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  • Title: Contraception boom points to break-through in reproductive health.
    Journal: Prog Hum Reprod Res; 1992; (21):1, 4. PubMed ID: 12344676.
    Abstract:
    The mean fertility rate in developing countries has fallen from 6.1 to 3.9 between the early 1970s and 1992. Increases in contraceptive use contributed to this decline. In 1965-1970, just 9% of married couples used contraception, but by 1985-1990, 50% did. During the same period, the number of contraceptive users increased from 18 to 217 million. Yet, vast regional differences in the decline in fertility exist. The greatest decline occurred in East Asia, while the smallest took place in sub-saharan Africa. Availability of family planning services contributes to this disparity (95% in East Asia and 9% in sub-Saharan Africa). Contraceptive availability in southeastern Asia and Latin America is 57%, and 54% in southern Asia. Just 60% of the population in developing countries can easily obtain at least one safe, effective, and acceptable family planning method. Couples in East Asian countries, especially China, are more likely to use contraception than couples in developed countries. Further, 71% of people who use contraceptives in China use modern contraceptive methods compared to just 47% in developed countries. Just 1% of Chinese contraceptive users depend on traditional methods, while 24% of developed world contraceptive users depend on them. Nevertheless, about 300 million couples worldwide who want to stop having children do not use any contraception. Almost 50% of the 910,000 daily conceptions are not planned and 25% are unwanted. 150,000 induced abortions occur daily, 33% of which are done in an unsafe manner resulting in 500 deaths. Further, many people do not realize that most women who have an abortion are either married or part of a stable union and are mothers to several children.
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