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  • Title: [Some examples of family planning programs].
    Author: Donnet F.
    Journal: Enfant Milieu Trop; 1991; (193-194):69-80. PubMed ID: 12319672.
    Abstract:
    Five national family planning programs from developing countries are briefly described following a few preliminary remarks on the demand and supply of family planning services. The examples of Tunisia, Rwanda, Togo, Burkina Faso, and Bangladesh were selected not to represent their geographic areas but because of specific problems faced or successful program elements. The question of whether the desire to control fertility is necessarily related to development or whether it may appear where living conditions are deteriorating has long interested analysts. Surveys in developing countries demonstrate that a latent demand for family planning exists. The desire to use contraception may become explicit and lead to adoption of a method if family planning programs with culturally appropriate services are available. The traditional obstacles of religious opposition, low status of women, and high infant mortality are becoming less important than the shortage of family planning facilities with trained and motivated workers. The principal problems result from shortages of human and financial resources. Demand is highest in the largest cities, but signs of increasing demand are evident in many rural areas. The challenge is to meet the demand with inexpensive and easy to use methods that are reliable and reversible. There is no single formula for successful family planning programs. Tunisia was at the forefront of family planning and population policy in Africa and has a history of innovative programs, such as mobile units to serve rural areas and the "fortieth day" program for postpartum women. Rwanda, Burkina Faso, and Togo are African countries with rapidly growing populations, low prevalence rates, and varying indications of latent demand. The family planning program in Bangladesh's Matlab province is an example of a program enjoying considerable success even in the absence of significant improvement in living conditions.
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