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Seminar on Family Planning Programmes in the Twenty-first Century

Dhaka, Bangladesh, 17-20 January 2000
Organised by the IUSSP Committee on Fertility and Family Planning and
the Operations Research Program, International Centre for Diarrhoeal Disease Research, Bangladesh.

This seminar is being organised by the IUSSP Committee on Fertility and Family Planning in collaboration with the Operations Research Program, International Centre for Diarrhoeal Disease Research, Bangladesh.

The Committee has chosen the end of the century to draw on the experience of family planning programmes in the second half of the 20th century to ascertain what has been learnt and what experience is relevant for the next century. Examples of new problems which must be faced, and for which there is already some knowledge, include the following: the better measurement of the impact of programmes, the best use of resources either within the programmes or outside them to achieve fertility decline, designing programmes to meet the ICPD agenda, the evolution of programmes in countries which have reached low fertility, the policy implications of rapid fertility transitions such as programmes to address the problem of population momentum, the achievement of a fertility transition in sub-Saharan Africa, and the design of programmes to best meet regional needs. The meeting will concern itself with such broad areas as the social and health impacts of fertility reduction, the development role of investment in family planning and related topics in resource allocation, the role and design of programmes in settings where demand for family planning is constrained, the long-term rationale for programmes as demographic transitions progress, the likely experience and nature of programmes in poor countries if international assistance declines.

All papers should draw upon actual experience, international comparative data or reviews of scientific literature with the aim of drawing conclusions that contribute to the design of future programmes.

Topics include:

Why programmes have evolved as they have over last half century and what this implies for the future; the role of united Nations Population and Development Conferences in shaping what programmes actually do

The extent to which family planning programmes have contributed to fertility declines and the extent to which other development programmes have also contributed to fertility declines

The social and demographic impact of programmes

Region-specific examinations of how the ICPD reproductive health and situation of women aims can fashion design of programmes

The incorporation of family planning into broader health approaches

The relevance of programmes in low-fertility settings

The relevance of programmes in high-fertility, but low-demand settings

The ability of programmes to adapt to changing conditions and needs and to be sustainable

The evolution of appropriate methods of measurement and evaluation in the post-ICPD era; the assessment of quality; and other emerging issues in evaluation

The social, health, or economic benefits of reproductive change

New issues that are likely to arise in the next century, such as population momentum, rapid urban growth, and other topics.

Tentative Programme

Session 1: Global experience

Chairperson: Warren Robinson

Ronald Freedman
Observing Taiwan’s demographic transition: A memoir of its past and a projection of its relevance for the 21st century

Steve Sinding
The great population debates: how relevant for the 21st century

Jason Finkle and Alison MacIntosh
The policy impact of uN population conferences

John Haaga and Peter Donaldson
What every demographer should know about family planning

Paul Demeny
The long-term rationale of government intervention in the area of fertility Behaviour

John Ross
Family planning programme efforts scores over a quarter century: principal results and future guidance

John Bongaarts and Elof Johansson
Future demand for contraception in the developing world

Marcia Townsend, Yvette Cuca and Timothy Williams
When international assistance declines: adapting to changing conditions through increased sustainability

Montasser Kamal
Will sophisticated family planning programmes be possible in the new millennium

Session 2: Towards ICPD objectives

Chairperson: Josefina Cabigon

Ruth Simmons
Facilitating large scale transitions to quality of care and reproductive health in family planning programmes – what have we learned and where do we need to go

Arodys Robles
Achieving integrated reproductive health services: an assessment of unmet needs from recent health interview surveys in Central America

Judith Helzner and Yvette Cuca
Transforming family planning services to reproductive health in Latin America and the Caribbean

Jeremy Shiffman
Political will and family planning programmes

Inge Hutter and B.M. Ramesh
From reproductive health research to reproductive health programmes: a case study from Dharwad Taluka India

Shalini Shah
Strategy and programmatic approaches to maximising access and quality and client provider interaction as implemented in the India programmes

