Sri Lanka: sterilization bonus announced in Sri Lanka; new CBD experiments in Sri Lanka; orchids and family planning

The government of Sri Lanka will give a minimum bonus of SRs 100 ($US6.00) to anyone voluntarily being sterilized. Women will be given 7 days leave and men 3. Many public and private corporations pay sterilization bonuses; the new bonus was set to compete with generous maternity benefits. The average daily wage is about SRs 120. Currently the demand for sterilization is greater than the health services' ability to meet it. Depo-provera is becoming increasingly popular in Sri Lanka, especially among the Muslim communities. The Family Planning Association of Sri Lanka is to test new forms of social marketing of contraceptives to provide wider coverage through community-based distribution. One system will use the route of a commercial firm, Reckitt and Coleman Ltd., and another system will use a network of provincial organizers, commission agents, and local retailers. To create an awareness in young people of their responsibility toward society the Family Planning Association organized an orchid cultivation and family planning propaganda project. 40 young boys are being taught orchid culture and the benefits of family planning. Orchids can be grown in the back yard without any capital investment. There is a steady market for the orchids, and the training program lasts 6 months for each cohort of boys.     

Family planning communication between spouses in Sri Lanka

Drawing on data from a national follow-up survey of 2310 currently married women aged 15-49 conducted in Sri Lanka in 1985, this study examines patterns of family planning communication between spouses, social and economic factors related to those patterns, and the consistency between spouses in their responses to questions about family planning attitudes and practice. The results of the analysis indicate a high degree of family planning communication between spouses in Sri Lanka. The communication, however, varied according to couples' number of living children and to wives' age, education, place of residence, religion, and work status. Multivariate logistic regression generally confirms that older women, those with little or no education, those living on tea estates, and Muslims were less likely to communicate with their husbands on family planning matters than were women in other age, education, residence, and religion categories. These findings suggest the existence of social and cultural obstacles to communication between spouses about family planning matters in Sri Lanka. Among the 577 pairs of spouses whose answers were compared for consistency, a large proportion of wives reported hearing about male contraceptive methods directly from their husbands, and a large proportion of husbands reported hearing about female methods from their wives. These findings are a reminder that both spouses are potentially important sources of information about contraception.     

Young women's work and family formation in Sri Lanka

"Patterns of family formation in Sri Lanka resemble those of wealthier nations, with late marriage, delayed childbearing, and moderately low fertility. This article addresses two questions: How have these family formation patterns emerged in the absence of the normally expected levels of economic development? And what activities have occupied young women in the premarital, prechildbearing period? Answers are suggested by data from three sources: the 1981 census; a set of focus-group discussions on the rights, obligations, and aspirations of young women related to marriage, work, childbearing, and child care; and a sample survey of 1,535 women of ages 15-30 in Kalutara District. The article describes the interplay of socioeconomic and familial forces that have affected the status of young Sri Lankan women."     

Desired family size and the efficacy of current family planning programmes

Abstract This paper takes a look at the belief that the number of couples currently desiring to limit family size is sufficiently large (and the intensity of their desire sufficiently strong) that the provision of supplies, services and education - the standard family planning package - will be adequate to bring the birth rate down to acceptable levels within a reasonable time period. Evidence comes from other countries, from attitude surveys and behavioural studies in India, from a priori considerations about what is reasonable to expect, and from certain demographic considerations. The most reasonable conclusion to draw from this evidence is that the belief is not correct. If the birth rate is to be brought down to target levels, additional methods - perhaps monetary incentives - seem to be necessary.     

A note on differential fertility in Sri Lanka

In this paper an attempt has been made to study differential fertility by urban-rural and regional classifications, using data obtained from complete tabulations of the 1963 Census of Population, the four rounds of the Socio-Economic Survey conducted from November 1969 to October 1970, and the Registrar General's Department. The analysis of current fertility indicates that the traditional pattern of lower urban fertility relative to rural held true in both 1963 and 1970 and also shows a narrowing of the differentials. The country was divided into four zones on an agro-climatic basis for regional analysis. A consistent ranking of the zones in relation to current fertility emerges in both 1963 and 1970. Changing patterns of age-specific fertility and age-specific marital fertility are discussed. Data on average size of family by urban-rural and regional classifications are also analyzed. An attempt has also been made to identify some of the possible causes for the differentials observed.     

