Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 1994

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

The long-term demographic role of community-based family planning in rural

Bangladesh.

AUTHORS

Phillips JF; Hossain MB

SOURCE

[Unpublished] 1994. Presented at the Annual Meeting of the Population

Association of America, Miami, Florida, May 5-7, 1994. [2], 34 p.

ABSTRACT

This study in Bangladesh analyzed the latent demand and the fragile demand hypothesis of community-based

distribution (CBD) and demand for services. The latent demand hypothesis tests whether outreach impact is greater

at the beginning period of a project; there is an expected decline as the program becomes established. The fragile

demand hypothesis proposed by Easterlin recognizes latent demand, but adds the notion of costs that offset latent

demand such that CBD has a continuing or growing impact over time. Longitudinal data were obtained from the

Sample Registration System and 19% of households in 2 study districts of central and western Bangladesh.

Controls were respondent's age, years of schooling, square feet of dwelling space, proportions desiring no more

children, and Muslim religion. Several models were tested: the reproductive change model, which tested the relative

significance of the latent and fragile demand notions in a time-period conditional (1982-84, 1986-88, and 1990-92)

estimation of unknown parameters technique; and the ideational change model, which probes the impact of exposure

to the program and changes in preferences in a cohort of women in 1982, 1985, and 1990. Sample size was 43,000.

Bootstrap procedures of Moulton and Zeger were used to estimate parameters separately for each time point and to

produce generalized random effects estimates. The results indicated that background characteristics are important

in determining contraceptive use over time. Educational and demographic characteristics were weakly related to

contraceptive prevalence. Outreach was found in reduced form models to have incremental impact on program

activity as a substitute for underlying demand. Female community workers were found to be more effective at

encouraging continued contraceptive use than male workers, who provide supplies to already motivated women. Over

time, the impact of outreach on contraception adoption increased, and the odds of discontinuation decreased, thus,

outreach had a continuous impact on programs. In the service exposure model, outreach by government workers had

significant effects. Contact had a significant impact on change in family size desired. Son preference declined by

26% in the more recent program period. Outreach contributed 13.2% in 1990 to the decline in the desire for another

child. Worker contact encouraged ideational change. (PubHealth.info Document ID: CONT2T 4061-06)

PubHealth.info NOTE: The author(s) of this article titled, "The long-term demographic role of community-based family

planning in rural Bangladesh.", is(are) Phillips JF; Hossain MB. The source of this article is "[Unpublished] 1994.

Presented at the Annual Meeting of the Population Association of America, Miami, Florida, May 5-7, 1994. [2], 34 p.".

This article was published in 1994 in English language(s). (PubHealth.info® Document ID: CONT2T 4061-06. All

rights reserved with PubHealth.info) PIN: 9061

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