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pubmed:otherAbstract |
PIP: A number of evaluation projects and demographic surveys were undertaken by the government during 1978-80, aimed at strengthening family planning and other population programs. A bill to strengthen the program was introduced in the National Assembly which would, among other things, amend the tax structure to discourage families from having more than 3 children. Governmental structures were also revised to give the population program a more direct voice and to make way for integration of population with development programs and policies. A number of community development projects were underway, including one stressing self help in identifying needs for family planning, nutrition, and sanitation, and one integrating family planning, parasite control and nutrition. Results of the various surveys indicated a total population of 47.1 million in 1979, with the crude birth rate at 31.9 per 1000 (compared with 39.3 per 1000 in 1970). Total fertility declined by 2.48% annually and marital fertility by 1.25% annually from 1970 to 1977. Distribution of contraceptives through both stationary clinics and a community outreach program continued, and a comparison of a number of surveys revealed a higher level of contraceptive practice than had previously been anticipated, with a substantial increase in practice beginning in 1977. Increasing age at marriage, decline in fertility, a preference for smaller families, and extensive knowledge of contraception were among positive trends uncovered during the period, but a discouraging finding is also noted: a low level of practice of the more efficient methods. Duration of breastfeeding was the most important factor in determining the length of pregnancy interval.
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