Aging of population and elderly care in Sri Lanka

"The main purpose of this paper is...to examine the trends [and] characteristics of the elderly population [in Sri Lanka] and to inquire into the status of elderly support and care.... There is considerable evidence to show that [the] mechanisms of family support and care of the elderly have weakened. There is an increasing demand for institutional support by the elderly. This paper attempts to identify some of the underlying reasons that have prompted the elderly to make the decision to move out of the family kinship network and seek institutional support."     

Determinants of contraceptive switching behavior in rural Sri Lanka

This study examines the influence of a selected set of determinants of contraceptive method switching in rural Sri Lanka. Of interest is the question of how change in contraceptive practice at the individual level can account for patterns observed at the aggregate level. Based on calendar data on contraceptive use over a 3-year period, collected for more than 3,000 married women in a 1986 survey, the multivariate analysis shows that women who attain all or a significant proportion of their desired fertility tend to switch to more effective methods. Women who experience method failure tend to switch methods, usually to a type that is more effective. The woman's background determinants of age and education have small but significant effects on method switching, whereas the effect of household economic well-being is not significant. There is strong indication that rural couples are practicing contraception in a nonrandom fashion, switching methods in accordance with changes in their fertility motivations and contraceptive experience.     

Controlling population growth in Sri Lanka: perceptions,policies and strategies

Sri Lanka has been an oft-cited example in the demographic literature of developing countries over the past 4 decades. Despite its low level of per capita income, Sri Lanka has managed to achieve the lowest level of fertility in South Asia. Sri Lanka's population policies, especially with regard to fertility, have been rated as strong by some writers. The evolution of policies on population growth in Sri Lanka is described in the following sections: the problem of population growth, strategies for controlling population growth, the period of indirect government participation from 1948 to 1965, policy change during 1965-77, 1977 as the beginning of a new era of increasing government commitment to domestic population polices, and strategy changes from 1989 onwards. During this current, most recent, phase of population policy in Sri Lanka, the government has focused upon satisfying the demand for various family planning methods, demand which has been created by a well-promoted fertility control program during the preceding phases of policy implementation. Greater emphasis is simultaneously being given to improving reproductive health.     

We must pay attention to the difference between the original intention and the current status of family planning]

Due to imperfections in the current family planning (FP) policy, and the differences un program implementation in urban and rural areas, the fertility of the urban population with higher IQ scores is under control but this is not the case for the rural population. Among rural couples, one child is rare and two or three are commonplace, while in cities over 70% of couples are having one child. In the metropolitan cities, this figure is about 90%. In the rural areas, provision of education is a serious problem because of insufficient resources, a lack of qualified teachers and inadequate facilities. At the present, at least 3 million school age children in rural areas can not go to primary school. Besides there is a big contrast in FP practice between Han nationality and minorities. Population growth is basically under control among the more advanced Han nationally but not among the less advances minority nationalities. This growth rate among the minority population was about 50.27/1000 in the past five years, which is alarming. Furthermore, the couples given opportunity to have a second child are often those whose first child had birth defects or is mentally retarded, whereas couples with a normal child can have only one child. This has become a vicious circle, since subsequent children are more likely to have the same birth defects. It was discovered from a 1983-85 survey that the prevalence of birth defects was 12.8/1000. The current situation is that the fertility of urban, educated, and healthy people is restricted while the less educated, those living in less developed areas, and those with health defects are having more children. The outcome of this situation is the decline of national population quality, which greatly deviates from the original intention of the FP.     

