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Reproductive science and contraceptive development: recommendations to international assistance agencies.
In: Rockefeller Foundation. Bellagio 4 population conference. A conference sponsored by The Rockefeller Foundation, Ulvshale, Denmark, June 7-9, 1977. New York, Rockefeller Foundation, November 1977. p. 63-77Focus is on the findings of a 2-year study of reproduction science and contraceptive development that are of particular relevance to the work of international asssitance agencies. The first 3 of 20 recommendations made in the Report's Summary of Findings and Recommendations are especially important. The recommendations are: 1) a variety of safe and effective methods of fertility regulation beyond those now available is urgently needed, and there must be increased efforts ranging from fundamental research on the reproductive processes to targeted activities in contraceptive development; 2) more attention must be given to studies of intermediate and long-term safety of methods yet to be developed; and 3) by 1980, allocations for research in the reproductive sciences related to contraceptive development and evaluation by governmental agencies should comprise substantially higher proportions of total expenditures for medical research and development assistance than is now the case. Worldwide expenditures for the reproductive sciences and contraceptive development reached a peak in 1974 and have since decreased in 1975 and 1976. Clearly, the amount of relevant research being supported throughout the world has declined at a time when the promise of major new developments is extremely high and when bringing new products to market calls for large expenditures of funds to assure their efficacy and safety. Additional focus is given to institutional and human resources, contraceptive development in the public sector, regulation and ethics of human experimentation, the special conference on contraceptive development in the public sector that was held April 27-29, 1977, rationale for support of reproductive science and contraceptive research, institutional arrangements for research in reproduction and contraceptive development, financial requirements, and new funding mechanisms.