Experiences with Fertility Reduction in Five High-Fertility Countries

Countries with high levels of fertility lag behind others in development indicators and in progress toward the Millennium Development Goals. While several developing countries have lowered fertility rates over the last three decades, huge challenges remain. The family planning needs of some 137 million married women in developing countries are still unmet. About a third of the approximately 205 million pregnancies each year are unintended, and half of induced abortions performed globally are unsafe. Some 28 countries, mainly in Sub-Saharan Africa, have a total fertility rate greater than 5, and the decline in fertility rates has been very slow or has stalled. In most countries, national averages mask substantial differences in fertility levels between the well-off and the poor, highlighting equity concerns. The objective of this study is not to repeat those discussions and findings but rather to provide evidence-based, relevant, and practical information on population and family planning issues to stimulate policy dialogue with client countries and influence World Bank lending in countries that still have high fertility rates.

Bibliographic Details

Main Author:	World Bank
Format:	Report biblioteca
Language:	English en_US
Published:	World Bank, Washington, DC 2010-05
Subjects:	ABSTINENCE, ACCESS TO CONTRACEPTIVES, ACCESS TO EDUCATION, ACCESS TO FAMILY PLANNING, ACCESS TO FAMILY PLANNING SERVICES, ADULT LITERACY, AGE AT MARRIAGE, ANTENATAL CARE, BASIC HEALTH CARE, BEHAVIOR CHANGE, BIRTH RATE, BIRTH SPACING, BREASTFEEDING, CAPACITY BUILDING, CHILD HEALTH, CHILD HEALTH SERVICES, CHILD MORTALITY, CHILD MORTALITY RATES, CHILD SPACING, CHILD SURVIVAL, CHILDBIRTH, CHILDREN PER WOMAN, CLINICS, CONDOM, CONDOM USE, CONTRACEPTION, CONTRACEPTIVE, CONTRACEPTIVE METHOD, CONTRACEPTIVE PREVALENCE, CONTRACEPTIVE PREVALENCE RATE, CONTRACEPTIVE USE, CONTRACEPTIVE USERS, COUNSELING, CULTURAL VALUES, CURRENT TOTAL FERTILITY, DEATHS, DECLINE IN FERTILITY, DECLINES IN FERTILITY, DEMAND FOR CONDOMS, DEMAND FOR FAMILY PLANNING, DEMAND FOR FAMILY PLANNING SERVICES, DETERMINANTS OF FERTILITY, DEVELOPING COUNTRIES, DEVELOPMENT POLICIES, DOCTORS, DUAL PROTECTION, EDUCATED WOMEN, EFFECTIVE FAMILY PLANNING, EMPOWERING WOMEN, EPIDEMIC, FAMILY HEALTH, FAMILY PLANNING, FAMILY PLANNING PROGRAM, FAMILY PLANNING SERVICE, FAMILY SIZE, FAMILY WELFARE, FEMALE EDUCATION, FEMALE STERILIZATION, FERTILITY, FERTILITY DECLINE, FERTILITY LEVELS, FERTILITY RATE, FERTILITY SURVEY, FEWER CHILDREN, FIRST MARRIAGE, GENDER DISPARITIES, GENDER EQUITY, GIRLS, HEALTH CARE DELIVERY, HEALTH CENTERS, HEALTH COALITION, HEALTH EDUCATION, HEALTH FACILITIES, HEALTH INDICATORS, HEALTH NEEDS, HEALTH OUTCOMES, HEALTH PROGRAMS, HEALTH SECTOR, HEALTH STATUS, HEALTH SYSTEM, HIGH FERTILITY, HIV, HIV/AIDS, HOLISTIC APPROACH, HOME VISITS, HUMAN DEVELOPMENT, HUMAN RIGHTS, HUSBANDS, ILLNESS, IMMUNIZATIONS, INDUCED ABORTIONS, INFANT, INFANT MORTALITY, INFANT MORTALITY RATES, INFORMATION CAMPAIGNS, INTEGRATING FAMILY PLANNING, INTERNATIONAL CONFERENCE ON POPULATION, INTERNATIONAL WOMEN, INTERPERSONAL COMMUNICATION, IUDS, LABOR FORCE, LAWS, LEVELS OF FERTILITY, LIMITING FAMILY SIZE, LIVE BIRTHS, LONGER BIRTH INTERVALS, LOW FERTILITY, LOWER FERTILITY, MALARIA, MANAGEMENT OF HEALTH, MANAGEMENT OF POPULATION, MARRIAGE LICENSE, MARRIED WOMEN, MASS MEDIA, MENSTRUATION, MILLENNIUM DEVELOPMENT GOAL, MINISTRY OF HEALTH, MODERN CONTRACEPTIVE METHODS, MODERN CONTRACEPTIVES, MODERN FAMILY, MODERN FAMILY PLANNING, MODERN FAMILY PLANNING METHODS, NATIONAL FERTILITY, NATIONAL FERTILITY SURVEY, NEED FOR FAMILY PLANNING, NO MORE CHILDREN, NUMBER OF CHILDREN, NURSING, NUTRITION, ORAL CONTRACEPTIVES, OUTREACH ACTIVITIES, OUTREACH WORKERS, PARAMEDICS, PILL, POLICY DIALOGUE, POPULATION AND DEVELOPMENT, POPULATION COUNCIL, POPULATION EDUCATION, POPULATION GROWTH, POPULATION GROWTH RATE, POPULATION POLICIES, POPULATION SIZE, POPULOUS COUNTRY, POSTNATAL CARE, PREGNANCIES, PREGNANCY, PRIMARY CARE, PRIMARY EDUCATION, PRIMARY HEALTH CARE, PRIMARY HEALTH CARE FACILITIES, PRIMARY HEALTH CARE SYSTEM, PRIMARY SCHOOL, PROGRESS, PUBLIC HEALTH, QUALITY OF CARE, RATE OF POPULATION GROWTH, RELIGIOUS LEADERS, REPRODUCTIVE HEALTH, RESOURCE LIMITATIONS, RIGHTS PERSPECTIVE, RURAL AREAS, RURAL POPULATION, RURAL WOMEN, SANITATION, SERVICE DELIVERY, SERVICE PROVIDER, SERVICES FOR FAMILY PLANNING, SERVICES TO WOMEN, SEX, SEXUALLY TRANSMITTED INFECTIONS, SMALL FAMILIES, SOCIAL MARKETING, SOCIAL MARKETING OF CONDOMS, SPOUSES, STATE UNIVERSITY, STERILIZATION, TOTAL FERTILITY RATE, TRADITIONAL CONTRACEPTIVE, TUBERCULOSIS, UNEMPLOYMENT, UNITED NATIONS POPULATION FUND, URBAN AREAS, URBAN WOMEN, USE OF FAMILY PLANNING, VACCINATION, WAR, WORLD POPULATION, WORLD POPULATION CONFERENCE, YOUNG COUPLES, YOUNG PEOPLE, YOUNG WOMEN, YOUTH,
Online Access:	http://documents.worldbank.org/curated/en/191711468152073461/Experiences-with-fertility-reduction-in-five-high-fertility-countries-synthesis-of-case-studies https://hdl.handle.net/10986/27498
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