Family planning in India is based on efforts largely sponsored by the Indian government. From 1965 to 2009, contraceptive usage has more than tripled (from 13% of married women in 1970 to 48% in 2009) and the fertility rate has more than halved (from 5.7 in 1966 to 2.4 in 2012), but the national fertility rate in absolute numbers remains high, causing concern for long-term population growth. India adds up to 1,000,000 people to its population every 20 days. [1] [2] [3] [4] [5] Extensive family planning has become a priority in an effort to curb the projected population of two billion by the end of the twenty-first century.
In 2016, the total fertility rate of India was 2.30 births per woman [6] and 15.6 million abortions performed, with an abortion rate of 47.0 abortions per 1000 women aged between 15 and 49 years. [7] With high abortions rates follows a high number of unintended pregnancies, with a rate of 70.1 unintended pregnancies per 1000 women aged 15–49 years. [7] Overall, the abortions occurring in India make up for one third of pregnancies and out of all pregnancies occurring, almost half were not planned. [7] On the Demographic Transition Model, India falls in the third stage due to decreased birth rates and death rates. [8] In 2026, it is projected to be in stage four once the Total Fertility Rate reaches 2.1. [8]
Women in India are not being fully educated on contraception usage and what they are putting in their bodies. [9] From 2005 to 2006 data was collected to indicate only 15.6% of women using contraception in India were informed of all their options and what those options actually do. [9] Contraceptive usage has been rising gradually in India. In 1970, 13% of married women used modern contraceptive methods, which rose to 35% by 1997 and 48% by 2009. [2]
Awareness of contraception is near-universal among married women in India. [10] However, the vast majority of married Indians (76% in a 2009 study) reported significant problems in accessing a choice of contraceptive methods. [3] The above table clearly indicates more evidence that the availability of contraceptives is a problem for people in India. In 2009, 48.4% of married women were estimated to use a contraceptive method. [3] About three-fourths of these were using female sterilization which is by far the most prevalent birth-control method in India. [3] Condoms, at a mere 3%, were the next most prevalent method. [3] Meghalaya, at 20%, had the lowest usage of contraception among all Indian states. Bihar and Uttar Pradesh were the other two states that reported usage below 30%. [3]
Sterilization is a common practice in India. Contraceptive practices in India are heavily skewed towards terminal methods like sterilization, which means that contraception is practiced primarily for birth limitation rather than birth planning. [11] It is common to use camps to enforce sterilization. This process can be done with or without consent. [12]
Comparative studies have indicated that increased female literacy is correlated strongly with a decline in fertility. [13] Studies have indicated that female literacy levels are an independent strong predictor of the use of contraception, even when women do not otherwise have economic independence. [14] Female literacy levels in India may be the primary factor that help in population stabilisation, but they are improving relatively slowly: a 1990 study estimated that it would take until 2060 for India to achieve universal literacy at the current rate of progress. [13]
In 2015, there was an average 58% of women who used contraceptives, with female sterilization still being the most preferred and favored among 91% of women. [15] Higher rates of sterilization are seen among women who hold less education than those with more education. Those with higher education have lower rates due to the delay of getting married and childbirth. [15] 77% of the women who underwent sterilization had not used an alternative contraception prior to the procedure and most women were under the age of 26, who seem to have many options available in regards to protection. [16] The preoccupation with birth limitation by India's family planning programme has meant that it has not been able to successfully reach young married women who are in the process of building their family and enable them to meet their family planning intentions. [11]
