| 1. Title: Government sterilization services acceptors' characteristics and its demographic impact. Author: Cho NH; Koh KS Source: In: National Conference on Voluntary Sterilization, 3rd, Seoul, Korea, Sept. 24, 1982. Voluntary sterilization. [Seoul, Korea] Korean Association for Voluntary Sterilization [1983]. :17-27. Abstract: Since the inception of a family planning program in 1962, the national program has played a part in both the reduction of the fertility rate and the wide spread use of contraception. The population census indicated that the total fertility rate of women aged 15-44 declined from 6.0 to 2.7 in 1982, and that the family planning practice rate increased from 9% in 1964 to 57.7% in 1982. During the last 2 decades, 11.7 million acceptors have received contraceptive services under the national program. The IUD has been the principal method since 1976, at which time the female sterilization program was introduced. Considering the popularity of female laparoscopic sterilization since 1976, the government has emphasized sterilization and deemphasized other methods since 1977. The use of the IUDs, pills, and condoms have declined while there has been a sharp increase in female sterilization. Between 1962 and 1981, a total of 1,478,000 acceptors, which consist of 501,300 vasectomy procedures and 977,500 tubectomy procedures, have received sterilization services through the government program. Comparing the practice rate between 1979 and 1982, the rate of female sterilization increased drastically from 14.5% in 1979 to 23.0% in 1982 while the practice rates for IUD, vasectomy, pill methods have declined. Of the total practice rate of 57.7%, the proportion of vasectomy users was 51.1% in 1982. According to acceptors' coupon data, the women's age of vasectomy and tubectomy acceptors fell steadily to 31.1 and 31.9 in 1981 respectively, and the number of children went down to 2.5 and 3.2 in the same year. However, the demographic characteristics of sterilization acceptors are far from adequate to attain the government's new population goal of replacement level fertility by the year 1988. The Standard Couple Years of Protection (SCYP) was used to compute the number of births averted by government sterilization programs. The results showed that: the total number of births averted between 1962 and 1981 is estimated at 902,778 during the period of 1962 through 2005. The coefficient of birth prevention, which is the ratio of the number of births averted to the number of acceptors, is estimated to be .7 for vasectomy and .6 for female sterilization during 1962 through 2005. At the same time, a total of 1,820,300 induced abortions will be prevented during 1962-2011 through the sterilizations provided during 1962 to approximately 1981. Of the total number of abortions prevented, 507,386 were made possible by the vasectomy program, and 1,312,914 abortions were prevented by the female sterilization program. The coefficient of abortion prevention is estimated to be 1:2 for sterilization. The programs have greatly contributed to the improvement of maternal health through prevention of induced abortion as well as reduction in fertility rate of the married women. There is a strong need for the national program to recruit more sterilization acceptors in their 20s in order to continue the high acceptance of sterilization. Innovative social support policy measures to encourage smaller families and reduce sex preference should be supported. (author's modified) Language: EnglishKorean Keywords: GOVERNMENT PROGRAMS | DEMOGRAPHIC IMPACT | NATIONAL HEALTH SERVICES | FAMILY PLANNING ACCEPTOR CHARACTERISTICS | DEMOGRAPHIC FACTORS | FAMILY PLANNING PROGRAMS | FAMILY PLANNING | POPULATION POLICY | FAMILY PLANNING POLICY | KOREA | CONTRACEPTIVE USAGE | CONTRACEPTIVE METHODS CHOSEN | CONFERENCES AND CONGRESSES | CHANGES | FERTILITY RATE | AGE FACTORS | IUD | LAPAROSCOPY | ORAL CONTRACEPTIVES | VASECTOMY | TUBAL OCCLUSION | CHEMOSTERILANTS | COMPARATIVE STUDIES | BIRTHS AVERTED | ABORTION | MATERNAL HEALTH | FAMILY SIZE, IDEAL | CONDOM | Programs | Organization and Administration | Population Dynamics | Population | Health Services | Delivery of Health Care | Health | Family Planning Acceptors | Social Policy | Policy | Contraception | Social Change | Birth Rate | Fertility Measurements | Fertility | Population Characteristics | Contraceptive Methods | Endoscopy | Physical Examinations and Diagnoses | Examinations and Diagnoses | Male Sterilization | Sterilization, Sexual | Female Sterilization | Studies | Research Methodology | Family Planning Program Evaluation | Fertility Control, Postconception | Family Size | Family Characteristics | Family and Household | Barrier Methods Document Number: 266708 Notification |
 |
||
 |
Information & Knowledge for Optimal Health (INFO) Project 111 Market Place Suite 310, Baltimore, MD 21202 Phone: 410-659-6300 Fax: 410-659-6266 Security & Privacy Policy |  |