Abstract:
:It is widely believed that family planning has important benefits for both maternal and child health. Despite this, little work has been done to quantify the potential effect of family planning in reducing maternal mortality. This paper assesses the impact of family planning in averting maternal deaths, and discusses the overall ability of risk strategies to address the bulk of maternal mortality. The practical difficulties of providing effective contraception to populations with high maternal mortality are addressed, and the need for maternal health care services as an adjunct to useful family planning programs is emphasized. Although family planning cannot by itself cause a substantial reduction in risk of pregnancy, the combined strategies of general fertility reduction, abortion services, and family planning for high-risk groups might effectively address about half of all maternal mortality in the developing world. Pregnancy and delivery care have the potential for saving large numbers of lives with appropriate interventions. It is concluded that reproductive risks can be reduced only by preventing unwanted pregnancies and protecting maternal health during wanted ones. :It is estimated that at least 500,000 women die each year as a result of pregnancy and childbirth (WHO,1986). This estimate is probably much too low since areas with high maternal mortality correspond to areas that lack adequate health reporting systems. Increasing attention to women's reproductive health, and to primary health care in general, underscores both the importance of the issue of maternal mortality and the need for better data. Beyond the immediate loss of life, maternal mortality exerts a devastating effect on the family. Frequently, infant and maternal deaths occur simultaneously. It is widely believed that family planning has important benefits for both maternal and child health. Despite this, little work has been done to quantify the potential effect of family planning in reducing maternal mortality. This paper assesses the impact of family planning in averting maternal deaths, and discusses the overall ability of risk strategies to address the bulk of maternal mortality. The practical difficulties of providing effective contraception to populations with high maternal mortality are addressed, and the need for maternal health care services as an adjunct to useful family planning programs is emphasized. Although family planning cannot by itself cause a substantial reduction in risk of pregnancy, the combined strategies of general fertility reduction, abortion services, and family planning for high-risk groups might effectively address about 1/2 of all maternal mortality in the developing world. Pregnancy and delivery care have the potential for saving large numbers of lives with appropriate interventions. Reproductive risks can be reduced only by preventing unwanted pregnancies and protecting maternal health during wanted ones.
journal_name
Stud Fam Plannjournal_title
Studies in family planningauthors
Winikoff B,Sullivan Msubject
Has Abstractpub_date
1987-05-01 00:00:00pages
128-43issue
3eissn
0039-3665issn
1728-4465journal_volume
18pub_type
杂志文章abstract::These are summary results from the 1994 Bolivia National Demographic and Health Survey, which covered 9,114 households and 8,603 women aged 15-49. Tabular data are provided on population characteristics, fertility, fertility preferences, current contraceptive use, marital and contraceptive status, postpartum variables...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1996-05-01 00:00:00
abstract::This article presents the results of an assessment of gynecological morbidity among 385 women with young children residing in a district of Karnataka State, South India. All three main modes of assessment (clinical examination, laboratory tests, and self-reports) reveal a high burden of reproductive tract infections. ...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00
abstract::Family planning activity during 1969-1970 in Morocco and Tunisia is discussed in terms of 12 criteria (such as leadership, educational services, availability) used to evaluate the programs in the 2 countries. Significant differences between family planning activity in the 2 countries can be seen in the nature of invo...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1971-05-01 00:00:00
abstract::Migration during the formative adolescent years can affect important life-course transitions, including the initiation of sexual activity. In this study, we use life history calendar data to investigate the relationship between changes in residence and timing of premarital sexual debut among young people in urban Keny...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2012.00309.x
更新日期:2012-06-01 00:00:00
abstract::Data from a national survey of young unmarried women are used to analyze the relationship of perceptions of method characteristics to the acceptability of methods for use and to the actual contraceptive choice. Ordinary least squares (OLS) and logistic regression analyses are employed to assess the effects of percepti...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1986-11-01 00:00:00
abstract::The estimation of fecundability from survey data is plagued by methodological problems such as misreporting of dates of birth and marriage and the occurrence of premarital exposure to the risk of conception. Nevertheless, estimates of fecundability from World Fertility Survey data for women married in recent years app...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1985-09-01 00:00:00
abstract::Surveys dealing with abortion in Latin America have provided useful information despite problems in the collection and use of the data. Considerations that should be taken into account in designing abortion surveys and using the resultant information have been discussed here. Special attention has been paid to the nee...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1976-08-01 00:00:00
abstract::Although models of high-quality family planning services for men exist in Latin America, few if any have been organized within the complex and resource-constrained national public health systems. This study provides evidence from the Santa Barbara project in southern Brazil showing how vasectomy was introduced into th...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2001.00315.x
更新日期:2001-12-01 00:00:00
abstract::The ever-increasing prevalence of negative shocks experienced by poor, vulnerable households often induces extreme measures as ways to recover from the negative effects on income. Child marriage is one of the coping mechanisms households may use. This study examines whether young people in households that experience a...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/sifp.12099
更新日期:2019-09-01 00:00:00
abstract::To investigate the knowledge and practices regarding medical abortion and postabortion care in northern Nigeria among private physicians--the principal providers of such services in the area--122 doctors operating separate clinics in five states--Bauchi, Borno, Kaduna, Niger, and Taraba--were interviewed by means of a...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2011.00263.x
更新日期:2011-03-01 00:00:00
abstract::This study examines the trends and variations in childlessness, subfertility, and infertility in Tanzania according to data from the 1973 National Demographic Survey and the 1991-92 Demographic and Health Survey. Between the surveys, the proportion of women older than 30 who were childless was found to have declined m...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::In this study, age- and parity-specific birth data were used to estimate maternal mortality rates for 1982-83 at University Teaching Hospital in Lusaka, Zambia. Overall, 60 maternal deaths occurred during pregnancy or within 42 days after pregnancy termination, and four pregnancy-related deaths occurred more than 42 d...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1986-09-01 00:00:00
