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  • Title: [The impact of family planning on reproductive health].
    Author: Trias M.
    Journal: Profamilia; 1992 Jun; ():4-13. PubMed ID: 12318090.
    Abstract:
    Until relatively recently, sheer survival has been a more pressing concern of most human populations than has control of population growth through contraception. Today family planning with its varied technologies has become an accepted behavior of the majority of fertile couples. Colombia has achieved a satisfactory contraceptive prevalence rate largely due to private institutions. The decline from 6.5 to 3.5 children per woman that required 58 years in the US (1842-1900) required just 15 years in Colombia, according to UN data. Other UN publications demonstrate that family planning prevalence is strongly correlated with quality of life as measured by income, life expectancy, and education, with family planning and quality of life tending to improve simultaneously and coherently. Reproductive health might more appropriately be considered sexual health, since most couples wish to continue sexual relations without fear of unwanted pregnancy. Reproductive health defined as referring to fertile-aged women and children under 15 concerns around 2/3 of the population in developing countries. Although the reproductive health of a country depends in large measure on the physical and mental well-being of its women, discrimination against women in education health, employment, and participation is a serious problem in many countries. Accessibility of family planning is another indicator of women's status. The potential health benefits of avoiding births before age 20 and after 35, high parity births, and closely spaced births are well known. Avoiding all such births would reduce maternal mortality by 20-25% worldwide, saving 100,.000-125,000 maternal lives. Proper spacing would also combat infant mortality. Infant survival programs that omit family planning as a component are short sighted. Family planning has the important benefits of reducing recourse to abortion and of allowing savings in public services including health care, education, and nutrition. In the area of family planning, Colombia's PROFAMILIA continues to prefer a cafeteria approach in which numerous contraceptive options are available. It has been demonstrated that each new method increases the number of acceptors by 6% on average. The especially for women who want to terminate childbearing. Morbidity and mortality rates of the different contraceptive methods, even in the worst conditions, are lower than they would be if contraception were not used. Oral contraceptives, for example, are 4-5 times less risky than nonuse of contraception. PROFAMILIA is currently seeking authorization to use a new combined monthly injectable contraceptive called Cyclofem. The subdermal implant NORPLANT has been well accepted in Colombia.
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