According to Family Planning 2020, in 2017 there were 136,569,000 women using modern method contraception which prevented: 39,170,000 unintended pregnancies, 11,966,000 unsafe abortions, and 42,000 maternal deaths due to family planning. [17] In 2012, India's modern contraception prevalence rate among all women was 39.2, in 2017 it was 39.57, and in 2020 is predicted to rise to 40.87. [17]
The Ministry of Health and Family Welfare is the government unit responsible for formulating and executing family planning in India. An inverted Red Triangle is the symbol for family planning health and contraception services in India. In addition to the newly implemented government campaign, improved healthcare facilities, increased education for women, and higher participation among women in the workforce have helped lower fertility rates in many Indian cities. The objectives of the program are positioned towards achieving the goals stated in several policy documents. [18] While India is improving in fertility rates, there are still areas of India that maintain much higher fertility rates. [19] [20]
In 2017, Ministry of Health and Family Welfare launched Mission Pariwar Vikas, a central family planning initiative. The key strategic focus of this initiative is on improving access to contraceptives through delivering assured services, ensuring commodity security and accelerating access to high quality family planning services. its overall goal is to reduce India's overall fertility rate to 2.1 by the year 2025. [21] Along with that two contraceptive pills, MPA (Medroxyprogesterone acetate) under Antara program and Chaya (earlier marketed as Saheli) will be made freely available to all government hospitals. [21]
Family planning program benefits not only parents and children but also to society and nation, by being able to keep the number of new births under control allows for less population growth. [22] With less population growth this will allow for more resources towards those already existing in the Indian population, with more resources comes longer life expectancy and better health. [22]
India's current fertility rate as of 2016, is 2.3 births per woman. The fertility rate (average number of children born per woman during her lifetime) in India has been declining, though it has still not reached the average replacement rate yet. The average replacement rate is 2.1. (This rate is said to stabilize a population) Replacement rate can be defined as the rate at which the population exactly replaces itself. [23] Factoring in infant mortality, the replacement rate is approximately 2.1 in most industrialised nations and about 2.5 in developing nations (due to higher mortality). The fertility rates in India have dropped rapidly in rural areas, but are dropping at a stable rate in urban and populated areas. [24] Although this seems promising, two-thirds of India's population resides in rural areas, adding to the decreased fertility rate. [24] Discounting immigration and population momentum effects, a nation that crosses below the replacement rate is on the path to population stabilisation and, eventually, population reduction. There have been several factors influencing recent trends in Indian fertility including, but not limited to: limitation of family planning ability, age at marriage/childbirth, and the space between children born to one woman. [18] Although India is dealing with major overpopulation issues, the fertility rate and the overall population is declining. [24]
The fertility rate in India has been in long-term decline, and more than halved from 1960 to 2009. From 5.7 births per woman in 1966, it declined to 3.3 births per woman by 1997 and 2.7 births per woman in 2009. [4] [5] In 2005 the TFR, (total fertility rate), was listed as 2.9 births per women. Since this time, the country has recorded a steady decline in order to reach the current rate (as of 2014) of 2.3 births per woman. [18]
Twenty Indian states have dipped below the 2.1 replacement rate level and are no longer contributing to Indian population growth. [25] The total fertility rate of India stands at 2.2 as of 2017. Four Indian states have fertility rates above 3.5 - Bihar, Uttar Pradesh, Meghalaya and Nagaland Of these, Bihar has a fertility rate of 4.0 births per woman, the highest of any Indian state. For detailed state figures and rankings, see Indian states ranking by fertility rate.[ citation needed ]
In 2009, India had a lower estimated fertility rate than Pakistan and Bangladesh, but a higher fertility rate than China, Iran, Myanmar and Sri Lanka. [26]
According to Jin Rou New and colleagues research and data [27] they were able to compile enough data to create the following table.
