Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Family Planning Programs”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,315 records · Page 73Linked to original sources

Menstrual bleeding expectations and short-term contraception discontinuation in Mexico.

This study tests the hypothesis that women will be more likely to continue a contraceptive if their expectations about changes in bleeding and discomfort are accurate. The study examined the relationship between women's expectations and discontinuation rates for IUD and pill acceptors over a three-month interval. The results show that attitudes and expectations are as important as actual changes in accounting for contraceptive discontinuation among pill users; the results for IUD users are not as clear. It is recommended that family planning programs make it a priority to inform women about the changes in their bodies that can be caused by contraceptives in order to reduce high rates of discontinuation.

Adult↗

Fertility reduction policies and poverty in Third World countries: ethical issues.

This article begins with a discussion of the motivation for fertility reduction and related population policies. Next, it identifies the two major approaches to evaluating these policies in the population ethics literature: the individualistic approach and the international approach. Each approach is then characterized according to the kinds of policies evaluated, the ethical principles that are most prominent, and the major conclusions drawn. Major empirical gaps in the population ethics literature are identified, and pertinent social science issues concerning the effectiveness of family planning programs, the socioeconomic determinants of fertility, and the interpersonal or community determinants of fertility are discussed. Finally, these issues are linked with the United Nations World Population Plan of Action to identify ethical questions that warrant detailed scrutiny.

Developing Countries↗

The future of long-term and permanent contraceptive methods. Developments in technology.

The Association for Voluntary Surgical Contraception (AVSC) does not expect dramatic advances in female sterilization during the decade. Minilaparotomy and laparoscopy will endure as the standard surgical approaches, but programs will continue to shift toward the use of local anesthesia for these procedures because of greater safety and lower costs. No-scalpel vasectomy demonstrated by AVSC to be popular, effective, and safe holds greater potential for expanding the vast, and largely ignored, male market. The injection methods of vasectomy now being tested in China and elsewhere may make male sterilization even more acceptable. Markets for IUDs, implants, and injectables will continue to expand as more clients seek safe and effective long term contraception, and as national family planning programs (particularly in Asia) realize the ethical and programmatic importance of offering choices. Norplant is expensive and requires a skilled network of providers to both insert and remove the implants. For these reasons, AVSC expects Norplant to remain a niche method, mostly for urban clients who are not interested in sterilization or who are ill-suited for IUDs or injectables. Injectables, already popular in many parts of the world, will become increasingly available and used now that the US food and Drug Administration has approved Depo-Provera. New types of injectables, currently being developed, will be brought to market. The potential for IUDs is vast, particularly the low-cost, highly-effective Copper T 380A, which is expected to be approved as a 10-year method. However, poor quality service delivery and the high prevalence of sexually transmitted diseases could limit the potential of this method.

Contraception↗

The effect of infant death on subsequent fertility in Korea and the role of family planning.

This paper studies the effect of infant death on subsequent fertility in a developing country, examining spacing of children and additional births following the survival or death of the preceding infant. The material is provided by the 1971 National Fertility Survey of Korea, 23,635 retrospective birth records of 6,285 women. The findings suggest that prior to the introduction of a national family planning program, the influence of infant death was limited to the biological effect resulting from a shortened lactational period. Since fertility regulation methods have been made available throughout the country, motivational effects to replace the lost child appeared to emerge. The proportion of excess births attributable to infant deaths has increased in recent years. However, because of the lowered infant mortality, the overall impact of infant death on the national fertility level appears to be small.

Adult↗

Migration, population growth, and development.

