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New data show that national family planning programmes have made impressive progress in the last 25 years. Fertility rates have been reduced dramatically, but during the current decade even greater achievements will be called for.
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"In this paper a probability model is proposed to describe the distribution of births to couples in first T years of marriage, when T is large and/or when couples use various methods of family planning. This model is derived on the assumption that conditional instantaneous risk of a conception, the incidence of foetal loss and the chance of attaining [sterility] following a child birth are functions of parity....The application of the model in evaluation of family planning programme changes in the child bearing pattern is illustrated."
Couple-years protection is a summary index of contraceptive protection. Couple-years protection allows comparisons of natural family planning with other methods. One couple-year protection for condoms is equal to 1 couple-year protection for pills and 1 couple-year protection for natural family planning. Critical in the calculation of couple-year protection for natural family planning is average duration of use. A working group on natural family planning recommended that 2 years of use be used as average duration until more data are available.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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OBJECTIVE: To assess the possibility of reducing the risk of unwanted pregnancy through a controlled intervention program that was based on a sex education workshop. DESIGN: Educational intervention study. SETTING: Newly drafted women in a central absorption army base in Israel. PATIENT(S): One thousand seven hundred ninety-three female draftees in the Israeli Defence Force. INTERVENTION(S): A 2-day workshop on sex education at the beginning of army service. MAIN OUTCOME MEASURE(S): Rate of unwanted pregnancy. RESULT(S): After 2 years of follow-up, there were approximately 40% fewer unwanted pregnancies among women with a lower socioeconomic and intellectual profile. CONCLUSION(S): Structured intervention programs may reduce significantly the rate of unwanted pregnancy in young women.
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The cost effectiveness of several modes of family planning service delivery based on the cost per couple-year of protection (CYP), including commodity costs, is assessed for 1991-92 using programme and project data from fourteen developing countries (five in Africa, four in Asia, three in Latin America and two in the Middle East). More than 100 million CYP were provided through these family planning services during the 12 months studied. Sterilisation services provided both the highest volume (over 60% of total) and the lowest cost per CYP ($1.85). Social marketing programmes (CSM), delivering almost 9 million CYPs, had the next lowest cost per CYP on average ($2.14). Clinic-based services excluding sterilisation had an average cost of $6.10. The highest costs were for community-based distribution projects (0.7 million CYPs), which averaged $9.93, and clinic-based services with a community-based distribution component (almost 6 million CYPs), at a cost of $14.00 per CYP. Based on a weighted average, costs were lowest in the Middle East ($3.37 per CYP for all modes of delivery combined) and highest in Africa ($11.20).
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