State | Prevalence of modern contraceptive use in 2015 | Unmet need for modern methods in 2015 | Demand satisfied with modern methods in 2015 | Change in prevalence of modern contraceptive use, 1990–2015 | Prevalence of modern contraceptive use in 2030 | Unmet need for modern methods in 2030 | Demand satisfied with modern methods in 2030 | Increase in percentage of users of modern methods required to meet 75% demand satisfied target compared with 2015 | Additional number of users of modern methods (millions) required to meet 75% demand satisfied target compared with 2015 |
---|---|---|---|---|---|---|---|---|---|
Andhra Pradesh | 69.8 (65.8 to 73.5) | 5.5 (4.5 to 6.7) | 92.7 (90.9 to 94.2) | 25.1 (14.2 to 36.2) | 70.5 (51.4 to 84.2) | 6.5 (2.7 to 13.9) | 91.5 (79.4 to 96.9) | .. | .. |
Arunachal Pradesh | 47.2 (36.4 to 58.0) | 23.3 (16.3 to 31.2) | 66.9 (55.3 to 77.4) | 29.6 (16.9 to 42.3) | 55.4 (35.4 to 73.9) | 18.9 (9.4 to 31.8) | 74.5 (54.1 to 88.4) | 8.8 (–3.0 to 20.0) | 0.04 (0.02 to 0.06) |
Assam | 40.9 (28.9 to 52.9) | 35.6 (25.5 to 47.7) | 53.5 (38.3 to 67.0) | 21.7 (7.6 to 35.4) | 48.5 (26.0 to 69.1) | 28.6 (14.1 to 50.0) | 62.9 (35.3 to 82.6) | 17.5 (4.1 to 31.0) | 1.37 (0.72 to 2.01) |
Bihar | 26.0 (22.5 to 29.9) | 22.9 (20.5 to 25.6) | 53.1 (48.0 to 58.3) | 6.3 (–1.7 to 13.3) | 41.0 (24.4 to 60.0) | 21.2 (12.5 to 31.1) | 65.6 (46.7 to 82.3) | 21.2 (9.9 to 30.7) | 5.08 (3.04 to 6.78) |
Chhattisgarh | 57.0 (46.4 to 67.1) | 16.7 (11.2 to 23.6) | 77.3 (67.2 to 85.4) | 26.0 (–0.5 to 49.1) | 60.9 (40.8 to 77.9) | 14.9 (6.7 to 26.9) | 80.2 (61.6 to 91.9) | .. | .. |
Delhi | 58.0 (42.3 to 72.0) | 19.6 (11.3 to 31.7) | 74.7 (57.9 to 86.2) | 6.4 (–12.1 to 23.7) | 60.3 (38.7 to 78.0) | 18.0 (8.1 to 33.8) | 77.0 (54.7 to 90.4) | 0.9 (–12.5 to 16.0) | 0.54 (0.21 to 0.90) |
Goa | 25.7 (22.3 to 29.6) | 20.1 (17.9 to 22.5) | 56.1 (51.0 to 61.1) | –10.0 (−20.0 to −0.5) | 38.8 (22.7 to 57.5) | 20.8 (12.6 to 30.6) | 64.9 (45.8 to 81.2) | 19.5 (8.1 to 29.5) | 0.06 (0.03 to 0.09) |
Gujarat | 57.6 (41.9 to 71.4) | 16.7 ( 9.6 to 27.3) | 77.5 (61.6 to 87.9) | 13.0 (–5.6 to 30.5) | 60.5 (38.8 to 78.7) | 15.3 (6.8 to 29.6) | 79.7 (58.3 to 91.8) | .. | .. |
Haryana | 58.4 (54.0 to 62.5) | 13.8 (12.0 to 15.8) | 80.9 (77.7 to 83.7) | 16.4 (5.9 to 26.7) | 60.9 (41.9 to 77.0) | 13.8 (6.8 to 24.4) | 81.4 (64.4 to 91.7) | .. | .. |
Himachal Pradesh | 58.7 (47.8 to 68.8) | 15.5 (9.8 to 22.8) | 79.1 (68.4 to 87.2) | 6.8 (–7.8 to 21.1) | 62.1 (41.9 to 78.9) | 13.8 (6.1 to 25.5) | 81.8 (63.2 to 92.8) | .. | .. |
Jammu and Kashmir | 47.6 (32.3 to 62.7) | 24.2 (15.0 to 36.0) | 66.2 (49.0 to 80.3) | 10.4 (–7.7 to 28.2) | 53.4 (32.3 to 72.8) | 20.9 (10.0 to 36.9) | 71.7 (48.1 to 87.7) | 8.3 (–6.0 to 23.3) | 0.34 (0.11 to 0.57) |
Jharkhand | 45.9 (35.0 to 56.5) | 28.6 (20.7 to 37.7) | 61.5 (49.0 to 72.6) | 28.4 (4.5 to 46.5) | 54.1 (32.8 to 73.1) | 22.8 (11.4 to 39.3) | 70.2 (46.6 to 86.2) | 12.1 (0.0 to 23.4) | 1.18 (0.55 to 1.75) |
Karnataka | 54.1 (49.4 to 58.8) | 10.9 (9.3 to 12.7) | 83.2 (79.9 to 86.1) | 9.0 (–2.0 to 20.1) | 59.7 (40.2 to 76.7) | 11.4 (5.1 to 20.4) | 84.0 (67.6 to 93.6) | .. | .. |
