Polygyny and African couple research

Fertility and family planning research has recently begun to focus on couples, rather than solely on women. High levels of polygyny in sub-Saharan Africa create two interesting problems for couple analyses. First, some men match with multiple wives in a given sample. Hence observations of a dependent variable that are a function of the responses from a polygynous man are not statistically independent. To correct for this, we propose that researchers use the method of generalized estimating equations. The second problem occurs when survey questions do not properly account for men having multiple partners. Variables constructed from such questions may contain error. Until better data are available, we propose that researchers randomly select a wife for each polygynous man to reduce the effects of this error. We illustrate these ideas by studying the determinants of couples having innovative family planning behaviors and attitudes in Niger.     

Selling family planning to the farmer

Dr. Juan M. Flavier of the International Institute of Rural Reconstr uction (IIRR) found medical terms used by family planning teams had little meaning for rural audiences. In addition, the family planners lectured too much and did not truly reach their farm audiences. The Institute developed a series of materials based on agricultural parallels with captions in verse, capitalizing on the rural Filipino's love of balagtasan (debate in verse) and duplo (couplets). The IUD is likened to a stone which prevents a seed from germinating. The ill-effect of frequent childbirth is likened to a citrus tree laden with too many fruit. The program talks about birth control or limitation in number, spacing, and infertility. Dr. Flavier believes it is important to include infertility if only to show that family planning is an aid to all couples. Many times the farm illustration will spark discussion, which allows the group to bring up questions about birth control which otherwise they would not. A 3-year grant to study the IIRR approach found that this adaptive technique, though slower in the beginning, led to greater continuation rates and more confidence in family planning. It could be used in urban poor areas as well because many slum and working-class families have rural backgrounds. Also, the household illustrations (comparing a cervical cap to the lid of a pot which keeps unwanted items out) would be understandable to most women.     

The need for family planning

The purpose of this paper is to examine the evidence on the need for family planning. The available evidence on current levels of unmet need for contraceptives, fertility preferences, and the non-contraceptive benefits of family planning is reviewed. I argue that expansion of family planning programs is still needed. These programs provide couples with tools to reach their desired family size; can significantly impact maternal and child mortality by decreasing fertility and optimizing child spacing; and by decreasing fertility, slow population growth. It is therefore imperative to continue to expand the provision of family planning services.     

Family structure and and fertility behavior in Taiwan

The present analysis is based on the 1990 Taiwan Human Resources Survey to study the relationships between family structure, women's complete fertility and birth spacing. Imputed family size, as measured by either the ideal number of children expressed by a married woman or the number of actual surviving children whichever is larger, is used as a proxy of a woman's complete fertility. The results indicate a majority of married couples in Taiwan begin married life living with the husband's parents and later move out to establish a nuclear unit. This limited experience in the extended family exerts an upward pressure on imputed family size even when other relevant variables are statistically controlled. Further, the effect of living with the husband's parents on shorter duration of birth spacing is only limited to the time when the parents provide free child- care for married couples.     

Educational efforts in the implementation of rural family planning programs in East Pakistan

The pilot family planning studies reported in this paper were conducted in a rural area adjacent to the city of Dacca in East Pakistan. It reports the preliminary findings of action-research in the implementation of educational efforts to reach rural villagers of a developing country.Preliminary analyses of the records identify two significant educational problems: (1) most of the villagers (85-90 percent of the couples) who initially accepted contraceptives do not truly adopt and become continuing users and (2) the continuing users (10-15 percent of the initial users) are generally characterized by large families. (Later data show an even lower percentage of continuing users.)The field activities in the development of various educational approaches to family planning are described. Three separate geographic areas (from 15,000 to 20,000 population) were each approached in a different way, varying in the number and educational qualifications of the workers and in the degree of involvement of village leadership. Preliminary analyses of field records indicate that these variations of approach apparently have little effect on the percentage of the population willing to accept contraceptive supplies.It is the opinion of the writers that more intensive educational efforts are necessary at the village level to develop social support for continuing use of contraception and to gain adoption of contraception by younger married couples primarily for spacing of births.The impact of introduction of the IUCD in populations where condoms and foam tablets have been available for one to two years has also been reported. Preliminary findings indicate that the IUCD encourages adoption by previous non-users and may increase the over-all percentage of contraceptive users.     

