Communique of the State Family Planning Commission on a nationwide fertility sampling survey of every person per thousand

In 1982, the Chinese State Family Planning Commission conducted a nationwide fertility survey of 1 person/1000 in 28 provinces, municipalities, and autonomous regions. 815 sample units were selected and 310,462 women aged 15-67 were interviewed, 99.9% of those identified. 252,094 (24.77%) were of childbearing age (15-49) with 24.76% 15-19 years old. Among women of fertile age, 31.46% were unmarried, 64.53% were married to their 1st husbands, 2.89% were remarried, .19% were divorced, and .94% were widowed. Average age of 1st marriage increased from 18.4 in the 1940s to 22.8 in 1981. Total fertility rate dropped from 5.44 in the 1940s to 2.63 in 1981. In 1981, the birth rate was 85/1000 women of fertile age. Fertility was much higher among minority nationalities. 118 million of China's 170 million married couples of reproductive age (69.46%) use birth control at present; 50.2% use the IUD, 25.4% tubal ligation, 10.0% vasectomy, 8.2% oral contraceptives, and 2.0% condoms. About 21 million married women should have begun using contraception but have not. 14 million or 42.3% of 33 million 1 child couples have pledged to have only 1 child. If the fertility level of 1981 is maintained and the average woman continues to have 2.63 children, 2.91 in rural areas, China's population will reach 1.2 billion by 1993 and will exceed 1.3 billion by 2000. The Central Committee has a target population of 1.2 billion by 2000.     

Communique of the National Sample Survey of Fertility and Birth Control (abstract)

The State Family Planning Commission in China surveyed 2,151,212 people, including 459,269 married women aged 15-57 on fertility and birth control, in July, 1988 from 30 provinces and other regions. From 1980- 87 the average total fertility rate was 2.47 vs. 4.01 in the 1970s. Fertility rates in the 80s were 1.33 for cities, 2.43 for towns, and 2.84 for villages. 1st parity births rose from 44.15% to 52.55% from Jan. to July of 1988 and 2nd parity births were about 30%. Women aged 50-57 had an average of 5.27 children while women aged 45-59 had an average of 4.44 children. 71.21% of childbearing-age women use contraception: 10.99% use male sterilization, 38.24% use female sterilization, 41.48% use IUDs, 4.91% oral pills, 2.65% condoms, 0.42% external contraceptives, and 1.32% use other methods. 13.79% of the married, childbearing-age couples have one-child certificates. The population of China as of April 1989 was 1.1 billion. In 1988 the birth rate was 20.78/1000 and the death rate was 6.58/1000.     

The marriage of mentally handicapped people and family planning services for them in Shanghai

This brief article discusses findings from a study by the Shanghai Population Information Center on marriage, fertility, and family planning among mentally handicapped adults in Shanghai, China, and population dynamics. The sample included 184 mentally handicapped persons aged 20-49 years (79 men and 116 women). 47 people had mild, 92 had moderate, and 45 had severe mental deficiencies. The mean age was 33 years. About 29% were married or ever married. 49 were married or ever married women. 6 spouses were mentally deficient. About 70% of the married or ever married had children. 43 had ever used contraception. The most commonly used method was the IUD. Several people had the approval of family members and were sterilized. Only 3 women were prevented from use of contraceptive services by family. 38% of the unmarried women's parents or relatives wanted their mentally deficient family members to be married before old age. 48% discouraged marriage because of the mental deficiency.     