Kerala | 54.7 (44.0 to 64.9) | 19.6 (13.2 to 27.3) | 73.6 (62.6 to 82.6) | 3.0 (–11.0 to 17.0) | 58.1 (38.6 to 75.0) | 17.9 (8.8 to 31.2) | 76.4 (56.4 to 89.3) | 2.4 (–9.0 to 13.4) | 0.55 (–0.18 to 1.25) |
Madhya Pradesh | 52.4 (47.7 to 57.0) | 14.2 (12.4 to 16.3) | 78.6 (75.0 to 81.8) | 16.5 (–7.1 to 37.8) | 58.3 (39.3 to 75.0) | 13.9 (6.8 to 23.7) | 80.7 (63.8 to 91.5) | .. | .. |
Maharashtra | 63.5 (59.1 to 67.5) | 11.7 (10.1 to 13.5) | 84.4 (81.6 to 86.9) | 13.0 (2.2 to 24.0) | 65.4 (46.5 to 80.5) | 11.5 (5.2 to 21.3) | 85.0 (69.4 to 93.8) | .. | .. |
Manipur | 14.7 ( 8.9 to 22.3) | 40.3 (30.9 to 50.4) | 26.8 (16.7 to 38.5) | –7.7 (–17.6 to 2.4) | 28.8 (13.2 to 48.8) | 35.0 (22.2 to 50.9) | 44.9 (22.5 to 67.2) | 33.8 (21.6 to 44.3) | 0.15 (0.11 to 0.19) |
Meghalaya | 21.1 (18.1 to 24.5) | 25.7 (23.1 to 28.5) | 45.0 (40.1 to 50.0) | 7.6 (1.2 to 13.2) | 35.5 (19.8 to 54.3) | 25.4 (16.1 to 36.1) | 57.9 (38.4 to 76.2) | 25.3 (14.1 to 34.7) | 0.13 (0.08 to 0.17) |
Mizoram | 60.1 (48.9 to 70.3) | 16.4 (10.2 to 24.4) | 78.5 (67.3 to 87.1) | 8.7 (–6.5 to 23.5) | 63.3 (43.1 to 80.1) | 13.5 (5.5 to 25.4) | 82.4 (63.7 to 93.6) | .. | .. |
Nagaland | 37.0 (21.7 to 54.3) | 29.8 (19.8 to 41.3) | 55.2 (36.7 to 72.5) | 25.0 (8.7 to 43.1) | 49.1 (27.7 to 70.8) | 23.7 (11.7 to 39.4) | 67.2 (43.3 to 85.4) | 17.8 (2.4 to 32.2) | 0.06 (0.02 to 0.10) |
Odisha | 48.3 (37.3 to 59.2) | 26.6 (18.8 to 36.2) | 64.5 (51.4 to 75.5) | 15.7 (1.0 to 29.9) | 54.8 (34.0 to 73.0) | 21.4 (10.7 to 37.8) | 71.9 (48.8 to 87.0) | 9.2 (–2.9 to 21.0) | 1.25 (0.39 to 2.04) |
Punjab | 60.3 (49.7 to 69.9) | 15.1 (9.9 to 21.9) | 79.9 (70.2 to 87.3) | 12.0 (–2.0 to 25.9) | 77.1 (64.2 to 87.0) | 14.7 (6.9 to 26.8) | 80.7 (62.2 to 91.6) | .. | .. |
Rajasthan | 62.3 (51.8 to 71.2) | 16.0 (10.8 to 23.0) | 79.5 (69.9 to 86.6) | 33.9 (20.1 to 46.4) | 65.5 (45.2 to 81.3) | 13.9 (6.3 to 26.5) | 82.4 (63.9 to 92.7) | .. | .. |
Sikkim | 48.4 (43.4 to 53.3) | 22.3 (19.6 to 25.3) | 68.5 (63.6 to 72.8) | 16.8 (–1.3 to 32.9) | 55.7 (36.3 to 73.3) | 18.7 (9.3 to 30.5) | 74.7 (55.6 to 88.5) | 7.7 (–2.1 to 15.7) | 0.02 (0.01 to 0.03) |
Tamil Nadu | 53.7 (48.9 to 58.5) | 11.4 ( 9.8 to 13.2) | 82.5 (79.0 to 85.4) | 10.8 (–0.2 to 21.5) | 59.2 (39.9 to 75.9) | 11.7 (5.4 to 20.6) | 83.5 (67.0 to 93.2) | .. | .. |
Tripura | 43.1 (38.5 to 47.8) | 31.9 (27.0 to 37.8) | 57.5 (50.8 to 63.5) | 14.3 (3.7 to 24.1) | 49.8 (29.0 to 68.6) | 26.3 (13.8 to 45.3) | 65.3 (40.1 to 82.9) | 14.7 (4.9 to 23.3) | 0.17 (0.10 to 0.22) |
Uttar Pradesh | 40.7 (29.8 to 52.0) | 35.0 (25.8 to 45.5) | 53.7 (40.1 to 66.3) | 24.1 (11.3 to 36.9) | 51.7 (29.8 to 71.2) | 26.2 (13.3 to 44.9) | 66.2 (41.5 to 84.1) | 18.0 (5.5 to 30.2) | 9.18 (5.53 to 12.61) |
Uttarakhand | 50.9 (46.3 to 55.3) | 19.9 (17.5 to 22.6) | 71.8 (67.7 to 75.6) | 15.2 (–8.3 to 36.7) | 56.4 (37.7 to 73.7) | 17.6 (9.0 to 29.3) | 76.1 (57.3 to 89.0) | 5.0 (–4.6 to 13.2) | 0.26 (0.09 to 0.39) |
West Bengal | 57.5 (52.9 to 61.9) | 21.7 (17.8 to 26.6) | 72.6 (66.8 to 77.4) | 21.7 (10.8 to 32.3) | 59.6 (39.1 to 75.7) | 19.9 (10.0 to 37.3) | 74.9 (52.1 to 88.1) | 2.6 (–6.5 to 10.4) | 2.10 (0.51 to 3.44) |