Fertility trends in Taiwan: Tradition and change

Fertility rates have been falling In Taiwan for several years. The declines appear to be general throughout the island, and are occurring mainly in the age groups above 50, as would be expected if there are beginnings of family limitation. There are indications that the fertility rates are negatively correlated with indices of modernization In local areas. Several pilot studies indicate a consensus in the population on the desirability of a moderate number of children, the desirability of the Idea of family planning, a positive valuation of such traditional Chinese values as the joint family and support of parents by their children In old age. In one urban area studied, a substantial minority of wives 25–29 years old have used a family planning method already. The “pre-pregnancy health program” of the Provincial Health Department has been quite successful in providing service to interested couples, and among these couples the programme is demonstrably effective in reducing birth rates. Data from the various sources are consistent with the speculation that Taiwanese couples want to use modern family planning methods to maintain elements of the traditional Chinese family in a modern setting.     

The dynamics of contraceptive adoption in Bohol,Philippines: 1976-1978

A researcher analyzed 1976 and 1978 data on 414 rural women who had never used a family planning method to prevent pregnancy and lived in the predominantly Catholic island province of Bohol in the Philippines to look at the influence certain aspects of the family planning program, begun in 1976, as predictors of changes in contraceptive behavior. 34.5% accepted contraception between 1976-1978. The researchers learned that couple traits (e.g., age, income, education, and religiosity) had only an indirect effect on change in contraceptive behavior. A desire to stop, limit, or space births (motivation) was a strong predictor of family planning method acceptance (p.001). Further couples who clinic providers contacted the most often or who had received more family planning services (services) were much more likely to use contraceptives (p.001). Indeed a significant relationship existed between motivation and services (p.001). Moreover couples who were truly motivated to use family planning methods did not let distance to family planning services prevent them from seeking these services (p.001). On the other hand, couples who confronted personal obstacles to family planning including social, psychological, and other subjective costs (cost index) tended not to accept family planning methods (p.001). A negative association existed between services and location of households vis a vis the intervention program (p.001) which indicated that the program did have an effect in the area of the province where it was located. In conclusion, the strongest predictors of change in contraceptive behavior included motivation, services, and cost index. Services and cost index indicated the great importance of interpersonal and/or client staff contact, especially since they were more important in influencing behavior change than distance and family planning site.     

Upholding the freedom of couples to use a method of their choice

A recent review of the Philippine Population Program's 5-year plan, ended in December 1982, showed that in 1980, natural family planning (NFP) users were only about 12.5% of couples practicing family planning. This figure doubled by 1982. Based on these responses the decision was made to intensify the NFP program as early as 1982. The 1st step was to put more money into the NFP program. The program includes the modern scientific techniques such as cervical mucus, basal body temperature, and sympto-thermal. The program also will fund the training of doctors and other clinic personnel and the production and distribution of appropriate training and information material. Other family planning methods, such as sterilization, oral contraception (OC) and the condom, also will be promoted. Promotion of NFP will depend on the choice of the family planning practitioners themselves. The program's community based services are being intensified. NFP, together with the other family planning methods such as sterilization and OC, will always be made available to couples in the community based services. All agencies in the population and family planning program will be promoting NFP. Knights of Columbus doctors have been invited to assist the program and share their own training modules for the training of trainers. An agreement has been entered into with the Gabriel M. Reyes Memorial Foundation based in Aklan. The goal is for trainers who need further knowledge and skills in NFP to learn from the foundation's wealth of organized orientation and training techniques in NFP. NFP is emphasized at this time because it is acceptable to a great number of couples.     

Some Notes On Fertility Problems In A Colombian Semi-Urban Community

Significant efforts in the field of study and control of reproductive habits of the Colombian population have been made in the last few years by local medical groups. This article attempts to illustrate how the data obtained in this program can be meaningfully exploited from the demographic point of view. Although data available at the time of writing did not comply with the principles of scientific sampling procedures, it is thought that such studies can throw some light on particular issues, such as the patterns of mating, the effect of contraception on birth spacing among married couples, and the relation of fecundity to frequency of coitus. This article deals with some methodological issues which center around these problems.     

Unmet need for couples: An analytical framework and evaluation with DHS data

While estimates of unmet need continue to be an important measure of the extent of demand for contraception and family planning programs success in developing countries, there are various reservations about the validity of these estimates. For instance, the traditional formulation of the measurement has relied solely on information from women while inferences from the findings are often drawn for couples. As more survey data have become available for both men and women in a number of countries, there is increasing evidence suggesting that husbands' preferences are indeed important determinants of the reproductive behavior of couples. This paper developsan analytical framework for measuring unmet need for couples. The approach: (1) takes a fresh look at the classification of pregnant and amenorrheic women, and (2) incorporates the contraceptive use and fertility preferences of husband and wife in estimating the level of unmet need in six sub-Saharan African countries. Our findings shows that taking these factors into account results in a 50 to 66 percent reduction in the level of unmet need in these countries. The importance of husbands' variables in determining the level of unmet need is clearly evident when examined among fecund couples in which the wife is neither pregnant nor amenorrheic. The implications of these findings for family planning programs and research are discussed.     