Tonga: family planning survey

A survey was carried out in 1975 in Tonga to determine how many families are practicing family planning. Public health nurses visited every household except the Niuas and remote islands. 4253 women out of the total of 9307 married women aged 15-44 years were using a contraceptive (45.7%). The percentage of users ranged from 4.5% in Ha'afeva District to 63.6% in the district of Kolonga. 60% of the users practice effective methods such as the pill, Depo-Provera, IUD, or sterilization; 23% use the condom, and 17% rely on withdrawal, calendar ovulation, or rhythm.     

When Migrants Travel Back Home: Changing Identities in Northern Sri Lanka after the Ceasefire of 2002

Abstract

This article looks at how social relations change when proximity is re‐established after a long period of separation. This theoretically inspired question is discussed in the case of Sri Lanka, where a peace process in 2002 enabled exiled Tamils to temporarily return to their ‘homeland’. The new mobility of these migrants constituted a significant momentum for the re‐negotiation of Tamil identity. Proximate relations resulting from mobility led to a growing awareness of differences in cultural expression and perspective. The empirical data show that the construction of difference is related not only to spatial mobility and to temporality. Spatial, but also temporal distance in translocal relations determines the construction of images, detached from face‐to‐face interaction and the locality, constituting an identity space.     

Effects of various factors on selection for family planning status and natural fecundability: A simulation study

The effect of various factors on selection for family planning status and for natural fecund ability is studied in a simulation that incorporates a beta distribution of fecundability among women. The mean fecundabilities of current spacers, current limiters, current nonusers, and pregnant women are compared. These ratios are influenced by duration of marriage and by desired number of children. Effects of different levels of contraception are measured. Another strategy, spacing the last two wanted births, is also studied. It is found that breast-feeding status has little effect on fecundability selection. The women usually found to have greatest fecundability are not those recently pregnant at durations of marriage five and ten years, unless they wanted fewer than two children, but rather those who are using contraception to limit the number of children.     

A hazards-Model analysis of the covariates of infant and child mortality in Sri Lanka

The purpose of this paper is twofold: (a) to provide a complete self-contained exposition of estimating life tables with covariates through the use of hazards models, and (b) to illustrate this technique with a substan-tive analysis of child mortality in Sri Lanka, thereby demonstrating that World Fertility Survey data are a valuable source for the study of child mortality. We show that life tables with covariates can be easily estimated with standard computer packages designed for analysis of contingency tables. The substantive analysis confirms and supplements an earlier study of infant and child mortality in Sri Lanka by Meegama. Those factors found to be strongly associated with mortality are mother’s and father’s education, time period of birth, urban/rural/estate residence, ethnicity, sex, birth order, age of the mother at the birth, and type of toilet facility.     

Village family planning: the Indonesian model

The goal of the Indonesian National Family Planning Program is to reduce the 1970 birthrate by 50% by the year 2000. Since the late 1960s the government has taken an active role in family planning. The National Family Planning Coordinating Board initially concentrated on offering family planning services through health clinics on Java and Bali, but, as of 1974, family planning has been expanded to 10 provinces in the outer islands. Early in 1975 the family planning program was extended to the village through the establishment of village contraceptive distribution centers and sub-village family planning groups. The experience generated from the initiation, development and evaluation of the village family planning scheme is useful in many aspects which may be adapted in other countries of the region. The guiding concepts of Java and Bali village family planning have been non-standardization, maintaining a link to the clinic in the movement to the village, and focusing 1st on contraceptive resupply. The following conclusions can be drawn on the basis of the Indonesian experience with village family planning: 1) family planning at the clinic level alone is insufficient in the long run; 2) the village must become involved in the process of providing services; 3) the enthusiasm and imaginative response to the movement in the village has exceeded expectations; and 4) rural people are, in fact, future oriented.     