India carries a pronatalist attitude towards fertility, with the large family structure creating an environment for new children to learn and grow in Indian culture. In many parts of India, male children are favored over female children, however efforts are being taken to change this attitude. Males are raised to be assertive and independent figures, while females are raised to put others before themselves, particularly their family. Families tend to encourage childbearing and expect to provide an environment of support for any new members of the family, raising the children based on Indian family practices and beliefs. Children are not encouraged to be independent or assist the family from an early age, rather the family expects to support and provide for the child until they reach adolescence.[ citation needed ]
Multiple Indian states have adopted a limited two-child policy. The policies are implemented by prohibiting persons with more than two children from serving in government. [28] The most recent policy to be implemented was by Assam in 2017. [29] Some states have repealed policies; Chhattisgarh introduced a policy in 2001 [30] and repealed it in 2005. [31]
A criticism of these policies is that it decreases the number of women in government positions, and encourages sex-selective abortions. [32]
The policy was geared mainly towards politicians, future and aspiring, to limit their number of children to two or less. [33] Those who held politicians have stricter policies in hopes that they will set an example for the community, if one were to exceed the limit of two children while employed, they would be terminated from the job. [33] Non-politicians may also receive consequences to exceed the two child limit, the government begins to withhold health care, government rights, face jail and, fees. [33]
Progress on reproductive health and family planning has been limited.[ citation needed ] As of 2016, India's infant mortality rate is 34.6 per 1000 livebirths, [34] and as of 2015, maternal mortality sits at 174 per 100,000 livebirths. [35] Leading causes of maternal mortality include hemorrhage, sepsis, complications of abortion, and hypertensive disorders, and infection, premature birth, birth asphyxia, pneumonia, and diarrhea for infants. [36] In 2005, the Government of India established the National Rural Health Mission (NRHM) in effort to address some of these issues amongst others. [36] The objective of the NRHM includes the provision of effective healthcare to rural areas, especially to poor and vulnerable populations. [37] Through the NRHM, special provisions have been made to address concerns for reproductive health, especially for adolescents who are more likely to participate in risky sexual behaviors and less likely to visit health facilities than adults. [38] Ultimately, the NRHM aims to push India towards the Millennium Development Goal targets for reproductive health. [36]