Subrato Mondal
Determinants of reproductive choices and reproductive rights

James Foreit and Tomas Frejka
The utilisation of operations research in the 21st Century

Dale Huntington
The role of operations research in family planning programmes in the 21st century

Victoria Ward, Judith Helzner and Yvette Cuca
Simple, easy-to-use tools for assessing the quality of sexual and reproductive health services: Experience to date and their use in Latin America

Saumaya Rama Rao, Jain Anrudh, Marilou Costello, Heidi Jones and Martina Lacuesta
A paradigm shift: the Davao quality of care project

Session 3: Bangladesh

Chairperson: Paul Demeny

Barkat-e-Khuda, Nikhil Roy and Dewan Mizanur Rahman
Family planning and fertility in Bangladesh: Evidence from the 1993-94 and 1996-97 Bangladesh Demographic and Health Surveys

Barkat-e-Khuda, Nikhil Roy and Dewan Mizanur Rahman
unmet contraceptive need in Bangladesh: Evidence from the 1993-94 and 1996-97 Bangladesh Demographic and Health Surveys

Barkat-e-Khuda, Nikhil Roy and Dewan Mizanur Rahman
Interspousal communication in family planning: Evidence from the 1993-94 and 1996-97 Bangladesh Demographic and Health Surveys

Bruce Caldwell and Indrani Pieris
Family Planning in Bangladesh villages at the end of the twentieth century: Evidence for how programmes might be improved in the 21st Century

Thomas Kane, Mian Bazle Hossain and Barkat-e-Khuda
Quality care, client satisfaction and contraceptive use in rural Bangladesh

Tanjina Mirza
Quality care of contraceptive services and women’s health in Bangladesh

Nashid Kamal and Patricia Johnson
Inter-bari differences in the use of modern contraception in rural Bangladesh

M.E. Khan and AK ubaidur Rob
From home delivery to static clinic approach

Lisa Bates, Sidney Ruth Schuler, Md Kairul Islam
From the home to the clinic: the next chapter in Bangladesh’s story

M. Kabir and AK ubaidur Rob
What will happen to the population size in Bangladesh if fertility transition is not achieved as per target

Radheshyam Bairagi
Can a developing country achieve replacement level of fertility through an MCH-FP project? Lessons learned from Matlab, Bangladesh.

Jeroen van Ginneken
The contribution of social and economic factors to the success of acceptance and use of family planning in Matlab, Bangladesh.

David Sack
Improved infant mortality indicators for integrated primary health care programmes

Session 4: Operations Research Programme, ICDDR, Bangladesh

Chairperson: John Bongaarts

Barkat-e-Khuda and Subrata Routh
Lessons learned from the operations research project: The Bangladesh family planning programme in the 20th Century and its necessary form in the 21st Century

Zahidul Quayyum, Ann Levin, Thwin Aye Aye, Subrata Routh and Barkat-e-Khuda
Charging fees for MCH-FP services: Lessons learned from operations research

Shammen Ahmed, Ariful Islam, Cris Tunon and Barkat-e-Khuda
Women’s empowerment and contraceptive behaviour

Subrata Routh, Yousuf Hasan, Ali Ashraf and Barkat-e-Khuda
Coping with changing conditions: Evidence from operations research on alternative strategies for delivery of MCH-FP services in Bangladesh

Ann Levin, Bruce Caldwell and Barkat-e-Khuda
Demand for family planning services in rural Bangladesh: Effect of cash prices and access

Quamrun Nahar, Cristobal Tunon, Barkat-e-Khuda and Selina Amin
Family planning programmes for adolescents: A review of the current experience of Bangladesh

S.M. Tariq Azim, Cristobal Tunon and Sangeeta Mookherji
Information systems for family planning programme: From demographic target oriented to supporting quality

Ali Ashraf, Thomas Kane, Ahsan Shahriar and Barkat-e-Khuda
Male involvement in reproductive health services in Bangladesh

