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World Federation policy statement. IV. Incentives and disincentives relating to voluntary surgical contraception.
[Unpublished] 1981 Nov. 3 p.The recommendations of the 1974 Symposium on Law and Population are endorsed including taking into account the value system and customs of a society to counteract family planning (FP), obstacles and urging that government-sponsored FP programs be considered basic human rights. The incentives and disincentives of the International Conference on Family Planning held in Jakarta in 1981 are also approved. These relate to ethical, social, and political issues and the availability of FP information, education, and services; evaluation of the effectiveness of incentives to enhance community improvement, peer recognition, and social rewards; and the minimalization of cash incentives because of the potential for abuse. The balancing of individual rights to collective rights is also accepted as declared by the 1977 Expert Group Meeting of the Economic and Social Commission for Asia and the Pacific. In addition, the World Federation advocates principles on contraception of Health Agencies for the Advancement of Voluntary Surgical incentives and disincentives in voluntary surgical contraception to limit family size; psychological and social incentives; fees for service; discouragement of immediate financial incentives for acceptors; and continuous institutional monitoring and education of these guidelines. Assistance of member countries of the World Federation is a primary objective in this effort.
[Unpublished] 1985 Nov 25. 8 p.For some time there has been an active debate centering on the relationship between population growth and economic growth and the relationship, if any, between abortion and family planning programs. This debate has been characterized by strongly held and often polarized convictions, yet the debate usually fails to consider a most important set of reasons for family planning programs. Specifically, there has been little attention directed to the interests of families and individuals. This is unfortunate since the availability or lack of family planning services is of enormous consequences to some families and individuals. These family and individual interests fall into 3 categories: the desire of couples to determine the size and spacing of their family; mother and child survival; and reduction of abortion. The right of the family to choose the number and spacing of their children was strongly reaffirmed by international consensus at the International Conference on Population in Mexico City in 1984. Governments should not dictate the number of children couples can have, but family planning services should be encouraged so that people really do have the option, if they desire, of fewer children. Families make decisions in their own interest based upon their social and economic and religious situation. Change, including urbanization and lower child mortality, has created a new situation for millions of families throughout the developing world. One can debate the impact of population growth on economic growth in a family, but there is no question that many families feel they can do more for each child if they have fewer children. The unfulfilled desire of 3rd world families to have fewer children is not just Western speculation. Surveys show a large number of women who would like to space or limit their family size but cannot because no services are available. The health and survival of mothers and children provides a 2nd important reason for family planning. 1 of the most serious consequences of women having many children in quick succession is that more children and mothers die. There are dramatic statistics that family planning saves lives. Sound economic policies and various development efforts are critical to economic growth, but family planning has been part of successful packages in some key countries in recent years. Based upon that, sound economic and population policies are mutually supportive components of a country's plans for economic growth. This was the position taken by the Agency for International Development and remains its position. Strong family planning programs should be supported in the interests of families and individuals.
In: International Planned Parenthood Federation [IPPF]. Male involvement in family planning: programme initiatives. London, England, IPPF, . 177-83.The International Labor Organization (ILO) has enlarged its traditional concern and responsibility for labor welfare to encompass the worker's welfare not only at the workplace but also in his living environment. The purpose of this paper is to introduce the ILO's Population/Family Welfare Education Programme. The basic objective of this program is to improve the quality of life of workers and teir families through educational activities aimed at creating an appreciation of interrelations between family income and expenditure, family budgeting and determining of priorities for various needs of the family, including family size. The program is implemented at country level through labor ministries, employers' groups, trade unions, or co-operatives. The program is designed for workers in the organized sector; its content and approach are refined for 4 main sub-groups: male workers, young workers undergoining vocational training, young unmarried female workers, and plantation workers and cooperative members in rural areas. In all cases the ILO program uses existing welfare and educational institutions, and is presented in terms of family level relationships. Once the inter-relationships of needs and resources within the context of the family is considered, it becomes apparent that needs are predominantly determined by family size. To the extent that couples are prepared to regulate their fertility, this decision may be influenced by family decision making. On the other hand, the potential for influencing family resources is limited. Family well-being can thus be seen in terms of family needs, resources and decision making. Workers must therefore be shown that they can determine their family size. This is the basic family welfare education message. It has a distinct ILO flavor about it and has proved to be acceptable to governments, employers, trade union leaders and members.
