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    050332

    Bitter pills: population policies and their implementation in eight developing countries

    Warwick DP

    Cambridge, England/New York, N.Y, Cambridge University Press, 1982. xvii, 229 p.

    This book is concerned with what happens when national governments and international donors try to promote birth control in developing countries. An attempt is made to answer several questions, including how governments adopt population policies, how those policies are carried out, and what explains the difference between programs that are implemented and those that are not. The book is based primarily on research concerning Egypt, Kenya, Mexico, and the Philippines, with some reference also to the Dominican Republic, Haiti, India, and Lebanon. The author's main contention is that effective program implementation depends more on sensitivity to people than on rational organization. The idea that successful implementation is a matter of clear authority, sound logistics, and reliable product delivery is challenged, and the author also suggests that such an approach leads to programs becoming a source of political contention. Instead, an approach that takes explicit account of the political context, cultural nuances, bureaucratic wars, and above all, client welfare, is suggested. The study includes an analysis of the pervasive influence of international donors and a chapter on the ethics of population control.
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