Bulletin of major figures from manual tabulation of the national sample survey on fertility and birth control of China

The State Council, the State Family Planning Commission, the State Statistical Bureau, the State Planning Commission, the Ministry of Finance, and the Ministry of Public Security of China together carried out a national sample survey on fertility and birth control in China in 1988. The survey was carried out in 30 provinces, autonomous regions, and municipalities directly under the Central Government. The Tibetan Autonomous Region and the Hainan Province were surveyed for the 1st time, but the results from Tibet were not collected in time for this publication. The main respondents were the married women at age 15-57, with 2,114,591 people surveyed and a sampling proportion of 1.98/1000. This article describes the survey and its results according to birth rate, parity composition, and rural-urban fertility differences. Birth rates, mortality rates, and natural increase rates from high to low orders were tabulated for: urban areas, farms, towns, rural townships, and suburban townships. With the first 1/2 of 1988 birth rates tabulated, it was estimated that the total number of births in China will be less than in 1987. In 1987, the rate of 3rd or higher parity birth was below 5% in 6 provinces and municipalities, but 10 provinces and autonomous regions were over 20%. Fertility rates showed considerable disparity depending on the locational demographics (e.g. birth rates in urban areas were 14.3/1000 yet birth rates were 24.3/1000 in suburban townships).     

Female status and fertility behaviour in a Metropolitan Urban area of Bangladesh

The paper examines hypotheses that certain aspects of status of married women such as (i) decision-making power; (ii) employment status and (iii) educational status, are positively associated with use of contraception and inversely related to fertility performance. The study is based on 1,130 women of reproductive age (15-49) who are currently married and living with their husbands and reported to be fecund. The data are drawn from a cross-section of working and non-working women of Dacca City. The hypothesis that each of the above status variables is related to fertility behaviour (measured as current use of contraception and number of children ever-born) is confirmed, with the sole exception of the relationship between female employment status and fertility behaviour. Female participation in the labour force has little or no effect on use of contraception, particularly among those who belong to higher education and income groups. However, in the lower education and income groups, fertility and use of contraception vary with work experience. The findings clearly point out the need to improve the status of women in order to achieve a breakthrough in the use of contraception and a reduction in fertility.     

The achievements in family planning work in Rudong County as suggested by the data of the Fertility Survey]

A 15% random sampling from Rudong County was recently taken to survey fertility rates. 1153 primary units were chosen, which included 160,832 people. Among this group were 57,050 women aged 15-67 years. Topics surveyed included: marriage, birth, contraception, and population structure. Rudong County, among the earliest counties in China to begin the work of birth control, started in the 1960s with birth control education. The natural rate of population increase by the early 1970s had already fallen. From 1974 to 1982 the average rate of natural population growth was 3.8/1000. Reproduction has gone from a rising trend to a stabilized trend. The base of the population structure pyramid has shrunk; the number of youths aged from birth to 14 years has fallen from 35.05% in 1964 to 21.77% in 1982. The number of people who must be supported (the old and the young) has decreased, lessening society's responsibility for them. 29.45% of the total population are over 65 years or under 14. Society's coefficient factor of support has fallen from 66.31% in 1964 to 41.75%. There is a decrease in the number of people marrying at a young age; the trend is toward marriage at a later age. The average age at marriage had risen from 23.81 years in 1980 to 23.89 years in 1981. The fertility rate has decreased, as has the number of offspring per woman. 1 child family is on the rise and multiple children family is on the decline. In 1981 the 1 child rate reached 92.98%, the 2 children rate was 6.63% and the multiple children rate was 0.49%. Prior to 1979 the 1 child rate was under 10%. The fertility rate fell from 136/1000 in the 1960s to 41.5/1000 in 1981.     

Men’s Migration and Women’s Fertility in Rural Mozambique

Labor migration profoundly affects households throughout rural Africa. This study looks at how men’s labor migration influences marital fertility in a context where such migration has been massive while its economic returns are increasingly uncertain. Using data from a survey of married women in southern Mozambique, we start with an event-history analysis of birth rates among women married to migrants and those married to nonmigrants. The model detects a lower birth rate among migrants’ wives, which tends to be partially compensated for by an increased birth rate upon cessation of migration. An analysis of women’s lifetime fertility shows that it decreases as the time spent in migration by their husbands accrues. When we compare reproductive intentions stated by respondents with migrant and nonmigrant husbands, we find that migrants’ wives are more likely to want another child regardless of the number of living children, but the difference is significant only for women who see migration as economically benefiting their households. Yet, such women are also significantly more likely to use modern contraception than other women. We interpret these results in light of the debate on enhancing versus disrupting effects of labor migration on families and households in contemporary developing settings.     

