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  • Title: A model for other countries.
    Author: Bhiromrut P.
    Journal: Integration; 1991 Dec; (30):18-21. PubMed ID: 12284675.
    Abstract:
    In 1964 Thailand had 1 of the highest rates of population increase at 3.32%. In 1990 that figure had dropped to 1.24%, qualifying Thailand as 1 of the most successful countries in implementing family planning programs. Between 1970-90 the contraceptive prevalence rate rose from 15% to 75%. During this same time the infant mortality rate dropped from 80/1000 to 35/1000 live births. This was accompanied by an increase in the quality of life and health of the Thai people. The National Family Planning Program was strengthened by: 1) public information campaigns that promoted 2-child families and contraceptive use; 2) increased service delivery of all 7 contraceptive methods through 8000 government health outlets; 3) paramedical training increased the number of health care providers by training nurses to handle IUD insertion and post-partum sterilization, midwives were taught to give injections and insert IUDs, and villages volunteers were trained in prescribing pills and condoms; and 4) coordination programs that allow all related government ministries and 6 private associations to work together. The result of all this effort is a 40-fold return on every dollar spent on family planning. Without these programs the Thai population was estimated to be 67 million instead of 54 million. This resulted in savings in social and economic development planning as well as educational expenditures. Income from rice exports was created, which would have had to feed the extra 13 million births that were avoided by the program between 1970-89. The program still has a great deal of work to accomplish. Thailand's population is projected to grow to 63.5 million by 2000. The number of women of reproductive age is currently 14 million which means that 28 million people must be reached and encouraged to delay their 1st child and space their 2nd child farther. The goal is to have 77% of married women using contraception by 1996. This is especially true of the women in the 15-25 age group, 50% of whom currently use contraceptives. The sterilization rate must also be increased from 30% to 40% for women with 2 children.
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