Family planning programs : the clinets perspective
Ainsworth, Martha
Family planning programs : the clinets perspective - Washington The World Bank 1984 - 86p.
World Bank staff working papers number 676.
Population and development series number 1.
Lowering fertility will require both a reduction in desired family size and provision of family planning services that respond to clients' needs. This paper addresses the second issue--how programs can be more effective in meeting clients' needs.
The World Fertility Survey and the Contraceptive Prevalence Survey found sizable groups of women with "unmet need" for contraception--that is, women who reported wanting to space or limit births but who were not using a contraceptive method. Investigators have also found evidence of unmet need among other groups, including adolescents and men. The gap between fertility preferences and contraceptive behavior is explained in terms of the objective and subjective "costs" of fertility regulation to people, including: the cost of finding out about contraception and where it can be obtained (information costs); the time and money to travel to an outlet (travel costs); the cost of purchase; the physical, psychological and monetary costs of side effects; and the stress provoked by social disapproval of contraception. For some couples who ideally would like to prevent a birth, these represent a greater burden than the cost of an additional child.
Public and private family planning programs in many parts of the developing world have succeeded in reducing the costs of fertility regulation. to clients through innovations in service delivery. The paper examines the most important strategies of the past decade: better access to services through trained fieldworkers who distribute contraceptives directly to households, social marketing programs that increase client access to supplies from a diverse group of outlets, improved information about contraception, availability of an ever-greater variety of methods, follow-up services for contraceptive acceptors, and policies to enhance the social acceptability of contraception.
0821304917
Birth Control -Developing countries
304.66 AIN
Family planning programs : the clinets perspective - Washington The World Bank 1984 - 86p.
World Bank staff working papers number 676.
Population and development series number 1.
Lowering fertility will require both a reduction in desired family size and provision of family planning services that respond to clients' needs. This paper addresses the second issue--how programs can be more effective in meeting clients' needs.
The World Fertility Survey and the Contraceptive Prevalence Survey found sizable groups of women with "unmet need" for contraception--that is, women who reported wanting to space or limit births but who were not using a contraceptive method. Investigators have also found evidence of unmet need among other groups, including adolescents and men. The gap between fertility preferences and contraceptive behavior is explained in terms of the objective and subjective "costs" of fertility regulation to people, including: the cost of finding out about contraception and where it can be obtained (information costs); the time and money to travel to an outlet (travel costs); the cost of purchase; the physical, psychological and monetary costs of side effects; and the stress provoked by social disapproval of contraception. For some couples who ideally would like to prevent a birth, these represent a greater burden than the cost of an additional child.
Public and private family planning programs in many parts of the developing world have succeeded in reducing the costs of fertility regulation. to clients through innovations in service delivery. The paper examines the most important strategies of the past decade: better access to services through trained fieldworkers who distribute contraceptives directly to households, social marketing programs that increase client access to supplies from a diverse group of outlets, improved information about contraception, availability of an ever-greater variety of methods, follow-up services for contraceptive acceptors, and policies to enhance the social acceptability of contraception.
0821304917
Birth Control -Developing countries
304.66 AIN