Raghunath Dhondo Karve published a Marathi-language magazine Samaj Swasthya (समाज स्वास्थ्य) starting from July 1927 until 1953. In it, he continually discussed issues of society's well-being involving population control through use of contraceptives. He explained the use of contraception would help prevent unwanted pregnancies and induced abortions. Karve proposed that the Indian Government should take up a population control programme, but was met with opposition. Mahatma Gandhi was the main opponent of birth control. His opposition was the result of his belief that self-control is the best contraceptive. However, Periyar's views were strikingly different from that of Gandhi. He saw birth control as a means for women to control their own lives. [39]
In 1952, India became the first country in the developing world to create a state-sponsored family planning program, the National Family Planning Program. [40] The program's primary objectives were to lower fertility rates and slow population growth as a means to propel economic development. [41] The program was based on five guiding principles:
The program was tied to a series of five year plans aimed at economic growth and restructuring which were carried out over 28 years, from 1952 to 1979. [41] Over the course of this period, preferred birth control methods shifted from the rhythm method eventually to a focus on sterilization and IUDs. [41]
Since the beginning, India's family planning program was marred by a "vertical approach" rather than working on additional factors. These factors affecting population growth include poverty, education, public health care. Owing to the foreign aid flowing in for the family planning programs, there has always been a foreign intervention in designing the family planning programs in India without assessing the actual socio-economic conditions of the country. In the early 1970s, Indira Gandhi, Prime Minister of India, had implemented a forced sterilisation programme, but failed. Officially, men with two children or more had to submit to sterilisation, but many unmarried young men, political opponents and ignorant, poor men were also believed to have been sterilised. This program is still remembered and criticised in India, and is blamed for creating a public aversion to family planning, which hampered Government programs for decades. [43] After Emergency the focus of family planning program shifted to women as sterilising men proved to be politically expensive. [20]
Over the course of the program, family planning in India resulted in a 19.9% decrease in birth rate where it has since stagnated at 35 births per 1000 persons. [41] By 1996, the program had been estimated to have averted 16.8 crore births. [44] This is due in part to government intervention which established many clinics as well as the enforcement of fines for those who avoided family planning. Additionally, there was high variance between regions in the use of family planning. [45] However, maternal and infant morbidity and mortality rates remain high along with the number of unsafe abortions, and little is known about the prevalence of sexually transmitted diseases. [46]
Sterilization is any of a number of medical methods of permanent birth control that intentionally leaves a person unable to reproduce. Sterilization methods include both surgical and non-surgical options for both males and females. Sterilization procedures are intended to be permanent; reversal is generally difficult.
