Thapa S
Program Evaluation Division, Family Health International, Research Triangle Park, NC 27709-3950.
Stud Fam Plann. 1989 Jan-Feb;20(1):38-52.
Knowledge and practice of family planning in Nepal increased considerably from mid-1976 through mid-1986, with significant improvements in the availability of and accessibility to contraceptives. However, a proportionately larger share of the achievements were made during 1976-81 than in 1981-86. The impact on fertility of contraceptive use during the decade was minimal. Knowledge and use of reversible contraceptive methods remained very low, primarily because of the continued strong emphasis on sterilization in Nepal's family planning program. Consequently, the welfare of many couples who may be in need of contraception for spacing births, but not necessarily for terminating childbearing, does not appear to be adequately addressed by the program. A more balanced emphasis on reversible methods of contraception does not necessarily imply that a substantially higher level of contraceptive prevalence would be required to reach the fertility target. Several steps to improve program performance and contraceptive method mix are suggested.
从1976年年中到1986年年中，尼泊尔计划生育的知识和实践有了显著增长，避孕药具的可获得性和可及性有了显著改善。然而，与1981 - 1986年相比，1976 - 1981年期间取得的成就占比更大。在这十年间，使用避孕药具对生育率的影响微乎其微。可逆避孕方法的知识和使用仍然非常低，主要是因为尼泊尔计划生育项目持续大力强调绝育。因此，许多可能需要避孕来间隔生育但不一定是为了终止生育的夫妇的福利似乎没有得到该项目的充分关注。对可逆避孕方法进行更平衡的强调并不一定意味着要达到生育目标就需要大幅提高避孕普及率。文中提出了几个改善项目绩效和避孕方法组合的步骤。
