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[Changes in the contraceptive method mix during fertility decline: Latin America and the Caribbean].

"This paper reviews survey-based data regarding contraceptive prevalence and methods employed in Latin America and the Caribbean, with an emphasis on changes in the mix of methods over time. The most striking recent trend is the rise in use of female sterilization.... By contrast, use of male sterilization remains negligible in most countries. The oral contraceptive pill is by far the most popular of the temporary methods, though its prevalence has more often declined than increased in recent years. Together female sterilization and the pill make up around [two-thirds] of contraceptive practice in Latin America and the Caribbean." (SUMMARY IN ENG)

Americas↗

Popularizing spacing methods of family planning in rural areas: the perception of programme personnel and the community in Karnataka.

"In this study an attempt has been made to identify the possible factors inhibiting the use of spacing methods through a field investigation in the rural areas of northern Karnataka [India] by interviewing both programme personnel and the community (leaders and couples). This paper presents the salient findings and policy implications of the study.... The specific objectives of the study were: (i) to assess the perception and experiences of the programme personnel, from district level to grassroots level, about popularizing spacing methods of family planning in the rural areas; (ii) to understand the community leaders' knowledge about spacing methods and their perception regarding couples accepting them; and (iii) to study the knowledge, attitude and practice of different family planning methods by couples...in the villages."

Asia↗

[Two out of three young women use the pill].

Data from the 1993 Netherlands Fertility and Family Survey are analyzed. Results show that "three out of every four women aged 18-42 years use some method of birth control. Some 10% is pregnant or wants to become pregnant, 5% is infecund and 10% does not use a method for other reasons. Compared with the previous surveys, held in 1982 and 1988, more women use the pill, whereas the popularity of the IUD has decreased.... Among women in their thirties sterilization has decreased, but that is related to the fact that women nowadays have their children at a later age....Furthermore it can be concluded that of the women who have no male partner, 50% used some reliable method of birth control (pill, IUD or condom)." (SUMMARY IN ENG)

Age Factors↗

Continuation and effectiveness of programme and non-programme methods of family planning in Sri Lanka.

"The objective of this paper is to examine continuation and effectiveness of contraception based on a 1986 survey of more than 3,200 women in rural Sri Lanka. Data on both programme and non-programme methods of contraception are analyzed. Programme methods are defined as including all those methods that are provided through the public or private family planning programmes (namely, oral pills, IUDs, injectables, condoms, female barrier methods and sterilization). Non-programme methods refer to those that are not provided through any structured programme; these methods include calendar rhythm (commonly referred to as 'safe period' in Sri Lanka), withdrawal, abstinence and other traditional methods."

Asia↗

Method switching and not using modern methods lead to abortions in Mauritius.

Contraceptive prevalence in Mauritius (76%) is among the highest in the world. Yet, it is estimated that each year there are some 20,000 cases of induced abortion, which is illegal in the country. A study based on a sample of 475 women admitted to three hospitals with complications due to induced abortion revealed considerable use of unreliable methods (e.g., withdrawal and natural methods), frequent method switching, and inconsistent use of modern methods. The study also found that women seeking abortion were usually under 30 years of age, and 20% of women with abortion complications were not using any method, and some 50% were using an unreliable method at the time they became pregnant. It emerged that with increasing numbers of women employed, their work schedules hindered their going to a family planning clinic and resulted in abortion being used as a back-up to contraception failure. Among the women with abortion complications, 25% had already had a previous abortion. These findings came as a big surprise to the family planning services. To discuss the findings, a national symposium was held in July, 1993. The symposium was attended by government ministers, members of parliament, and international personalities in the field of family planning. A discussion of the results of the study also took place in the National Assembly, where a motion was tabled to decriminalize abortion. The findings also facilitated, albeit indirectly, the approval of Norplant in the country.

Abortion, Induced↗