistency than prior users. Among clients who switch methods, two major patterns emerged: switching among the more effective methods and from less effective to more effective methods. Younger new users were the most consistent subgroup suggesting that a service designed for adolescents may have a positive influence on teenagers without prior contraceptive experience. Prior users were the least consistent subgroup suggesting that programs incorporate screening procedures to identify prior users and to develop new approaches to understanding their past contraceptive use patterns to improve their future use.

Adolescent↗
PubMedDate not supplied

Husband's approval of contraceptive use in metropolitan Indonesia: program implications.

Husband's approval of contraceptive use plays a decisive role in Indonesia. Despite this, no previous study of contraceptive use in Indonesia has evaluated the importance of husband's approval. Such evaluation is especially important in metropolitan areas where family planning programs have encountered more difficulty than those elsewhere in recruiting contraceptive users. Using data from the first Indonesia Contraceptive Prevalence Survey for metropolitan cities, husband's approval and other determinants of contraceptive use among fecund women were evaluated. The levels of contraceptive use varied among cities, ranging from 34.2 percent in Ujung Pandang to 56.5 percent in Semarang. For all cities, however, husband's approval was the most important determinant, followed by number of living children and wife's education. Among women who desire to have no more children, 17.4 percent and 27.8 percent of contraceptive nonuse in Medan and Jakarta, respectively, was attributable to husband's disapproval. Because most of the family planning programs in Indonesia are designed to serve primarily women, the finding of husband's approval as the most important determinant has important program implications.

Adolescent↗
PubMed1994

Is there a distinct African sexuality? A critical response to Caldwell.

The author challenges the hypothesis developed by Caldwell and others that sexuality in Africa is inherently permissive, and that prevailing attitudes and behavior are primary reasons for the relative failure of family planning programs to reduce fertility, and thereby will be major factors hindering efforts to control the spread of HIV infections and AIDS. The article is in three parts. "The first is a summary of the thesis as presented by Caldwell et al., including their location of African sexuality and their conceptualisation of change. The second offers a critical response, focusing mainly on the problems of research into sexual behaviour and the christianisation process, with special reference to the case of the Kikuyu people, among whom, recent studies suggest, even where sexual activity may have appeared largely free of moral restraint, there was indeed a moral order.... Part three offers a new way forward." (SUMMARY IN FRE)

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Socioeconomic development, status of women, family planning, and fertility in Bangladesh: a district level analysis.

In this paper we examine the effects of socioeconomic development, the status of women, and family planning on fertility and the extent to which these effects vary among the nineteen districts of Bangladesh. The 1983 and 1991 Bangladesh Contraceptive Prevalence Survey data are used to examine the effects of these factors on differences in contraceptive use among currently married women aged 15-49. The proportion of currently married women aged 15-49 using contraception was 46.3 per cent in 1991, a considerable increase from 26.5 per cent in 1983. Contraceptive use rates for all the districts increased substantially over the period between 1983 and 1991 and the gap between Dhaka's rate and those of other districts was narrower in 1991 than in 1983. An analytical model composed of socioeconomic development, status of women, and family planning variables is tested using logistic regression. The logit model is used to evaluate the effects of a selected group of variables on the probability of using contraceptive methods. The analysis demonstrates clearly that socioeconomic development and women's status significantly impact the use of contraceptive methods in Bangladesh. The results also suggest that better-educated, employed women are more likely to use contraception than those who have little or no formal education and who are not employed. In 1983, rural-urban differences in contraceptive use were significant, but in 1991 area of residence was not significant, which suggests that family planning programs may have played an important role in providing contraceptive information and technology to rural areas. Our analysis also suggests that family planning programs operated more efficiently in some districts than in others, and regional differences remained important in 1991 as they were in 1983. Decomposition analysis suggests that shifts in population structure favored increased contraceptive use in Bangladesh. This analysis also indicates that change in rate is also important, contributing about 21 per cent of the overall increase in contraceptive use.

Adolescent↗
PubMed2004

Factors influencing discontinuation of intrauterine contraceptive devices: an assessment in the Indian context.

Sociocultural and behavioral factors are associated with decision to use and the selection of a contraceptive method, continuation of use and reasons for discontinuation of a contraceptive. This paper tries to distinctly outline the determinants of discontinuation of the intrauterine contraceptive device (IUCD), especially in the Indian context. Data on medical reasons for discontinuation are available through clinical trials. However, sociodemographic studies provide one with a wider spectrum to analyze the factors associated with the discontinuation of IUCDs. Information on service providers can be used to improve the quality of family planning services in the country. In India, a thorough review of birth spacing methods, especially the IUCD, is needed since the surveys show a high rate of discontinuation. The emphasis in this paper is upon compilation of reasons for discontinuation of the IUCD and research thereof. The review of the literature is directed towards giving a new direction to assessment of family planning programs, especially in India where population control is largely dependent upon permanent methods. Delineation of factors is important to improve the family planning program.

Contraception Behavior↗
PubMed1978

Family planning training: a network program and sample instructional materials.

Because of the absence of educational programs for family planning service providers, there is an ongoing need for staff training. In Connecticut, this training is provided statewide by a training network that develops and teaches courses to meet the training needs identified by family planning clinics and related health and social service agencies. This training is offered at the times and locations most convenient to the staff to be trained. A library of courses is being developed for use in the training network -- currently included are Basic Family Planning, Reproductive Health Care, Counseling Skills, Human Sexuality, Pregnancy Counselling, Common Medical Problems in Family Planning, Training Parents as Sex Educators, Family Planning for the Mentally Retarded, Values Clarification, Natural Family Planning, and Medical Interviewing. Each course is based on behavioral objectives, includes pretest and posttest, and is followed up after a 3-month interval by a supervisor's assessment of changes in trainees' job performance. Results show good transfer of skills and knowledge to the work situation. Posttest results in the Basic Family Planning course showed an overall gain of 35 percentage points, reflecting a high level of competency.

Ambulatory Care Facilities↗
PubMed1999

The impact of the family planning supply environment on contraceptive intentions and use in Morocco.

Although the extent to which organized family planning programs influence reproductive preferences remains a subject of debate, most observers would grant that such programs play a key role in helping individuals to realize their contraceptive and reproductive intentions. However, few prior studies have quantified the magnitude of this facilitating or enabling effect of family planning services, given existing demand for contraception. This study takes advantage of panel survey data and linked information on the supply environment for family planning services in Morocco in order to bridge this research gap. In the analysis, contraceptive use during the 1992-95 period is related to contraceptive intentions in 1992; individual-, household-, and community-level determinants of contraceptive behavior; and family planning supply factors. Estimation procedures are used that control for unobserved joint determinants of contraceptive intentions and use. Evidence of a significant enabling or facilitating role of family planning services is found, and the results also suggest that family planning program factors influence contraceptive intentions in important ways.

Adolescent↗