abstract::The availability of legal abortion in California appeared to affect California fertility in 1971 with a downward trend in both legitimate and illegitimate births. In 1972 legitimate birth rates continued to fall as rapidly as in 1971 but illegitimacy rates declined less rapidly. Unmarried women continued to be the d...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1973-11-01 00:00:00
abstract::The results of a 1974 survey of 6,692 Bogota women aged 15-49 conducted by the Colombian Association for Population Studies show that, in the last decade, approval of family planning practice increased 34 percent, contraceptive practice nearly doubled, and fertility declined by over 45 percent. Life-table analysis sho...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1976-09-01 00:00:00
abstract::There are a variety of ways to conceptualize and measure accessibility to contraceptive services and supplies. Using detailed data for rural Thailand, a multiplicity of reasonable measures are developed that reflect time and/or distance to various government program outlets. Many of these are only moderately correlate...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1984-09-01 00:00:00
abstract::This study compares family size preferences, ideal sex compositions, and the motivation underlying these preferences between currently married women and their husbands in a transitional rural society in India. Reasons for having children, though similar, differ in some important respects: women's family size preferenc...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1989-09-01 00:00:00
abstract::Although experimental trials often identify optimal strategies for improving community health, transferring operational innovation from well-funded research programs to resource-constrained settings often languishes. Because research initiatives are based in institutions equipped with unique resources and staff capabi...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2004.00020.x
更新日期:2004-09-01 00:00:00
abstract::Data from the 1976 Jordan Fertility Survey are used to examine the association between infant mortality and fertility behavior. After controlling for socioeconomic and demographic variables, a strong positive association was found between infant mortality and fertility behavior; women who experience infant deaths tend...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1985-07-01 00:00:00
abstract::By 1988, 71% of the 206 million married Chinese women of reproductive age were using a modern method of contraception. About 60 million women were using IUDs (41%), and 38% relied on tubal ligation, the main methods promoted by the national family planning (FP) program. During several trips to China between May 1990...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1993-05-01 00:00:00
abstract::This article analyzes the patterns and determinants of maternal health care utilization in Jordan, using data from the Jordan Fertility and Family Health Survey of 1983. The study focuses on the 2,949 women who had a child in the five years preceding the survey. Through multivariate analyses of differentials in the ut...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1991-05-01 00:00:00
abstract::Despite low per capita income and little evidence of economic development, the response to the government-sponsored family planning program in Bali has been remarkably favorable. After five years of government involvement, a total of 29 percent of eligible women are estimated to be using program methods, including 25 ...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1975-04-01 00:00:00
abstract::This study analyzes longitudinal data from couples in rural Nepal to investigate the influence of spousal communication about family planning on their subsequent contraceptive use. The study expands current understanding of the communication-contraception link by (a) exploiting monthly panel data to conduct an event h...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:10.1111/j.1728-4465.2011.00268.x
更新日期:2011-06-01 00:00:00
abstract::The faculty of Medicine of Mahidol University in Bangkok organized a community health program for medical students composed of 5 courses: health and demographic survey; analysis of community health programs; planning of community health care; clerkship in community health and internships in community health. These c...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1974-04-01 00:00:00
abstract::When women talk with each other about family planning outside the clinic, are they really only spreading myths and rumors? If nurses give good information about family planning, why do women go and talk with other women? Why would a woman instructed by a nurse at a workshop want to talk to the workshop cleaner as well...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1997-12-01 00:00:00
abstract::This report presents results from a comparison of subsidized commercial contraceptive marketing programs in 11 developing countries, and makes recommendations for program planning based on findings. The analysis, based on a combined quantitative approach of analysis of variance, factor analysis, and regression analysi...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1985-01-01 00:00:00
abstract::In the context of a high and increasing incidence of unwanted pregnancy among Nigerian adolescents, a sample survey of never-married residents of the Ibadan area, aged 14 to 25 years, was conducted in 1982 to learn about their perceptions and practices relating to reproductive health. A substantial proportion of the y...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1986-03-01 00:00:00
abstract::This article examines women's covert use of contraceptives, that is, their use of a method without their husbands' knowledge. Three questions are addressed: (1) How is covert use measured? (2) How prevalent is it? and (3) What are the factors underlying covert use? Existing studies are used together with survey and qu...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::This study re-evaluates the relationship of urban women's employment to their health-service and contraceptive use, drawing on data from the Cebu Longitudinal Health and Nutrition Survey. Multivariate analyses reveal significant differences across types of work for the likelihood of both obtaining timely prenatal care...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract::A comparative field trial of the Copper TCu-200 and the Lippes loop was conducted in Colombia, Iran, Korea, and Thailand from 1971 to 1973. The study, involving 7,400 women, provided two-year first segment continuation and termination rates. In three countries, TCu-200 expulsion rates were significantly below Lippes l...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1976-04-01 00:00:00
abstract::The length of the interval from last live birth to the subsequent pregnancy was studied for 121 contraceptive pill acceptors who were in postpartum amenorrhea at the time of acceptance and 121 matched nonacceptors in a prospective study in Matlab, Bangladesh. Half of the pill acceptors discontinued use within seven mo...
journal_title:Studies in family planning
pub_type: 杂志文章
doi:
更新日期:1982-06-01 00:00:00