Implementing family planning programs in developing countries : lessons and reflections from four decades of Population Council experience.
Over the last three decades, contraceptive prevalence has risen from about 10% to nearly 60% in developing countries, but still about 1 in 4 births in developing countries (outside China) is unwanted.
More than 120 million women in these countries who do not want to become pregnant do not use contraceptives.
Nearly 600 000 women die each year from pregnancy-related causes, between 67000 and 204000 of them from unsafe abortions.
At the 1994 International Conference on Population and Development in Cairo, delegates endorsed the view long advocated by the Population Council : the primary purpose of family planning programs should be to help women avoid unwanted pregnancy and achieve their fertility goals safely.
That means, at the very least, that programs should address those reproductive health issues that are directly related to fertility regulation.
To meet the Cairo challenge, progress is needed simultaneously on several levels.
We need more and better contraceptive technologies that meet the needs of different groups ; higher-quality family planning services ; more outreach to underserved groups (such as men and adolescents) ; programs tailored to local cultures ; and measures to address all the factors that prevent women who do not want to become pregnant from using contraceptives.
The call for a client-centered, reproductive health approach to family planning constitutes a critique of programs driven by demographic goals. (...)
Mots-clés Pascal : Planning familial, Pays en développement, Contraception, Promotion santé, Organisation santé, Sexualité, Homme
Mots-clés Pascal anglais : Family planning, Developing countries, Contraception, Health promotion, Public health organization, Sexuality, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0428575
Code Inist : 002B30A03A. Création : 19/12/1997.