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The main contents are key findings and messages regarding the relationship between contraceptive use and fertility, for 195 countries or areas of the world. These highlights will draw mainly from World Population Prospects 2019, and model-based estimates and projections of family planning indicators 2019. Policy-related implications of and responses to trends in family planning and fertility will be integrated throughout the text. In particular, these issues are of relevance for contextualizing Sustainable Development Goals 3.7.1. and 3.7.2. and the achievement of the 2030 Agenda.
The striking upsurge in population growth rates in developing countries at the close of World War II gained force during the next decade. From the 1950s to the 1970s, scholars and advocacy groups publicized the trend and drew troubling conclusions about its economic and ecological implications. Private educational and philanthropic organizations, government, and international organizations joined in the struggle to reduce fertility. Three decades later this movement has seen changes beyond anyone's most optimistic dreams, and global demographic stabilization is expected in this century. The Global Family Planning Revolution preserves the remarkable record of this success. Its editors and authors offer more than a historical record. They disccuss important lessons for current and future initiatives of the international community. Some programs succeeded while others initially failed, and the analyses provide valuable guidance for emerging health-related policy objectives and responses to global challenges.
Experts estimate that nearly 60 percent of all U.S. pregnancies--and 81 percent of pregnancies among adolescents--are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issues--health care and welfare reform, and the new international focus on population--are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitions--"unintended" versus "unwanted" versus "mistimed"--and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals. May
This book analyzes the origins and rationale of family planning programs and how they have evolved based on experience in different country settings.
The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.
This volume is part of an effort to review what is known about the determinants of fertility transition in developing countries and to identify lessons that might lead to policies aimed at lowering fertility. It addresses the roles of diffusion processes, ideational change, social networks, and mass communications in changing behavior and values, especially as related to childbearing. A new body of empirical research is currently emerging from studies of social networks in Asia (Thailand, Taiwan, Korea), Latin America (Costa Rica), and Sub-Saharan Africa (Kenya, Malawi, Ghana). Given the potential significance of social interactions to the design of effective family planning programs in high-fertility settings, efforts to synthesize this emerging body of literature are clearly important.
China's one-child population policy, first initiated in 1979, has had an enormous effect on the country’s development. By reducing its fertility in the past two decades to less than two children per woman, and developing a family planning program focused heavily on sterilization and abortion, China has undergone a significant transition in status to a demographically developed country. Bringing together contributions from leading academics, this book looks at the impact of the government's strict control over planning and population growth on the family, the wider society and the country's demography. The contributors examine developments such as family planning policy and contraceptive use, biological and social determinants of fertility, patterns of family and marriage and China's future population trends. As such it will be essential reading for academics, researchers, policy makers and government officials with an interest in China’s population policy.
This book was written with basically two objectives in mind. The first one was to provide a comprehensive description of the Indonesian family planning program during the New Order regime of Suharto. The second to explain the fertility transition that took place in Indonesia during the same period. The rationale behind the first objective is the rather unique character of the Indonesian family planning program as a national program, being part of both the New Orderís development effort-and-rhetoric and peoples everyday life. The extent to which it became part of peoples and especially womens everyday life in various ways, sets the Indonesian family planning program apart from comparable programs in Asia. The second objective is an ambitious one. From all the theoretical and anecdotal literature on fertility transition, particularly in Asia, it is clear that it is a complex phenomenon that cannot be captured in a simple model. Nevertheless, the dramatic fertility decline that took place in Indonesia during 1968-1998 begs for an attempt at explanation. In this book, fertility decline is placed against a background of social, cultural and economic change, and is related to the way the family planning program was designed and implemented. The question of the exact contribution of the family planning program to fertility decline is addressed but can never be fully answered. This is because the impact of the family planning program cannot be isolated from the influence of other factors, such as, for example, cultural change leading to a rise of age at marriage, womens higher levels of educational attainment, increased family income, and so on. As the book shows, Indonesia provides a rich context for studying fertility decline and its determinants. The contributors come from several countries and have different backgrounds. They have in common their professional involvement with family planning, fertility and social change in Indonesia and their love for the country and its people.