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  • Title: Comments on "Contraceptive Methods Choice in Pakistan: Determined or Predetermined".
    Author: Soomro GY.
    Journal: Pak Dev Rev; 1994; 33(4 Pt 2):798-800. PubMed ID: 12346209.
    Abstract:
    Dr. Tauseef Ahmed has argued that the low prevalence of contraceptive use in Pakistan is due to the national family planning program's cafeteria approach to method choice. Dr. Ahmed is wrong, however, to conclude that the program was unable to provide a wide variety of modern contraceptive methods to acceptors. The level of contraceptive use in Pakistan is low because couples do not know where to go to obtain contraceptive supplies. Pakistan's family planning program has offered a wide range of methods, and has even recently considered offering the female condom. The program is not biased toward females. A wide assortment of contraceptive methods is offered to women, while the availability of only condoms and vasectomy for men simply reflects the lack of contraceptive options for men worldwide. The chronic weakness of the program has been its logistics. The distribution and coordination of clinical supplies especially for remote and rural areas has been inadequate. IUDs, vasectomy, and tubectomy were offered at the start of the program. IUDs were welcomed, but their adverse side effects damaged the credibility of the program. Coercion to undergo vasectomy during the program's early years also damaged program credibility which has yet to recover. Contraception in Pakistan has overwhelmingly been used to limit births. Only recently have some couples begun to use contraceptive methods such as condoms, abstinence, and withdrawal to space their births.
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