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: 1991

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Fertility intentions and access to services as constraints on contraceptive

use in Colombia.

AUTHORS

Cochrane SH; Guilkey DK

SOURCE

[Unpublished] 1991. Presented at the Demographic and Health Surveys World

Conference, Washington, D.C., August 5-7, 1991. 15, [18] p.

ABSTRACT

The structural models presented examine the number of currently surviving children on the decision to have

additional children and their desired spacing in Colombia, and the determinants of contraceptive use and choice.

Data are based on the 1986 Colombian Demographic and Health Survey and include household measures:

socioeconomics, fertility level, family planning awareness and use; and community measures: availability of

government and social facilities, and detailed data on health and family planning services. Fertility intentions are

used as right-hand-side endogenous variables in equations that explain current contraceptive use and current choice

among methods, in order to compensate for the failure of prior studies which do not distinguish between exogenous

and endogenous variables. The theoretical model is based on the contributions of Easterlin, Schultz, Crimmins, and

Rosenzweig. Policy questions considered are 1) to what extent is contraceptive use affected by demand to restrict

fertility, and by access to services; and 2) what policy variables can be used to increase demand to restrict fertility,

and which policy variables are most important for expanding contraceptive use. Background information is provided

on the demographic transition and the role of the family planning program. In the structural model of the determinants

of contraceptive use, the equation shows that the number of living children significantly increases the motivation to

restrict fertility as well a the availability of more contraceptive methods within 5 km. High levels of community

mortality significantly reduce the motivation to restrict fertility. Residence in urban places lowers motivation slightly.

The number of family methods available in the community has a significant effect on increasing the motivation to

restrict fertility. Socioeconomic factors do not play a role. The number of births to a woman in her lifetime is

explained by her individual characteristics, access to health facilities at the age of 20 years (only private clinics and

hospitals), and region of residence. A woman's age and education (even as little as 4-7 years) and her husband's age

and education have significant negative effects on fertility. Child mortality is explained by the age and education of

the wife, and access to good water, but not sanitation. Contraceptive use is affected by intentions and a woman's

age, spouse's education, family assets, and region of residence. Factors affecting choice of method are a woman's

age and educational level an household assets. It is concluded that women's education is significant in determining

birth number and contraceptive use among women motivated to restrict fertility. A broad range of methods and a

lowering of fees may have a significant effect on fertility intentions. IEC messages may need to be broadened to

promote methods other than sterilization. (PubHealth.info Document ID: CONT3T 2514-06)

PubHealth.info NOTE: The author(s) of this article titled, "Fertility intentions and access to services as constraints

on contraceptive use in Colombia.", is(are) Cochrane SH; Guilkey DK. The source of this article is "[Unpublished]

1991. Presented at the Demographic and Health Surveys World Conference, Washington, D.C., August 5-7, 1991. 15,

[18] p.". This article was published in 1991 in English language(s). (PubHealth.info® Document ID: CONT3T 2514-

06. All rights reserved with PubHealth.info) PIN: 12514

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