A survey of China's birth control among women of child-bearing age

To further implement China's family planning policy of "prevention first, birth control first," a study of the current family planning situation was conducted. A survey of the birth control methods employed by women of childbearing age and by men was based on a nationwide randomized sampling of 1/1000. In the different age groups, ranging from 15-49 years old, IUD users accounted for over 50%, tubal sterilization 25%, and vasectomy 10%. The main IUD users were women in the 20-24 age group. Tubal sterilization was more prevalent among the women in the 35-39 age group. The use of oral contraceptives (OCs) was more common among younger women but accounted for less than 10% of the total. The survey was based on the replies to questionnaires from 172,788 married women of childbearing age; 120,022 of them practiced contraceptive methods for a birth control rate of 69.46%. The breakdown was as follows: IUD, 34.84%; tubal sterilization, 17.63%; vasectomy, 6.94%; OCs, 5.86%; condom users, 1.39%; and other methods (including chemical suppositories, rhythm, or safe period method and withdrawal before ejaculation), 2.78%. There was a higher percentage of OC users in urban areas, and a marked preference for IUDs in the rural communities. The rural birth control rate was 68.58%; the urban rate was 74.17%. The use of the IUD has priority in all the areas; its percentage approaches the national average level. The use of vasectomy as a birth control method varies considerably according to area as does the use of OCs, condom, and tubal sterilization. Rural minority groups prefer the IUD and OCs; tubal sterilization, the condom, and vasectomy are preferred by the Han nationality. The birth control rate differed according to the different occoupation groups: 77.85%, workers; 76.01%, farmers; 85.15%, cadres; 59.52%, housewives; and 66.67%, others. The birth control rate was higher among those who received a college education than the illiterates, but statistics did not show a significant difference in the rate of those with a high school education and the illiterates. Mothers of 0-1 children generally preferred OCs; tubal sterilization was preferred by mothers with 2-3 children. The nonusers of contraception accounted for 30.54% among married women of childbearing age. A breakdown gives the following figures: menopause and infertility, 6.17%; divorced and widowed, 1.64%; planned parenthood, 10.51%; nonusers who should have practiced contraception, 12.22%. On a national level, the estimated number of nonusers of contraception among those who should be practicing contraception comes to about 20,000,000 women.     

Use of contraceptives by Chinese women

In April 1985 the State Statistical Bureau of China conducted a fertility sampling survey in the provinces of Hebei and Shaanxi, and Shanghai municipality covering a population of 93,000,000. The target group was married women under 50 whose knowledge and use of contraceptives are the main content of this survey. The IUD has been used by 62% in Hebei, 61% in Shaanxi, and 55% in Shanghai, and is most popular with women over 30 who have had at least 1 child. Married women who have used the pill make up 33% in Shanghai, 14% in Hebei, and 7% in Shaanxi. Female and male sterilization are used by women who have had more than 2 children (15.7% in Shanghai, 40% in Hebei, and 28% in Shannxi). 70-80% have used contraception of some type, reflecting the success of the family planning program.     