Women and World Population Year, decision-making for development, statement made at the Women's Forum on Population and Development, New York, 25 February 1974.
New York, N.Y., UNFPA, . 8 p.This statement briefly traces the history of development and population programs from the 1960's till the present and discusses what these programs can do for women. The cumulative effect of apparently minor innovations which help to ease the work load in the home is far greater than it might appear. There are significant material benefits but more important are the effects of the way a woman perceives herself. She has, for the 1st time, opportunity to widen her horizons, Increased education, employment and equality tend to lower family size as well. It is therefore important to ensure the commitment and participation of women in family planning programs, so that women become active rather than passive tools of policies which ultimately affect their lives.
Asia: an area assessment, statement made at the Second Asian Population Conference, Tokyo, Japan, 1 November 1972.
New York, N.Y., UNFPA, . 13 p.This report offers a critical evaluation of population policies in Asia. Suggestions for future strategies to solve the problem of high fertility include: 1) studies involving in depth village level research in order to deepen understanding of the factors influencing family size; 2) greater attention to be paid to education on population problems and their implications, as well as the basic principles of human reproduction and family planning; 3) scrutinizing all relevant social legislation such as tax and welfare benefits and family allowances to determine their probable influence upon childbearing; and 4) integrating population policies with economic and social development. In order to carry out these activities, training personnel is of the utmost importance. Furthermore, research leading to the elaboration of systemic models of the development process should be intensified.
M. A. thesis, Univ. of Chicago, Division of the Social Sciences, Dec. 1973. 90 p.In the summer of 1971 the Planned Parenthood Federation of Korea (PPFK), with the concurrence of the Korean government, launched a new phase in the Korean family planning program--"Stop at Two" movement. With this step the 10 year old family program became the 1st in the world to openly advocate and propogate through communications the 2-child family norm. Since then the movement has been vigorously pressed through all communications channels in spite of traditional norms and the need for major outside funding. The decision to actively bring the "Stop at Two" idea to the public was based largely on the implications for the future of the success of the 1st 10 years of the national family planning program. The Korean government has set an optimistic population growth rate target for the next 5 years--1.5 to be achieved by 1976. To reach these goals it is estimated that 45% of the eligible population will have to be regularly using some form of contraception. At 1 time or another the PPFK, supporting the national program, has used every conceivable method of communication to inform, motivate, and persuade the Korean population to adopt family planning. An attempt has been made to carefully analyze problem areas in the family planning program for which communication research is needed or would be relevant. An effort is made to show how the information obtained could be used to deal effectively through communication with the conditions presented by the problem. Communication research and evaluation techniques which would be most valuable to Korea are described. A research and evaluation design which spells out the components of a program of research intended to support the already published communication strategy of the Korean family planning over the next 3 years is included.
In: Hauser PM, ed. World population and development: challenges and prospects. Syracuse, New York, Syracuse University Press, 1979. 440-85.Although there is a growing awareness of the relationship between the status of women, fertility patterns, and economic development many programs and research endeavors in the population field are still based on mistaken assumptions and culturally biased views about the role of women and its significance. Women must be able to exert control over their own lives if family population programs are to meet with success. In economically and politically male dominated societies women cannot obtain this control. In most developing countries women are employed in low status agricultural and domestic service work or are engaged in small trading operations. Programs which seek to reduce family size by simply increasing wormen's work force participation in these employment areas will not be effective. These work roles are not incompatible with child rearing and the increased income may actually increase fertility. To expect the negative relationship between increased labor force participation and lower fertility, which characterizes the industrial countries, to hold under these conditions, is ethnocentrically naive. It should also be recognized that the status and role of women varies from society to society depending on the level of economic development and the religious, political, and cultural traditions of the society. For example, it should not automatically be assumed that the decision to have a child is made mutually by a husband and wife when the couple resides in an extended family. The attitude of relatives as well as the availability of child raising assistance will enter into the decision making process. Many hypothesized relationships in the population field fail to take into consideration differences such as these. Some of these biases can be ameliorated by permitting women to play a more active role in formulating programs aimed at serving them. Tables based on information from many countries show crude birth rates, education levels, and political positions of women according to the % of service workers in the population, and according to the type of society. Other tables show the work status of women according to the % of construction and industry workers and the % of service workers in the population and according to the type of society.