In the 30 years between 1950 and 1980, the population of the developing world almost doubled--from 1.7 to 3.3 billion. Among the most conspicuous signs of this increase are the growth of cities and, in some areas, international labor migration. Since 1950 the cities in Africa, Asia, and Latin America have been growing more than twice as fast as those in North America and Europe. Some of the biggest cities are growing fastest--by as much as 8 percent each year. At this rate they will double in less than a decade. About 40 percent of this growth is due to migration and 60 percent to the children born in the cities to natives and the newly arrived migrants. Altogether, about one billion people (1,000 million) now live in developing-country cities, where fewer than 300 million lived in 1950. About 15 to 20 million workers, mostly from developing countries, are now international migrants. About half travel to Europe and the US, the rest to other developing countries. Many of the migrants, especially to the US, Europe, or the Middle East, want to bring their families eventually and settle permanently. Migration to African destinations is more likely to be temporary or seasonal, while Latin American and Asian patterns are mixed. Policy makers in developing countries are voicing concern about the highly visible social, economic, and political problems created by rapid urbanization and by large-scale international labor migration. While governments have tried a variety of policies to influence population distribution, most have been limited in scope and had little success. As long as birth rates remain high in some areas and large differences in wages exist between jobs in different places, most of these policies have little hope of stopping or reversing long-term trends. Family planning programs, although they do not create immediate jobs or higher wages in rural areas, can help to reduce the high birth rates that produce an ever-increasing supply of potential migrants. They also directly address the source of 60 percent of urban growth: natural increase. The main reasons for both rural-to-urban and international migration are economic. Except in the case of refugees (not covered in this report), most migrants move because they expect to find better jobs and higher wages in the new location. Often the decision to migrate may be made by the family because the money that migrants send home adds to and diversifies family income.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗

Sterilization and the birth rate.

Sterilization remains irreversible for all practical purposes, but as its procedures become more feasible in developing countries, the question of its potential contribution to fertility decline vis-à-vis other contraceptive methods has increasing significance for family planning program administrators. This question is examined by means of a model that calculates births averted in defined time durations from the acceptance of various contraceptive methods by women of different ages. The findings suggest that without ready access of the population to reversible contraceptive methods that are attractive to birth spacers and tentative birth terminators, the rate of fertility decline is not likely to be satisfactory regardless of the availability, promotion, or popularity of sterilization.

Adolescent↗

Comment.

Explore the source record for details and available documents.

Contraception↗

Abortion policy and women's health in developing countries.

The World Health Organization estimates that almost half a million women in developing countries die in pregnancy and childbirth every year. Unsafe induced abortion is responsible for perhaps one-quarter of these deaths. In this article, the author reviews the legal, medical, and social contexts in which women in developing countries resort to clandestine abortion. Despite intensified international concern with reducing high rates of maternal mortality and morbidity, national policy makers and participants at international conferences on maternal health--with a few important exceptions--have not recommended that safe, legal services for terminating unwanted pregnancies be offered as an essential element of basic reproductive health care. United States international policy on funding abortion-related activities in maternal health and family planning programs is especially restrictive. A new policy approach is clearly needed if unacceptably high rates of maternal morbidity and mortality in many countries are to be reduced.

Abortion, Illegal↗

Coordinating and planning for human sexuality education.

The coordinator provides parent education, teacher and staff inservice training, team-teaching experiences, student counseling and a broad range of support activities related to the wider community as well as to the schools involved. The need for a coordinator for programs may depend on size and/or diversity of the school population, professional readiness of teachers and types of programs to be implemented. Despite the advances made in the Pomona program, there continue to be such problems as occasional resistance from special interest groups, administrators and school staff, individual instructors' personal value conflicts, transitional nature of student population and turnover in teacher personnel. A coordinator for sexuality programs is certainly not a total remedy for such problems in all school districts; but as an essential element in the solution of those problems, he/she provides an approach which will help school districts in initiating and implementing programs with a greater degree of success.

Adolescent↗

Breast-feeding and family planning: a review of the relationships between breast-feeding and family planning.

A number of interrelated factors must be considered when breast-feeding is introduced as a concern for family planning programs: the number of pregnancies and births experienced, age at each pregnancy and birth, duration of the intervals between conceptions, lactation including duration and type, health and nutritional services available to meet the demands of pregnancy, delivery, and postpartum care. The dietary intake of the mother and her health and disease status have an effect on the duration of breast-feeding, and lactation has an effect on her ovulation and birth spacing. Those at particularly high risk include adolescent girls, older grand-multipara women, and families living in poverty. An historical relationship between the reduction in infant and childhood mortality and the falling off of births can be documented. The straightforward benefits on nutritional status of breast-fed infants, the conjunction with the antibody protection afforded by breast milk, served to reduce infant mortality and indirectly served to reduce birth rates. In addition, the prolongation of postpartum anovulatory cycles in breast-feeding women, coupled with sexual mores that postpone sexual relations while a women is breast-feeding in certain groups, will serve to prolong the interbirth intervals. Populations where breast-feeding is customary have been shown to have fewer births than populations where the women do not breast-fed and where infants are artificially fed.

