The long-term demographic role of community-based family planning in rural Bangladesh

James F. Phillips, Mian Bazle Hossain, Mary Arends-Kuenning

Research output: Contribution to journalArticlepeer-review

Abstract

Experimental studies demonstrating the effectiveness of nonclinical distribution of contraceptives are typically conducted in settings where contraceptive use is low and unmet need is extensive. Determining the long-term role of active outreach programs after initial demand is met represents an increasingly important policy issue in Asia, where contraceptive prevalence is high and fixed service points are conveniently available. This article examines the long-term rationale for household family planning in Bangladesh - where growing use of contraceptives, rapid fertility decline, and normative change in reproductive preferences are in progress, bringing into question the rationale for large-scale deployment of paid outreach workers. Longitudinal data are analyzed that record outreach encounters and contraceptive-use dynamics in a large rural population. Findings demonstrate that outreach has a continuing impact on program effectiveness, even after a decade of household visitation. The policy implications of this finding are reviewed.

Original languageEnglish (US)
Pages (from-to)204-219
Number of pages16
JournalStudies in family planning
Volume27
Issue number4
DOIs
StatePublished - 1996
Externally publishedYes

ASJC Scopus subject areas

  • Demography
  • Social Sciences (miscellaneous)

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