S20 Family planning - Planification familiale
Organiser: Rosero-Bixby Luis (Committee on Fertility & Family Planning)
Universidad de Costa Rica, INISA-PCP, San Pedro 2060, Costa Rica
Tel: +506 224 3668 /283 7017 /207 5693
Fax: +506 207 5692 /207 5130
Email: lrosero@populi.eest.ucr.ac.cr
Outline: Throughout East and South Asia, Latin America and Africa, large and costly public programmes have been established with the aim of fostering and sustaining reproductive change. Although this investment has long been the subject of discussion and debate, the focus of discussion has shifted in recent years. Evidence that rapid fertility transition is occurring where large family planning programmes have been functioning has shifted debate from the question of whether programmes can induce fertility transition to the question of whether programmes are needed once rapid transition is under way. Some analysts argue that evidence of rapid transition generates demand for reproductive control that is independent of programme services; intensive publicly financed family planning programmes may catalyse reproductive change, but large resource intense programmes are not needed to sustain rapid transitions in the long run. An alternative view holds that the pace of reproductive change is influenced by the convenient supply of low cost modern contraceptives, even in settings where rapid demographic change is occurring; continuing dependence on services justifies the continuing public investment in large scale family planning programmes. This session will review evidence that programmes foster the diffusion of new patterns of reproductive behaviour and demand for contraception that is ultimately independent of continued subsidised services. Papers will review research on the policy implications of rapid fertility transition and the implications of demographic change for the strategic design of national programmes. The organiser will consider any submission falling under this outline and select four papers for the session.