Duration of Marriage,Fertility and Women's Employment Opportunities in England and Wales in 1911

Data from the 1911 Census of England and Wales are examined for evidence of family limitation early in marriage. It is shown that a substantial number of couples used birth control for ‘spacing’ as well as for ‘stopping’ fertility. Moreover ‘spacing’ of births appears to have been more widespread in districts in which women's employment opportunities were relatively good. In general, the results obtained do not fit with the Princeton view of the European fertility transition with its stress on parity-specific family limitation spreading in response to improvements in contraceptive information and technology.     

Speech at the UN International Conference on Population,Mexico City,August, 1984

In seeking a solution to its population problem, China, as a developing socialist country, has been making unremitting efforts to develop economy while controlling the rapid growth. The objective is to control rapid population growth so that population growth may be in keeping with socioeconomic development and commensurate with utilization of natural resources and environmental protection. In the past decade, and particularly since 1979, China has made much progress in developing economy and gained remarkable successes in controlling population growth. The natural population growth rate dropped to 1.15% in 1983, from 2.089% in 1973. Living standards have improved with a gradual annual increase of per capita income. All this proves that the policy of promoting family planning to control population growth along with planned economic development is correct. In China family planning is a basic state policy. The government has advocated the practice of "1 couple, 1 child" since 1979. This does not mean that 1 couple could have 1 child only in every case. The government provides guidance for the implementation of family planning programs in the light of specific conditions such as economic developments, cultural background, population structure, and the wishes of the people in different localities. The requirements are more flexible in rural than in urban areas and more so among the people of national minorities than among the people of the Han Nationality. In rural areas, couples who have actual difficulties and want to have 2 children may have a 2nd birth with planned spacing. In carrying out its family planning program, China has consistently adhered to the principle of integrating state guidance with the masses' voluntariness. The government has always emphasized the importance of encouraging the people's own initiatives, through publicity and education, which is the key link in implementing the family planning program.     

Population planning in Asia in the 1970s

Summary To what extent is family planning integrated with broader population planning in the countries of East Asia and South Asia? To what degree do these countries combine population planning with economic and social planning in their development plans? An attempt to answer these questions suggests that, despite variability from country to country in development goals and policy implementation, family planning has been largely separated from economic planning, and birth control programmes have often been substituted for intermediate and long-range population planning. Demographic factors have been treated as exogenous variables rather than as integral parts of social-economic-demographic plans. Such comprehensive planning is difficult for both technical and political reasons, but in any case is unlikely to be achieved so long as family planning and population planning continue to be confused.     

The relationship of family planning to savings and consumption in Taiwan

This study relates fertility behavior to modern economic behavior, namely, saving and consumption of modern durables, for a sample of couples in Taiwan. It uses only couples who say they want no more children, and these couples are further classified by current use of contraception and by whether or not they already had excess fertility. Couples who are successful fertility planners, i.e., those who have no unwanted children and are current users of contraception, are distinctive with regard to modern economic behavior as compared to couples who do not use contraception or have excess fertility. Successful planners are more likely to save and to have more modern durables; these differentials remain when adjustments are made for the effects of family income, wife’s age, wife’s education, and duration of marriage. It seems that the kind of planning behavior which enables a couple to successfully plan their family size also enables them to manage their economic affairs so that they can save and enjoy more modern consumption goods.     

How Do Education and Family Planning Accelerate Fertility Decline?

Education and family planning can both be influenced by policy and are thought to accelerate fertility decline. However, questions remain about the nature of these effects. Does the effect of education operate through increasing educational attainment of women or educational enrollment of children? At which educational level is the effect strongest? Does the effect of family planning operate through increasing contraceptive prevalence or reducing unmet need? Is education or family planning more important? We assessed the quantitative impact of education and family planning in high-fertility settings using a regression framework inspired by Granger causality. We found that women's attainment of lower secondary education is key to accelerating fertility decline and found an accelerating effect of contraceptive prevalence for modern methods. We found the impact of contraceptive prevalence to be substantially larger than that of education. These accelerating effects hold in sub-Saharan Africa, but with smaller effect sizes there than elsewhere.     

