The Reproductive Revolution The Role Of Contraception And Education In Population And Development

This is a an authoritative text on the role of health and family life education and the importance of universal access to a wide range of birth control methods as seen from the perspective of the International Planned Parenthood Federation, the United Nations, the World Health Organization, the World Bank, and similar international organizations. It is a data-based work containing numerous graphs and tables and extensive reference lists. The main sections cover family planning programs from a global perspective, contraceptive use in developed and developing countries, education about contraception, contraception and AIDS, and the future of contraception development and availability.

The striking upsurge in population growth rates in developing countries at the close of World War II gained force during the next decade. From the 1950s to the 1970s, scholars and advocacy groups publicized the trend and drew troubling conclusions about its economic and ecological implications. Private educational and philanthropic organizations, government, and international organizations joined in the struggle to reduce fertility. Three decades later this movement has seen changes beyond anyone's most optimistic dreams, and global demographic stabilization is expected in this century. The Global Family Planning Revolution preserves the remarkable record of this success. Its editors and authors offer more than a historical record. They disccuss important lessons for current and future initiatives of the international community. Some programs succeeded while others initially failed, and the analyses provide valuable guidance for emerging health-related policy objectives and responses to global challenges.

The "contraceptive revolution" of the 1960s and 1970s introduced totally new contraceptive options and launched an era of research and product development. Yet by the late 1980s, conditions had changed and improvements in contraceptive products, while very important in relation to improved oral contraceptives, IUDs, implants, and injectables, had become primarily incremental. Is it time for a second contraceptive revolution and how might it happen? Contraceptive Research and Development explores the frontiers of science where the contraceptives of the future are likely to be found and lays out criteria for deciding where to make the next R&D investments. The book comprehensively examines today's contraceptive needs, identifies "niches" in those needs that seem most readily translatable into market terms, and scrutinizes issues that shape the market: method side effects and contraceptive failure, the challenge of HIV/AIDS and other sexually transmitted diseases, and the implications of the "women's agenda." Contraceptive Research and Development analyzes the response of the pharmaceutical industry to current dynamics in regulation, liability, public opinion, and the economics of the health sector and offers an integrated set of recommendations for public- and private-sector action to meet a whole new generation of demand.

By all indicators, the reproductive health of Americans has been deteriorating since 1980. Our nation is troubled by rates of teen pregnancies and newborn deaths that are worse than almost all others in the Western world. Science and Babies is a straightforward presentation of the major reproductive issues we face that suggests answers for the public. The book discusses how the clash of opinions on sex and family planning prevents us from making a national commitment to reproductive health; why people in the United States have fewer contraceptive choices than those in many other countries; what we need to do to improve social and medical services for teens and people living in poverty; how couples should "shop" for a fertility service and make consumer-wise decisions; and what we can expect in the futureâ€"featuring interesting accounts of potential scientific advances.

For most of human history a "natural fertility" regime has prevailed throughout the world: there has been almost no conscious limitation of family size within marriage, and women have spent their reproductive lives tied to the "wheel of childbearing." Only recently in developed countries has fertility been brought under conscious control by individual couples and childbearing fallen to an average of two births per woman. The explanation of this "fertility revolution" is the main concern of this book. Richard A. Easterlin and Eileen M. Crimmins present and test a fertility theory that has gained increasing attention over the last decade, a "supply-demand theory" that integrates economic and sociological approaches to fertility determination. The results of the tests, which draw on data from four developing countries—Colombia, India, Sri Lanka, and Taiwan—are highly consistent, though a number of the conclusions are likely to arouse controversy. For example, couples' motivation for fertility control appears to be the prime mover in the fertility revolution, rather than access to family planning services or unfavorable attitudes toward such services. The interdisciplinary approach and nontechnical exposition of this study will attract a wide readership among economists, sociologists, demographers, anthropologists, statisticians, biologists, and others.

Confounding all conventional wisdom, the fertility rate in the Islamic Republic of Iran fell from around 7.0 births per woman in the early 1980s to 1.9 births per woman in 2006. That this, the largest and fastest fall in fertility ever recorded, should have occurred in one of the world’s few Islamic Republics demands explanation. This book, based upon a decade of research is the first to attempt such an explanation. The book documents the progress of the fertility decline and displays its association with social and economic characteristics. It addresses an explanation of the phenomenal fall of fertility in this Islamic context by considering the relevance of standard theories of fertility transition. The book is rich in data as well as the application of different demographic methods to interpret the data. All the available national demographic data are used in addition to two major surveys conducted by the authors. Demographic description is preceded by a socio-political history of Iran in recent decades, providing a context for the demographic changes. The authors conclude with their views on the importance of specific socio-economic and political changes to the demographic transition. Their concluding arguments suggest continued low fertility in Iran. The book is recommended to not only demographers, social scientists, and gender specialists, but also to policy makers and those who are interested in social and demographic changes in Iran and other Islamic countries in the Middle East. It is also a useful reference for demography students and researchers who are interested in applying fertility theories in designing surveys and analysing data.

Experts estimate that nearly 60 percent of all U.S. pregnanciesâ€"and 81 percent of pregnancies among adolescentsâ€"are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issuesâ€"health care and welfare reform, and the new international focus on populationâ€"are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitionsâ€""unintended" versus "unwanted" versus "mistimed"â€"and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals.

This volume assesses the evidence, and possible mechanisms, for the associations between women's education, fertility preferences, and fertility in developing countries, and how these associations vary across regions. It discusses the implications of these associations for policies in the population, health, and education sectors, including implications for research.