In: Molnos A, ed. Social sciences in family planning. (Proceedings of the Meeting of the IPPF Social Science Working Party, Colombo, Sri Lanka, June 10-13, 1977). London, International Planned Parenthood Federation, 1978 Dec. 15-21.It is argued that in Pakistan the more children (particularly sons) families have the better the chances that the parents can export them to urban markets and to the middle East for lucrative work, and the better the chances that the extra labor force can handle the family's business of the family so that they can conduct their daily business. In societies like Pakistan the answer to the question as to why people practice or fail to practice family planning needs to be analyzed in the context of kinship structure. The motives, ideologies and exchange relationships are assumed to be derivatives of such systems. Focus is on social and economic factors affecting family planning decisions (education, family income, socioeconomic status, family type, age at marriage, ideal number of children, fate orientation of wife, and egalitarianism), social structural factors affecting family planning decisions, and social and economic exchange factors. In addition to these social and economic considerations the issues of the nature and scope of contraceptive technology itself needs to be considered. The family planning program in Pakistan is a little over 10 years old, and the birthrate of the country has not declined. This fact should not be depressing, for it is the administrative enthusiasm of the planners in the early phase that is partly responsible for the current disappointment. The 10 years has been used to do the ground work. Program planning should consider the type of kinship structure to which potential clients belong, and the programs should be designed to encourage the adoption of a complex package of changes rather than to combat the resistance against contraception.
New York, UNFPA, June 1979. (Report No. 13) 151 pThis report is intended to serve, and has already to some extent so served, as part of the background material used by the United Nations Fund for Population Activities to evaluate project proposals as they relate to basic country needs for population assistance to Thailand, and in broader terms to define priorities of need in working towards eventual self-reliance in implementing the country's population activities. The function of the study is to determine the extent to which activities in the field of population provide Thailand with the fundamental capacity to deal with major population problems in accordance with its development policies. The assessment of population activities in Thailand involves a 3-fold approach. The main body of the report examines 7 categories of population activities rather broadly in the context of 10 elements considered to reflect effect ve government action. The 7 categories of population activities are: 1) basic data collection; 2) population dynamics; 3) formulation and evaluation of population policies and programs; 4) implementation of policies; 5) family planning programs; 6) communication a and education; and 7) special programs. The 10 elements comprise: 1) decennial census of population, housing, and agriculture; 2) an effective registration system; 3) assessment of the implications of population trends; 4) formulation of a comprehensive national population policy; 5) implementation of action programs integrated with related programs of economic and social development; 6) continued reduction in the population growth rate; 7) effective utilization of the services of private and voluntary organizations in action programs; 8) a central administrative unit to coordinate action programs; 9) evaluation of the national capacity in technical training, research, and production of equipment and supplies; and 10) maintenance of continuing liason and cooperation with other countries and with regional and international organizations.
IPPF Europe Regional Information Bulletin 8(1):2-4. January 1979.A German-speaking subregional working group meeting convened by the IPPF Europe Region in October 1978 discussed planned parenthood in low-birth-rate countries. 3 features characterize current fertility behavior in Europe: 1) a trend toward 2-child families; 2) early marriage (average age 23), with fertility confined to the 1st 6 years of marriage and longer birth intervals; and 3) marital fertility as the main birth rate determinant. Regional, social, and political fertility differences are diminishing. It is doubtful that material incentives to have children (e.g., financial assistance, maternity leaves, credit) are effective in the long term. While a connection is often made between the number of women workers and decreased fertility, it is the form rather than the proportion of women in employment that has changed. Even if women returned to the home, desired family size would not necessarily increase. More research is needed on the fertility effect of living accommodations. The meeting adopted 5 standpoints: 1) attempts to use social, economic, or political grounds to restrict people's ability to freely determine family size violate basic human rights; 2) family size decisions are influenced by a series of personal and social factors, with planned parenthood information and methods having no direct influence; 3) the role of planned parenthood is to subject the timing and frequency of births to self-determined planned action; 4) demographic trends should be analyzed so deficiencies in social and family policies noted can be corrected; and 5) planned parenthood cannot be used in the service of political action to decrease or increase population.
