Koenig M A, Phillips J F, Simmons R S, Khan M A
Stud Fam Plann. 1987 May-Jun;18(3):117-27.
In the nearly ten years of its existence, the Matlab Family Planning and Health Services Project has been characterized by a remarkable rise in contraceptive use and a corresponding decline in fertility. This study examines available evidence on trends in family size preferences in the Matlab area from 1977 to 1984 and their relationship to contraceptive use. Within the Matlab treatment area, the most significant factor behind the increase in contraceptive use has been a sharp rise in the practice of contraception for spacing births. There also appears to have been a more modest increase in the proportion of women wanting no additional children. Family size preferences in the treatment and comparison areas were roughly comparable, suggesting--to the extent that such preferences have changed over time--change may have occurred throughout the Matlab study area. The findings are evaluated in terms of their implications for the current debate on the contribution of family planning programs to fertility decline in developing countries.
在其存在的近十年时间里，马特拉布计划生育与健康服务项目的特点是避孕药具使用显著增加，生育率相应下降。本研究考察了1977年至1984年马特拉布地区家庭规模偏好趋势的现有证据及其与避孕药具使用的关系。在马特拉布治疗区，避孕药具使用增加背后最重要的因素是为生育间隔而采取避孕措施的做法急剧增加。希望不再生育更多孩子的女性比例似乎也有较为适度的增加。治疗区和对照区的家庭规模偏好大致相当，这表明——就这种偏好随时间发生变化而言——整个马特拉布研究区可能都发生了变化。根据这些发现对当前关于计划生育项目对发展中国家生育率下降的贡献的辩论的影响进行了评估。