Implementation of China's population policy

On July 1, 1982 China's 3rd national population census reported the population of the 29 provinces, municipalities, and autonomous regions on the mainland at 1,008,175,288, showing a net increase of 460,000,000 or 84% over the 548,000,000 recorded at the end of 1949. At this time China's population is about 1/4 of the world. Its population policy must conform to her national conditions and will be successful only to the extent that it does so. Discussion focuses on the main features of China's population policy. In 1953 the State Council instructed the Ministry of Health to support birth control by providing contraceptives. It also ratified provisions concerning contraception and induced abortions. In 1962 the State Council issued "Instructions on Conscientious Advocacy of Family Planning." China not only advocates and publicized family planning but also takes specific measures. Special administrative organizations were established in 1964 to oversee scientific research, production, and supply of contraceptives and to provide couples of childbearing age with free contraceptives. An all round attack on family planning work in 1966 led to unchecked childbirth resulting in rapid population growth. In 1971 Premier Zhou Enlai reiterated the importance of population control in 1971 and asked that it be incorporated into the 4th Five Year Plan for the development of the national economy. Family planning was incorporated into the Constitution in 1978. China's 20 years of experiences with family planning suggest that a country's population policy becomes effective only with repeated efforts. The 10-year period of turmoil undermined the enforcement of the population policy. Recently the State Family Planning Commission organized a nationwide fertility survey which indicated tremendous successes for China's population control drive. The total fertility rate dropped from 5.29 in the 1950s to 2.63 in the 1980s. The population census shows that the momentum of China's population growth cannot be checked without strict measures because the population is characterized by a huge base figure, a young age composition, and a fertility rate much higher than a population replacement level. China's population policy is formulated in line with her national conditions. Specific provisions for family planning reflect different ways to deal with different people.     

The family planning work in Yiyang prefecture as suggested by part of the data of the sample fertility survey]

The National Committee on Family Planning conducted a sample survey of fertility in the Yi-yang area in September 1982. The survey was focused on the marriage and fertility status of women between the ages of 15 and 67. Results from this survey show that early marriage is still very popular. Only 40% of those surveyed delayed their marriage to a later age. There is a need to educate the people on the benefits of late marriage. In addition, statistics show that the average fertility rate for a woman was 6.8 children in 1970 and 2.35 children in 1982. This recent figure is still too high when compared with the under 1.2 figure suggested by the central government. Among the total number surveyed, only 77% have taken birth control measures, and the other 23% still have not taken any birth control measures. The phenomenon shows that popular education on late marriage and having children at a later age is still urgently needed in order to further reduce the fertility rate. Married couples of childbearing age should be taught effective birth control measures and knowledge of eugenics with better education for the next generation. In this way, the masses may participate actively and positively in the national family planning campaign.     

新时期中国妇女生育水平与社会地位的发展与变化

国家计生委“计划生育家庭发展与变化”课题组在全国五省“五省一市”对6300多户、2.3万余人进行的选点问卷调查结果充分表明,实行计划生育,有效地降低妇女的生育水平,有利于推进我国妇女婚育行为的积极变化,有利于改善妇女和儿童的健康和教育状况,提高妇女的社会地位。     

Total fertility rate,women's education,and women's work: What are the relationships?

This paper presents the results of a statistical study, using cross-national data, on the relationships between total fertility rate and women's level of education and women's labor participation. Aggregate data on seventy-one countries were collected from numerous sources. Eight variables related to women's fertility, mortality, economic status, labor participation, and education are analyzed using multivariate linear regression analyses. Two models are considered. The first model regresses five variables on total fertility rate: per capita Cross National Product (GNP), percentage of women ages 15 to 19 who are married, female life expectancy at birth, calories available as a percentage of need, and percentage of married couples using contraception. The second model includes two additional regressors: the average number of years of schooling for women, and the percentage of women in the labor force. These seven variables are regressed on total fertility rate. Although the data are crude, the results of the analyses suggest that the model which incorporates women's level of education and women's labor participation captures the data better than the smaller model. The full model suggests that the percentage of women in the labor force is directly related to total fertility rate, whereas the average number of years of education for women is indirectly related to total fertility rate.     