Age Factors↗

Factors underlying unmet need for family planning in the Philippines.

The prevalence of unmet need for family planning is a primary justification for family planning programs, but the causes of unmet need have not been much explored. This article investigates four explanations for unmet need: (1) as an artifact of inaccurate measurement of fertility preferences and contraceptive practice; (2) as a reflection of weakly held fertility preferences; (3) as a result of women's perceiving themselves to be at low risk of conceiving; (4) as due to excessive costs of contraception. The explanations are examined using quantitative and qualitative data collected in 1993 from currently married women and their husbands in two provinces in the Philippines. The results indicate that the preference-behavior discrepancy commonly termed "unmet need" is not an artifact of survey measurement. The most important factors accounting for this discrepancy are the strength of women's reproductive preferences, husbands' fertility preferences, and the perceived detrimental side effects of contraception. Inaccessible family planning services appear to carry little weight in this setting. Modification of services to make them more attentive to other obstacles to contraceptive use would improve their effectiveness in reducing unmet need.

Adult↗

Introduction of cyclofem once-a-month injectable contraceptive in Mexico.

A large introductory study of Cyclofem, a once-a-month injectable contraceptive, was conducted in three Mexican provinces. A total of 3457 healthy women participated: 640 women from rural areas (community-based component) and 2817 women from urban and suburban areas (health center-based component). A total of 20,316 women-months of treatment experience were accumulated during a one year period. Cyclofem proved its use-effectiveness (pregnancy rate of 0.03%) and its safety under routine service conditions of family planning facilities in Mexico. The overall life table continuation rate at 1 year was 26.1%. Higher continuation rates were observed in the community-based component (36.6%) as compared to the health center component (23.7%). The most common reason for method discontinuation was change of address. Only 15% of the discontinuations were attributable to the injectable contraceptive method, with the overall 1 year discontinuation rate for bleeding problems (including amenorrhea) was < 11%. These observations underscore the importance of appropriate counseling and follow-up measures, providing convenient access to repeat injections, and other service delivery issues related to continuation of Cyclofem. The results of this trial have once again demonstrated that Cyclofem is a highly effective method with an acceptable side effect profile. In addition, the study provided the elements for its approval by local health authorities and its inclusion into the Ministry of Health Family Planning Program.

Adolescent↗

Contraceptive pricing and prevalence: family planning self-sufficiency in Indonesia.

Imposing or increasing user fees can move family planning programs toward self-sufficiency. But, economic theory predicts that quantities demanded decrease following price increases; and, that the size of the response depends, all else constant, upon the share of income accounted for by spending on the good or service. This article uses survey data collected in conjunction with an Indonesian self-sufficiency program to assess the differential magnitudes of contraceptive usage responses to price differentials between sample-wide and relatively poor households, and for both subsidized and full private-sector prices. We find a much more substantial response among poor households. As prices move up toward full cost-recovery, the effect is magnified.

Contraceptive Agents↗

Male role in fertility decisions in Robertsport, Liberia: an experimental exercise for policy formulation.

There is a tendency to believe that in African societies men are the dominant decision makers in the family. In Robertsport, Liberia, there are indications that, with respect to fertility regulation, the dominance of the husband in fertility decisions exists, but it is also apparent that many of these decisions are made jointly by both husband and wife. Education is particularly influential in the joint fertility decision-making process. The 100 husbands sampled in 1982 desired a large number of children and had experience with infant and child mortality. If family planning programs should attain their goals, men should be more involved, than at present, in every aspect of the programs. Equally important is the urgency for studies related to the role of men in fertility regulation, using adequately large samples.

Africa↗

A Catholic hospital and natural family planning.

Instituting a natural family planning program in a hospital setting is a challenge that the Catholic medical community is bound to accept. Natural planning methods, taught by appropriate and well-trained instructors, can help clients become more conscious of their fertility and more able to accept responsibility for their life decisions.

Catholicism↗