Breastfeeding women and family planning programs: special needs and opportunities

Although breastfeeding makes a major contribution to fertility control and child spacing in many developing countries, the implications of this are not widely recognized. Terminology may be part of the reason. Contraception may imply something modern, whereas the contraceptive effect of breastfeeding is a natural biological mechanism. Also, many family planning program managers are educated in the West, where breastfeeding is of little contraceptive importance. Regardless of where they were educated, they may consider the pregnancy-postponing effects of breastfeeding as mythology, or may consider breastfeeding as sufficiently effective at the individual level. Breastfeeding as a family planning method cannot be "delivered" to women by family planning methods, and requires an educational approach rather than a clinical or medical approach. A women might use breastfeeding more confidently in avoiding an unplanned pregnancy if she begins using a contraceptive method as soon as she resumes menses, when she begins giving her baby food supplements, or by 6 months post partum--whichever comes first. She can achieve high effectiveness in avoiding pregnancy by keeping the baby nearby and feeding on demand, feeding frequently, sleeping near the baby and maintaining nightfeedings, not giving the baby bottles or pacifiers, and giving the baby only breastmilk for at least 4 months. Breastfeeding can only be used by new mothers and cannot be used to postpone the 1st birth. Nor is it appropriate for women who have attained their desired family size, or who wish to avoid or postpone pregnancy at any cost.     

Family size and the quality of children

If couples decide to have fewer children in order to achieve higher “quality” offspring, are they correct in assuming that the quality of children bears an important and inverse relation to family size? If they are correct, how does number of children operate to affect individual quality? This research (using U.S. whites primarily) takes educational attainment (among adults) and college plans (among youngsters) as the principal indicators of quality, but also directs some attention to measures of intelligence. The analysis supports the “dilution model” (on average, the more children the lower the quality of each child) and indicates that only children do not suffer from lack of siblings, and that other last-borns are not handicapped by a “teaching deficit.” Number of siblings (relative to other background variables) is found to have an important detrimental impact on child quality—an impact compounded by the fact that, when couples are at a stage in life to make family-size decisions, most background factors (however important to the quality of their children) are no longer readily manipulable. A special path analysis of college plans among boys uses a modification of Sewell’s Wisconsin Model as its base. The results show that number of siblings is a negative influence on intervening variables affecting college plans. In general, the research documents the unfavorable consequences for individual siblings of high fertility, even in a country that is (at least for whites) as socially, economically, and politically advantaged as the United States.     

困境与出路：对农村计划生育管理中“补锅匠现象”的社会学透视

在农村的计划生育管理中,普遍存在基层干部和计划生育管理者放任甚至希望对象户超生的现象,我们称之为“补锅匠现象”。这一现象产生的原因是多方面的,它不仅损害了党和政府的形象,而且严重破坏了基本国策的执行。要逐步消除这一现象,根本出路在于制度建设。     

MPS views on population growth

This article features the different views of Parliament members concerning the need in the reduction of population growth for development sustenance. Population growth would lead to environmental degradation, malnutrition, diseases, and high incidence of poverty. Furthermore, social problems arise like teenage pregnancies, and abuse of young girls. Suggestions on curtailing this problem as suggested by some of the parliament members includes educating people on issues of migration, family planning and reproductive health. Other members suggested on family planning legislation, like in the case of China where population explosion exists. Further, members thought that advocacy for population control such as condom usage targeting to couples having large families should be catered. However, this was denounced by some members as a failure and should not be sanctioned at large family couples but rather to husband with several wives. Finally, a compromised view was directed on population management with poverty alleviation involving the provision of amenities such as water, electricity, good roads, potable water, and income generating activities.     

Rethinking the effectiveness of family planning in Africa

For the past 50 years there has been a near global consensus that the demands of development necessitate that couples reduce their fertility as a critical act which would jump start economic growth. This consensus heralded the era of the One Child policy and over 90% of least developed states continue to run programs which seek to induce lower fertility rates in their populations. However, a growing body of literature is questioning both the validity and utility of these interventions. This article seeks to contribute to the rethinking of family planning programs. Using new data on family planning scores from forty two African states this article shows that rates of fertility are unlikely to be affected by the strength of family planning programs at lower levels of development. However, at moderate levels of development, family planning programs may contribute to accelerating the decline in fertility initiated by exogenous factors. These findings offer a fresh perspective on the wide spread adoption of family planning policy that permeates the developing world.