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PRO FAMILIA MAGAZIN. 1992 Mar-Apr; (2):12-4.Nongovernmental organizations (NGOs) enjoy regular attention in the wake of the misfortunes and failures of international family planning (FP) programs, since these are market-oriented management and knowledge organizations. Development assistance administrations increasingly rely on cooperation with NGOs because of their grass-roots orientation. The International Planned Parenthood Federation (IPPF) verified in a 1990 study on reproductive rights of women that only 50% of UN members had a functional FP service. In Eastern Europe there has been a clear rejection of centralized bureaucracies making nonstate FP organizations consider their future orientation. For 20 years the IPPF sensitized UN organizations and governments to the idea of FP, being the first NGO in FP. At present hundreds of organization compete with IPPF, among them nonstate FP organizations (FPOs), research and educational outfits, lobby groups, and international women networks (International Women's Health Coalition, FINRAGE, ISIS, Women's Global Network of Reproductive Rights) with differing size, ideology, and influence. Critics are afraid of increasing bureaucratization and remoteness from human beings of such NGOs. The causes of meager success of institutionalized FP include lack of cultural modification, lagging practice of male contraception, sexual violence and discrimination against women, no halt to the spread of AIDS especially among heterosexuals, and feeble programs. A program of sexual culture integrates good and bad sexuality recognizing various life styles that men and women choose. It includes sexual emancipation. The elimination of exploitation of children and women requires further efforts. In view of the poverty and environmental destruction in developing countries, the program of sexual culture is necessary, since it will reestablish the sexual basis of family planning.