The World Fertility Survey: charting global childbearing

Interviewing some 350,000 women in 42 developing countries and 20 developed countries representing nearly 40% of the world's population, the World Fertility Survey (WFS) is in a unique position to document the historic 1970s slowdown in global population growth. This Bulletin describes efforts begun in 1972 to ensure high quality, internationally comparable, accessible data, the data's importance for policymakers, planners and researchers, and major findings available by early 1982 from directly assisted WFS surveys in 29 developing countries and contraceptive use data from WFS-type surveys in 16 developed countries. Marital fertility has declined in all developing regions except Africa but still averages from 4.6 children/woman in Latin America to 6.7 in Africa, while preferred family size ranges from 3.0 children in Turkey to 8.9 in Senegal--far above the average 2.2-2.5 children/woman needed to end developing countries' population growth in the long run. However, women ages 15-19 prefer nearly 2 children fewer than the oldest women ages 45-49; 3.8 vs. 5.7 on the average. Nearly 1/2 (48%) of married women surveyed in 27 countreis said they wanted no more children. Preventing all unwanted births would reduce birth rates up to 15 births/1000 population in these countries. Overall, 32% of married, fecund women in developing countries are using contraception compared to an average 72% in 16 developed countries. Education, literacy, and more available family planning services increase contraceptive use. Age at marriage is rising in Asia, but this factor alone has little effect on fertility. Infant mortality is higher in many developing countries than previously thought. Breastfeeding is an important restraint on fertility in most developing countries but is declining among more educated, employed, and urban women which could raise fertility if not compensated for by gains in contraceptive use.     

Socialist system creates favourable social environment for fertility decline in China

The Chinese experience suggests that the socialist system can create more favorable conditions for a decline in fertility than the capitalist system. This is related to 5 factors: 1) changes in the traditional functions of the nuclear family; 2) popularization of education and the transmission of culture; 3) improvements in the status of women; 4) rapid decreases in mortality, especially infant mortality; and 5) social security for the aged. In addition, the structure of social organizations and the widespread dissemination of information about birth control methods have facilitated family planning practice. The impact of theswe structural factors has been intensfied by the Chinese social environment, which has changed individual attitudes toward family size. Overall, the social environment has created attitudinal change while implementaton of the national family planning policy has made the fertility decline in China possible.     

Pakistan's population growth: the need for action

Despite the existence of a national family planning program that dates to 1965 Pakistan has not seen a reduction in the fertility rate. One of the poorest countries in the world, Pakistan has 1 of the highest population growth rates in the world at about 3.0% annually. For over 2 decades, the average woman in Pakistan has given birth to more than 6 children. At the current fertility rate, the country's current population of 120 million will increase to over 150 million by the year 2000, and it will increase to 280 million by 2020. And even if today every woman were to begin having only 2 children, the population would still reach 160 million before leveling off. But reducing fertility in Pakistan will prove difficult. One of the leading obstacles is the low status of women. Few women in Pakistan have advanced education or professional jobs. Only 1/4 of those women without education or who are not working have any knowledge concerning contraception. Family size and composition also fuel the high rate of fertility. On the average, women desire 5 children (the fact that women average more than 5 suggests an unmet need for contraception). And due to social, cultural, and economic conditions, Pakistanis generally prefer male offsprings. Islamic opposition to family planning has also contributed to the continued high rates of fertility. Finally, administrative and management weaknesses have hindered Pakistan's family planning program. In order to overcome these obstacles, Pakistan will have to enlist the commitment of political, religious, and community leaders. The status of women will have to be improved, and the attitudes of people will need to change.     

Motivations for the use of birth control: Evidence from West Africa

A conventional assumption in the family planning literature is that birth control in developing countries is first adopted by high parity women who wish to cease childbearing. The empirical support for this belief has mainly been drawn from interview surveys on the motivations for, and the timing of, the inception of birth control among married women in areas where there is no cultural precedent for birth spacing by traditional means. This study, on the other hand, is based on data drawn from an area sample of 6,606 women, married or single, aged 15–59, in Ibadan, Nigeria, where there is a tradition for the practice of abstinence after a birth for the purpose of birth spacing. The Nigerian pattern revealed in the data presented here is indeed distinctive in many respects: (a) although premarital sex is prevalent, levels of premarital contraception are high; and (b) within marriage, spacing is the most prominent motivation for contraceptive practice, more important than the limitation of family size.     