Rukhsana Gazi, Fazlul Karim, A.M.R. Chowdhury and Shah Noor Mahmud
Effect of women’s health and development programme (WHDP) of BRAC and post-partum contraception and breastfeeding

Rukhsana Gazi, Liz Goodburn, AMR Chowdhury and Fazlul Karim
Knowledge, attitude and practice of rural women on post-partum contraception

Session 5: India and South Asia

Chairperson: Ruth Simmons

M.E. Khan and John Townsend
Reproductive and child health programme of India

Rajib Acharya and Sahina Begum
The two-child family in India: A critical appraisal

Abusaleh Shariff
The role of family planning programmes in economic development in India in the 21st Century

P.S. Nair
Population momentum and family planning needs in India in the 21st Century

M.E. Khan and Dale Huntington
Measuring impact of paradigm shift on family planning and performance reproductive health programme

Session 6: Other Asia

Chairperson: Christiana Okojie

Amir J. Mehryar, Joël Montague, Roudi Farzaneh, Tajdini Farzaneh
Family planning in the Islamic RePUBLIC of Iran

Mohammed Jalal Abbasi-Shavazi
Fertility transition in Iran

Iwu utomo and Edy Nurul Hasmi
The village level volunteers: the success story of the community participation in the Indonesian family planning programme (a case study in West Java, central Java and DI Jogyakarta

Josefina Cabigon
The Philippine family planning programme and its demographic and social implications

Isabelle Attane
Three decades of family planning in China: Past and future

Xiaoying Zheng
Reproductive health action of family planning programme in the 21st Century in China

Session 7: Africa

Chairperson: Richard Leete

John Caldwell and Pat Caldwell
Sub-Saharan African family planning programmes in the 20th Century and 21st Century

Malcolm Potts
Commodity needs in family planning and reproductive health: the coming crisis in Africa

William Muhwava
Contraceptive use at the edge of fertility transition in Zimbabwe

Gobopamang Letamo and John Oucho
Contribution of family planning programmes to fertility declines in Botswana

Christiana Okojie
Sustainability of family planning programmes in an environment of high fertility, low demand settings and dwindling resources: a case study of Edo and Delta states of Nigeria

Cathy Toroitich-Ruto
Culture, gender and demographic change in Kenya

Michael Bracher and Gigi Santow
Family Planning in the presence of STDs and AIDS

Manfred Zahorka
The Fankanta Initiative in Gambia (coming on German technical aid money)

Session 8: Change in Family Planning Programmes on the Achievement of Low Fertility

Chairperson: Steven Sinding

Sarah Harbison and Warren Robinson
Policy implications of the next world demographic transition

Richard Leete
Family planning programmes in low-fertility East and Southeast Asian countries

Gigi Santow and Michael Bracher
The role of abortion in family planning programmes

Elwood Carlson and Megumi Omori
Family planning and low fertility in Eastern Europe

Susheela Singh, Jacqueline Darroch and Jennifer Frost
Subsidised family planning services in the uS: an example of the relevance of government support in a low fertility setting

Mui Teng Yap
Family planning programmes and policies: a Singapore case study

Violeta Nashauskiene
The incorporation of family planning into broader health approaches

Martin Teresa Castro
The rapid contraceptive transition in Spain: from illegality to quasi-universal use

Session 9: Round Table on South-South Aid for Family Planning Programmes in the 21st Century

Chairperson: Susheela Singh

Christine Okojie (Nigeria)
Barkat-e-Khuda (Bangladesh)
Steve Sinding (USA)
Malcolm Potts (uK)
Jim Phillips (USA)

Session 10: What We Have Learnt

Summaries: no distributed papers

Chairperson: Malcolm Potts

Barkat-e-Khuda: Bangladesh: family planning and fertility in the 21st Century
James Phillips: The national family planning programme in the 21st Century
John Caldwell: Fertility and fertility control in the 21st Century

The contact organiser for this seminar within the Committee is
James Phillips (jphillips@popcouncil.org).