Thailand: family planning program exceeds targets

According to Dr. Somboon Vacharothai, Director General of the Ministry of Public Health, the number of people in Thailand who practiced family planning exceeded last year's target. 664,895 individuals used family planning services; this was 62.2% above the planned target for 1976. It was further predicted that 700,000 persons would be recruited by the family planning program in 1977. The preferred method of birth control was the oral contraceptive; it is the method of 800,000 acceptors. Service outlets have been extended rapidly with 5836 medical centers providing family planning services throughout Thailand. Government allocations for family planning have increased from 0.9 million dollars in 1975 to 2.47 million dollars in 1977.     

Central Mindanao: selling family planning informally

A research study was conducted in Central Mindanao, Philippines, to evaluate the effectiveness of " selling" informally the idea of family planning to potential acceptors. The study, entitled "the Extent of Involvement of Satisfied Acceptors Clubs/Satisfied Users Clubs" was conducted for the regional office of the Commission on Population (Popcom) by the Notre Dame University Socioeconomic Research Center in Cotabato City. Organized by fulltime outreach workers (FTOWs), the clubs are concerned primarily with the promotion of family planning. The first such club in the region was organized in 1979. Currently, the clubs are linked with other development agencies. The study's respondents were 200 continuing users of a family planning method and were members of the clubs in Illigan City and Cotabato City. Respondents were mostly women (191 or 95.5%), in their early 30s (31%), had 4 children on the average, had reached high school, and belonged to low income families. On the average, respondents had been practicing family planning for around 4 years and 7 months. They were aware of or knowledgeable about the condom, oral contraception (OC), IUDs, rhythm, tubal ligation, vasectomy, and withdrawal. Some of them were aware of injection, abstinence, foam, and the diaphragm. The majority of respondents indicated they had tried other family planning methods before changing to the method they were using. The primary reason for method change was the desire to use a more effective method. The respondents became club members either by being recruited or by applying for membership on their own. Motivating clients to practice contraception was the club's primary activity. 133 club members (66.5%) "claimed to have successfully motivated persons/couples to practice family planning." Among the problems encountered by the clubs, the indifference of people toward the family planning program appeared to bethe most serious from the respondents' perspective. Inactivity of some members was cited as the 2nd most serious problem. The study concluded that despite problems the clubs had been "fairly successful" in helping Popcom promote family planning.     

Redefining family planning programs

The Population Council's issue paper entitled Reconsidering the Rationale, Scope, and Quality of Family Planning Programs calls on family planning programs to focus only on reducing unwanted fertility by helping people meet their own reproductive goals safely and ethically. Many family planning programs have been wrongly handed the extra responsibility of reducing wanted fertility. They have therefore used inappropriate means (e.g., incentives, quotas, and coercion) to boost contraceptive prevalence. If programs do focus on reducing unwanted fertility, they will foster reductions in overall fertility and population growth as well as improvements in clients' health and well-being. A new framework has emerged from this shift in rationale. It sets the stage for expanding the scope, improving the quality, and assessing the impact of family planning programs in terms of client choice, health, and well-being. A program needs to determine the range and quality of family planning services it provides at the local level. Local program managers, policymakers, and consumer interest groups should establish minimum or achievable standards of service based on the local health care capacity. Program items that should be assessed include choice of methods, information for clients, technical competence, interpersonal relations, mechanisms to encourage continuity of care, and appropriate constellation of services. The Population Council has conducted rapid appraisals of the quality of care of family planning services to help local program managers to evaluate the strengths and weaknesses of their programs. The HARI (Helping Individuals Achieve their Reproductive Intentions) Index measures a program's success in helping clients safely prevent unwanted or unplanned pregnancy. Program managers can conduct a self-assessment that revolves around answering four questions. Family planning services are an important social investment and are essential to development.     

World demographic scenario of the 21st century,with special reference to Sri Lanka

"The objective of this paper...is to highlight the World Demographic Scenario of the 21st century, with special reference to Sri Lanka." Aspects considered include world population trends, spatial distribution, migration, fertility, age distribution, health, the present demographic situation in Sri Lanka, and the country's National Action Plan for Reproductive Health.