Fertility in black Africa

The number of children per woman is between 6 and 7 children in Black Africa. Infertility and poor fertility existing in certain regions of Africa only appear in results concerning central Africa. 6-10% of births occur in women between the ages of 40 and 50. It must be noted that the goal of the majority of societies in Black Africa is to have numerous descendants. Factors of fertility in Africa examined are: precocious marriage, a long period of exposure to the risk of pregnancy, birth spacing and pathological infertility. The paper also discusses modern contraception and birth control, the improvement of sanitation conditions as part of the battle against infertility and infant mortality, combating infertility, decreasing infant mortality and governmental attitudes toward fertility control. Despite the efforts of several private and governmental agencies to promote family planning, progress in Africa has been modest. In the majority of Black African countries, women do not have access to contraception. In rural areas, the absence of an administrative infrastructure prevents diffusion of information and access to contraception. Improving general health conditions has 2 consequences on fertility: it reduces infertility due to diseases that cause sterility and it reduces infant mortality which affects birth intervals. So far birth control has only been successful among the very educated women. However, a great potential for more users exists.     

To raise the family planning work to a new level--a comprehensive introduction to the National Family Planning Working Conference]

The National Family Planning Working Conference convened on August 10-16, 1982 in Beijing, China. Among the 250 conferees were family planning representatives from various provinces, cities, autonomous regions, the People's Liberation Armt, representatives of partial progressive areas, counties, communes, the Central Committee, State Council, All China Women's Federation, All China Federation of Trade Unions, journalists and population theorists. Topics of discussion included the current situation of family planning work, how to implement the Central Committee's directive on improving family planning work, and the relationship between population law and population development by the year 2000. On August 18 Premier Zhao Ziyang told various representatives at a meeting that population control was a longterm national policy and emphasized its importance in long-range economic and social planning. The Vice-premier of the Chinese People's Political Consultative Conference, Wang Shoudao, implored the representatives to understand the directive's contents and said family planning would serve later generations. The Chairman of the National Family Planning Commission, Quian Xinzhong, reviewed the current population situation, noting the encouraging fact that the birth rate for the first 6 months of 1982 was higher than the first 6 months in 1981 by only 1/1000. In order to raise birth control work to a new level, he suggested the following steps: strengthen family planning propaganda; strenuously follow the policy of 1 child per family; obtain permission to have a 2nd child; oppose unplanned births; establish various birth control responsibility systems; and improve contraceptive research and techniques.     

The users of birth control clinics

At the request of the Family Planning Association a Working Party is inquiring into the Association’s work and organisation. In 1960 the Working Party conducted a national survey of the work, organisation and financing of the network of voluntary birth control clinics which the Association had established chiefly since 1948. The main findings of this survey are contained in the Working Party’s interim report, Family Planning and Family Planning Clinics To-day, issued in a restricted edition by the Association in May, 1962. This paper presents the gist of one chapter, assessing the contribution made by clinics to the birth control behaviour of the British people. The clinic survey followed less than twelve months after the Population Investigation Committee’s Marriage Survey so that it was possible to fit data about clinic users into the Marriage Survey’s wider context. To this end tabulations specially prepared by the Marriage Survey are incorporated in this paper.

Clinic users in 1960 were virtually all women. They differed from the majority of birth control users in that they preferred, or at least were advised to try, a minority method—the female cap—which is only slowly gaining in popularity. Clinics recommended this method to virtually all clients, whether newly-wed or mothers of large families. They were consulted by about one in every nine women marrying during the year and by between 1 and 1 1/2 per cent of wives at each later stage of family building. Among clinic users non-manual occupations are more strongly represented, and unskilled and semi-skilled occupations less strongly represented, than in the total population. Many who go to clinics are not beginners, but want to try a different method. But one-third of new clients are women who have not yet borne a child, nearly all young and just starting married life. The growing population of newly-weds among clients is altering the nature of clinic work. Regionally there is evidence of increasing conservatism in clinic work and clinic clientele as one moves from London to Scotland.