Human population planning is the practice of managing the growth rate of a human population. The practice, traditionally referred to as population control, had historically been implemented mainly with the goal of increasing population growth, though from the 1950s to the 1980s, concerns about overpopulation and its effects on poverty, the environment and political stability led to efforts to reduce population growth rates in many countries. More recently, however, several countries such as China, Japan, South Korea, Russia, Iran, Italy, Spain, Finland, Hungary and Estonia have begun efforts to boost birth rates once again, generally as a response to looming demographic crises.
Family planning is the consideration of the number of children a person wishes to have, including the choice to have no children, and the age at which they wish to have them. Things that may play a role on family planning decisions include marital situation, career or work considerations, financial situations. If sexually active, family planning may involve the use of contraception and other techniques to control the timing of reproduction.
Reproductive rights are legal rights and freedoms relating to reproduction and reproductive health that vary amongst countries around the world. The World Health Organization defines reproductive rights as follows:
Reproductive rights rest on the recognition of the basic right of all couples and individuals to decide freely and responsibly the number, spacing and timing of their children and to have the information and means to do so, and the right to attain the highest standard of sexual and reproductive health. They also include the right of all to make decisions concerning reproduction free of discrimination, coercion and violence.
Male contraceptives, also known as male birth control, are methods of preventing pregnancy by interrupting the function of sperm. The main forms of male contraception available today are condoms, vasectomy, and withdrawal, which together represented 20% of global contraceptive use in 2019. New forms of male contraception are in clinical and preclinical stages of research and development, but as of 2024, none have reached regulatory approval for widespread use.
Sexual and reproductive health (SRH) is a field of research, health care, and social activism that explores the health of an individual's reproductive system and sexual well-being during all stages of their life. Sexual and reproductive health is more commonly defined as sexual and reproductive health and rights, to encompass individual agency to make choices about their sexual and reproductive lives.
There are many methods of birth control that vary in requirements, side effects, and effectiveness. As the technology, education, and awareness about contraception has evolved, new contraception methods have been theorized and put in application. Although no method of birth control is ideal for every user, some methods remain more effective, affordable or intrusive than others. Outlined here are the different types of barrier methods, hormonal methods, various methods including spermicides, emergency contraceptives, and surgical methods and a comparison between them.
Contraceptive security is an individual's ability to reliably choose, obtain, and use quality contraceptives for family planning and the prevention of sexually transmitted diseases. The term refers primarily to efforts undertaken in low and middle-income countries to ensure contraceptive availability as an integral part of family planning programs. Even though there is a consistent increase in the use of contraceptives in low, middle, and high-income countries, the actual contraceptive use varies in different regions of the world. The World Health Organization recognizes the importance of contraception and describes all choices regarding family planning as human rights. Subsidized products, particularly condoms and oral contraceptives, may be provided to increase accessibility for low-income people. Measures taken to provide contraceptive security may include strengthening contraceptive supply chains, forming contraceptive security committees, product quality assurance, promoting supportive policy environments, and examining financing options.
Birth control, also known as contraception, anticonception, and fertility control, is the use of methods or devices to prevent unintended pregnancy. Birth control has been used since ancient times, but effective and safe methods of birth control only became available in the 20th century. Planning, making available, and using human birth control is called family planning. Some cultures limit or discourage access to birth control because they consider it to be morally, religiously, or politically undesirable.
Unintended pregnancies are pregnancies that are mistimed or unwanted at the time of conception, also known as unplanned pregnancies.
