The Politics Of Family Planning Policy

Experts estimate that nearly 60 percent of all U.S. pregnancies--and 81 percent of pregnancies among adolescents--are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issues--health care and welfare reform, and the new international focus on population--are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitions--"unintended" versus "unwanted" versus "mistimed"--and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals. May

Based on work presented at a seminar on birth control and family planning. Issued as a supplement to Population and development review.

“Those involved in women’s health issues, Third World studies, and economic development should find food for thought” (Kirkus Reviews). This is an updated edition of the “influential study” (Publishers Weekly) of issues surrounding childbirth and the history of population control programs. Challenging conventional wisdom about overpopulation, and uncovering the deeper roots of poverty, environmental degradation, and gender inequalities, the author uses data and vivid case studies to explore how population control programs came to be promoted by powerful governments, foundations, and international agencies as an instrument of Cold War development and security policy. Mainly targeting poor women, these programs were designed to drive down birth rates as rapidly and cheaply as possible, with coercion often a matter of course. In the war on population growth, birth control was deployed as a weapon, rather than a tool of reproductive choice. Threaded throughout is the story of how international women’s health activists fought to reform population control and promote a new agenda of sexual and reproductive health and rights for all. While their efforts bore fruit, obstacles remain. On one side is the anti-choice movement that wants to deny women access not only to abortion but to most methods of contraception. On the other is a resurgent, well-funded population control lobby that often obscures its motives with the language of women’s empowerment. Despite declining birth rates worldwide—average global family size is now 2.5 children—overpopulation alarm is on the rise, tied now to the threats of climate change and terrorism. Reproductive Rights and Wrongs reveals how these developments are rooted in the longer history and politics of population control. In this book, a new generation of readers will find knowledge and inspiration for the ongoing struggle to achieve reproductive rights and social, environmental, and gender justice.

In this groundbreaking work on American public policy and human fertility control, policies and practices of the 70s, 80s, and 90s are reviewed and analyzed in each of the fifty states. Arguing that morality politics have helped make fertility policies contentious and complex, McFarlane and Meier conclude that current policies are inadequate for addressing unintended pregnancy and even contribute to high abortion rates. The authors offer alternative public policy designed to be more effective in the future.

China's one-child population policy, first initiated in 1979, has had an enormous effect on the country’s development. By reducing its fertility in the past two decades to less than two children per woman, and developing a family planning program focused heavily on sterilization and abortion, China has undergone a significant transition in status to a demographically developed country. Bringing together contributions from leading academics, this book looks at the impact of the government's strict control over planning and population growth on the family, the wider society and the country's demography. The contributors examine developments such as family planning policy and contraceptive use, biological and social determinants of fertility, patterns of family and marriage and China's future population trends. As such it will be essential reading for academics, researchers, policy makers and government officials with an interest in China’s population policy.

The striking upsurge in population growth rates in developing countries at the close of World War II gained force during the next decade. From the 1950s to the 1970s, scholars and advocacy groups publicized the trend and drew troubling conclusions about its economic and ecological implications. Private educational and philanthropic organizations, government, and international organizations joined in the struggle to reduce fertility. Three decades later this movement has seen changes beyond anyone's most optimistic dreams, and global demographic stabilization is expected in this century. The Global Family Planning Revolution preserves the remarkable record of this success. Its editors and authors offer more than a historical record. They disccuss important lessons for current and future initiatives of the international community. Some programs succeeded while others initially failed, and the analyses provide valuable guidance for emerging health-related policy objectives and responses to global challenges.

A history of the World Health Organization, covering major achievements in its seventy years while also highlighting the organization's internal tensions. This account by three leading historians of medicine examines how well the organization has pursued its aim of everyone, everywhere attaining the highest possible level of health.