Family Planning Programs in the Third World

Abstract

Most of the population of less developed countries (LDCs) now lives in countries with national family planning programs to reduce fertility and improve family welfare. Such programs are a new phenomenon. In some LDCs increasing birth-control practice and fertility declines occurred along with considerable social and economic development, but even there rapid changes among the disadvantaged masses are generally associated with strong family planning programs. Fertility has also fallen in some countries with only some development but with vigorous family planning programs. China, Indonesia, Sri Lanka, and Thailand are such cases. In such places as sub-Saharan Africa and South Asia, fertility generally remains quite high, apparently because of little development and traditional familial institutions. Even in these situations, however, there are examples of significant fertility declines, in some cases nationally and in other cases in intensive, high-quality pilot projects that have established the latent demand for family planning.

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References

1. Dorothy L. Nortman , Population and Family Planning Programs: A Compendium of Data through 1983 (New York: Population Council, 1985), p. 32.

2. United Nations , Levels and Trends of Contraceptive Use as Assessed in 1988 (New York: United Nations, 1989). Unless otherwise indicated, contraceptive prevalence rates are from this source.

3. United Nations , World Population Prospects, 1988 (New York: United Nations, 1989), p. 150. The total fertility rate estimates the number of children each woman would have if she lived through the childbearing years, subject to fertility rates at each childbearing age for the specified year.

4. Data about recent levels of contraceptive practice and fertility in this article for the following countries are from the ongoing surveys of the Demographic and Health Surveys, Institute for Resource Development, Columbia, MD: Botswana, Burundi, Indonesia, Kenya, Liberia, Mali, Senegal, Thailand, Togo, and Zimbabwe.

5. Philippe Fargues , “La baisse de la fécondité arabe,” Population, 43(6):987 (Nov.-Dec. 1988).

6. For example, Ansley J. Coale and Susan C. Watkins , eds., The Decline of Fertility in Europe (Princeton, NJ: Princeton University Press, 1986).

7. German Rodriguez and John Cleland , “Socio-Economic Determinants of Marital Fertility in 20 Countries: A Multivariate Analysis,'' in World Fertility Survey Conference, 1980: Record of Proceedings (London: World Fertility Survey, 1981), 2:337-403.

8. Robert J. Lapham and W. Parker Mauldin , “The Effects of Family Planning on Fertility: Research Findings,” in Organizing for Effective Family Planning Programs, ed. R. J. Lapham and G. B. Simmons (Washington, DC: National Academy Press, 1987), pp. 647-680.

9. Ming-Cheng Chang , Ronald Freedman , and Te-Hsiung Sun , “Trends in Fertility, Family Size Preferences and Family Planning Practice: Taiwan, 1961-85,” Studies in Family Planning, 18(6):320-337 (Nov.-Dec. 1987).

10.

10. Maxine Weinstein et al. , “Household Composition, Extended Kinship, and Reproduction in Taiwan: 1965-1985,” Population Studies, in press.

11.

11. Donald P. Warwick , “The Indonesian Family Planning Program: Government Influence and Client Choice,” Population and Development Review, 12(3):453-490 (Sept. 1986).

12.

12. John Knodel , Aphichat Chamratrithirong , and Nibhon Debavalya , Thailand's Reproductive Revolution: Rapid Fertility Decline in a Third-World Setting (Madison: University of Wisconsin Press, 1987).

13.

13. In an address to a meeting of the International Union for the Scientific Study of Population in New Delhi in September 1989, Prime Minister Rajiv Gandhi admitted that the Indian program has fallen far short of aspirations because of bureaucratic bungling and inflexibility in the face of large local variations in the social situation.

14.

14. Michael A. Koenig et al. , “Trends in Family Size Preferences and Contraceptive Use in Matlab, Bangladesh,” Studies in Family Planning, 18(3):117-127 (May-June 1987).

15.

15. Howard I. Goldberg , Malcolm McNeil , and Alison Spitz , “Contraceptive Use and Fertility Decline in Chogoria, Kenya,” Studies in Family Planning, 20(1):17-25 (Jan.-Feb. 1989).

16.

16. Odile Frank and Geoffrey McNicoll , “An Interpretation of Fertility and Population Policy,” Population and Development Review, 13(2):209-243 (June 1987).

17.

17. Operations Research Program , Africa: A New Frontier in Family Planning (New York: Columbia University, Center for Population and Family Health, 1988). The term “operations research,” designating rigorous quantitative work in some other fields, is less appropriate for some of these projects.

18.

18. Ronald Freedman , S. E. Khoo , and B. Supraptilah , “Use of Modern Contraceptives in Indonesia: A Challenge to the Conventional Wisdom,” International Family Planning Perspectives, 7(1):3-15 (Mar. 1981).

19.

19. Dorothy L. Nortman , “External Funding for Population Programs in Developing Countries, 1982-1985,” International Family Planning Perspectives, 14(1):2-8 (Mar. 1988).