Abortion in China is legal at all stages of pregnancy and generally accessible nationwide. Abortions are available to most women through China's family planning program, public hospitals, private hospitals, and clinics nationwide. China was one of the first developing countries to permit abortion when the pregnant woman's health was at risk and make it easily accessible under these circumstances in the 1950s. Following the Chinese Communist Revolution and the proclamation of the People's Republic of China in 1949, the country has periodically switched between more restrictive abortion policies to more liberal abortion policies and reversals. Abortion regulations may vary depending on the rules of the province. In an effort to curb sex-selective abortion, Jiangxi and Guizhou restrict non-medically necessary abortions after 14 weeks of pregnancy, while throughout most of China elective abortions are legal after 14 weeks. Although sex-selective abortions are illegal nationwide, they were previously commonplace, leading to a sex-ratio imbalance in China which still exists.
Even though there is considerable demand for family planning in Pakistan, the adoption of family planning has been hampered by government neglect, lack of services and misconceptions. Demographics play a large role in Pakistan's development and security since the change from military rule to civilian leadership. Challenges to Pakistani's well-being, opportunities for education and employment, and access to health care are escalated due to the country's continuously-growing population. It was estimated in 2005 that Pakistan's population totaled 151 million; a number which grows 1.9 percent annually, equaling a 2.9 million population growth per year. Though Pakistan's fertility rates still exceed those of neighboring South Asian countries with a total fertility rate at 4.1 and contraception use is lower than 35 percent, approximately one-fourth of Pakistani women wish to either delay the birth of their next child or end childbearing altogether.
Birth control in the United States is available in many forms. Some of the forms available at drugstores and some retail stores are male condoms, female condoms, sponges, spermicides, over-the-counter progestin-only contraceptive pills, and over-the-counter emergency contraception. Forms available at pharmacies with a doctor's prescription or at doctor's offices are oral contraceptive pills, patches, vaginal rings, diaphragms, shots/injections, cervical caps, implantable rods, and intrauterine devices (IUDs). Sterilization procedures, including tubal ligations and vasectomies, are also performed.
Abortion in Cuba is legal and available upon request, which is rare in Latin America because of widespread Catholic influence.
Access to safe and adequate sexual and reproductive healthcare constitutes part of the Universal Declaration of Human Rights, as upheld by the United Nations.
Globally approximately 45% of those who are married and able to have children use contraception. As of 2007, IUDs were used by about 17% of women of child bearing age in developing countries and 9% in developed countries or more than 180 million women worldwide. Avoiding sex when fertile is used by about 3.6% of women of childbearing age, with usage as high as 20% in areas of South America. As of 2005, 12% of couples are using a male form of contraception with rates of up to 30% in the developed world.
Women's reproductive health in the United States refers to the set of physical, mental, and social issues related to the health of women in the United States. It includes the rights of women in the United States to adequate sexual health, available contraception methods, and treatment for sexually transmitted diseases. The prevalence of women's health issues in American culture is inspired by second-wave feminism in the United States. As a result of this movement, women of the United States began to question the largely male-dominated health care system and demanded a right to information on issues regarding their physiology and anatomy. The U.S. government has made significant strides to propose solutions, like creating the Women's Health Initiative through the Office of Research on Women's Health in 1991. However, many issues still exist related to the accessibility of reproductive healthcare as well as the stigma and controversy attached to sexual health, contraception, and sexually transmitted diseases.
Abortion in Uganda is illegal unless performed by a licensed medical doctor in a situation where the woman's life is deemed to be at risk.
Stratified reproduction is a widely used social scientific concept, created by Shellee Colen, that describes imbalances in the ability of people of different races, ethnicities, nationalities, classes, and genders to reproduce and nurture their children. Researchers use the concept to describe the "power relations by which some categories of people are empowered to nurture and reproduce, while others are disempowered," as Rayna Rapp and Faye D. Ginsburg defined the term in 1995.
International family planning programs aim to provide women around the world, especially in developing countries, with contraceptive and reproductive services that allow them to avoid unintended pregnancies and control their reproductive choices.
... In 1997, 36% of married women used modern contraceptives; in 1970, only 13% of married women had ...
... The National Family Welfare Programme, established in India during the late 1950s, has averted about 168 million births since its inception ...