Phillips J F, Stinson W S, Bhatia S, Rahman M, Chakraborty J
Stud Fam Plann. 1982 May;13(5):131-40.
This paper evaluates the demographic impact of the Family Planning-Health Services Project in Matlab Thana of rural Bangladesh. The project was begun by the International Centre for Diarrhoeal Disease Research, Bangladesh in October 1977. Contraceptive services--including pills, condoms, IUDs, sterilization, and injectables--are supplemented by oral rehydration, tetanus toxoid, and other services. About 33 percent of eligible couples are using contraception. Impact is evaluated by direct measurement of birth rates in the treatment and comparison areas. An overall fertility decline of about 25 percent is observed, concentrated among older women. The impact is two-to-three times that of an earlier project that included fewer methods and used lesser trained workers. The study shows that intensive family planning efforts can affect fertility in the absence of socioeconomic changes.
本文评估了孟加拉国农村地区马特拉塔纳计划生育-健康服务项目对人口结构的影响。该项目由孟加拉国腹泻病研究国际中心于1977年10月启动。避孕服务——包括避孕药、避孕套、宫内节育器、绝育手术和注射剂——辅以口服补液、破伤风类毒素及其他服务。约33%符合条件的夫妇正在使用避孕措施。通过直接测量治疗区和对照区的出生率来评估影响。观察到总体生育率下降了约25%，主要集中在年龄较大的女性中。其影响是早期一个项目的两到三倍，早期项目提供的避孕方法较少，且工作人员的培训程度较低。该研究表明，在没有社会经济变革的情况下，大力开展计划生育工作能够影响生育率。