CBFPS (Community-based Family Planning Services) in Thailand: a community-based approach to family planning.
Essex, Connecticut, International Council for Educational Development, 1978. (A project to help practitioners help the rural poor, case study no. 6) 91 pThis report and case study of the Community-Based Family Planning Service (CBFPS) in Thailand describes and evaluates the program in order to provide useful operational lessons for concerned national and international agencies. CBFPS has demonstrated the special role a private organization can play not only in providing family planning services, but in helping to pioneer a more integrated approach to rural development. The significant achievement of CBFPS is that it has overcome the familiar barriers of geographical access to family planning information and contraceptive supplies by making these available in the village community itself. The report gives detailed information on the history and development of the CBFPS, its current operation and organization, financial resources, and overall impact. Several important lessons were learned from the project: 1) the successful development of a project depends on a strong and dynamic leader; 2) cooperation between the public and private sectors is essential; 3) the success of a project depends primarily on the effectiveness of community-based activities; 4) planning and monitoring activities represent significant ingredients of project effectiveness; 5) a successful project needs a sense of commitment among its staff; 6) it is imperative that a project maintain good public relations; 7) the use of family planning strategy in introducing self-supporting development programs can be very effective; 8) manning of volunteer workers is crucial to project success; and 9) aside from acceptor recruitment in the short run, the primary purpose of education in more profound matterns such as childbearing, womens'roles in the family, and family life should also be kept in mind. The key to success lies in continuity of communication and education.
In: Watson, W.B., ed. Family planning in the developing world: a review of programs. New York, Population Council, 1977. p. 54-55The government of Honduras included a population policy in its National Development Plan for the period 1974-1979. This policy will be implemented by providing information regarding responsible parenthood, by using natural and technical resources to produce a well-nourished and creative population, and by applying the principles of voluntary participation in family planning programs. The 2 family planning programs in Honduras are the government maternal and child health program and the Family Planning Association of Honduras program. The government program, initiated in 1968, operates 34 clinics which offer family planning along with prenatal and postnatal care, child care, and nutrition education services. The Family Planning Association, established in 1961, operates 2 clinics and served 42,000 people during 1975. 9000 of this group were 1st acceptors. Oral contraceptives were chosen by 80% of the new acceptors; 13% chose IUDs and 5% chose injectables. The Association's information and education activities included conferences, talks, courses, seminars, and home visits. Additionally, the Association is operating a demonstration community-based distribution program with financial assistance from the International Planned Parenthood Federation. 40 workers in each of 2 cities provide contraceptives in their own neighborhoods.
In: McCoy, T.L., ed. The dynamics of population policy in Latin America. Cambridge, Massachusetts, Ballinger Publishing Co., 1974. p. 293-322United States initiative, encouragement, support, money, planning, organization, and ideas have been responsible for the family planning program in the Dominican Republic. From 1962 to 1965 the program was entirely private. In the 1965-1967 stage, demand increased, support increased, and pressure on the government to establish an official family planning policy increased. From 1967 to 1971 the government established an official program, funded it, and expanded its activities. The program has grown steadily, but it is still weak and largely ineffective. Results on national population figures have been minor. Opposition was most severe at first, due to racial and nationalistic fears of neighboring Haiti. Church and Leftist opposition remains but is less vocal. The family planning program is part of the social, cultural, developmental, and economic changes occurring in the Dominican Republic today. Reduced population growth and limited family size are more accepted now. It is doubtful whether the population program is strong enough to survive a change in regime.
Washington, D.C., World Bank, Population, Health and Nutrition Dept., 1982 Oct. 46 p. (PHN Technical Notes RES 3)This paper uses data from the World Bank and UNFPA sponsored survey on the determinants of fertility decline in Sri Lanka. The multivariate analysis shows that whereas the traditionally strong influences on fertility, and hence contraceptive use, such as education, age, and labor force participation still exist among the older women, changes in the nature of delivery of family planning services are making these socioeconomic factors less salient among younger women, as well as among subgroups of older women. (author's)