Abstract
In light of recent research demonstrating a substantial impact of family planning programs on fertility, we develop and estimate a multivariate model of the determinants of national differences in family planning program effort (FPPE). The framework that guides the specification of this model identifies three broad classes of factors—those that create demand for family planning, those that facilitate the initiation and expansion of family planning programs, and finally those that encourage or inhibit program development.
The results from multiple regression using 84 less developed countries indicate that demand for family planning, facilitating infrastructure, and certain demographic and geographic factors are important determinants of program effort. These results suggest that popular demand for family planning is helpful, but that policy makers must perceive the adverse consequences of high fertility and have the infrastructure necessary to develop an effective organized family planning program.
Current U.S. policies relevant to reducing birth rates are discussed and found to reflect quite well research on determinants of fertility declines among LDCs. U.S. policy also balances the often competing claims of family planners and their opponents by encouraging support to both developmental projects as well as direct aid to family planning program activities.
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References
Aird, J. (1982). “Population studies and population policy in China,” Population and Development Review 8: 267–97.
Berelson, B. (1978). “Prospects and programs for fertility change: What? Where?” Population and Development Review 4: 579–616.
Bollen, K.A. (1980). “Issues in the comparative measurement of political democracy,” American Sociological Review 45: 370–390.
Caldwell, J.C., G.E. Harrison and P. Quiggin (1980). “The demography of micro-states,” World Development 8: 953–967.
Cleland, J.G. and S. Singh (1980). “Islands and the demographic transition,” World Development 8: 969–1002.
Cutright, P. (1967). “Income redistribution: a cross national analysis,” Social Forces 46: 180–190.
Cutright, P. (1982a). “The impact of national family planning program effort: reply to Hernandez,” Department of Sociology, University of Indiana, Bloomington, Indiana.
Cutright, P. (1982b). “Statistical models of interrelations between socioeconomic development and fertility among less developed areas,” The Fertility Determinants Project, Indiana University, Bloomington, Indiana.
Cutright, P. and F. Jaffe (1977). Impact of Family Planning Programs on Fertility: The U.S. Experience. New York: Praeger.
Cutright, P. and W.R. Kelly (1978). “Modernization and other determinants of national birth, death and growth rates: 1958–1972,” Comparative Studies in Sociology 1: 1–17.
Cutright, P. and W.R. Kelly (1981). “The role of family planning programs on 1958 and 1977 fertility declines in less developed countries,” International Family Planning Perspectives 7: 145–151.
Cutright, P., M. Hout and D. Johnson (1976). “Structural determinants of fertility in Latin America, 1800–1970,” American Sociological Review 41: 511–526.
Daly, A. (1969). “Tunisia: The liberation of women and the improvement of society,” in B. Berelson (ed.) Family Planning Programs: An International Study. New York: Basic Books.
David, H. (1982). “Eastern Europe: pronatalist policies and private behavior,” Population Bulletin, vol. 36(6), Washington, D.C.: Population Reference Bureau.
Davis, K. (1969). World Urbanization, 1950–1970, Vol. I: Basic Data for Cities, Countries and Regions. Berkeley, California: University of California Press.
Demeny, P. (1979). “On the end of the population explosion,” Population and Development Review 5: 141–162.
Dixon, R. (1975). “Women's rights and fertility,” Reports on Population/Family Planning 2. New York: Population Council.
Fawcett, J.T. and S. Khoo (1980). “Singapore: rapid fertility transition in a compact society,” Population and Development Review 6: 549–79.
Freedman, R. (1979). “Theories of fertility decline,” Social Forces 58: 1–17.
Gadhalla, S., N. Nosseir and D.G. Gillespie (1980). “Household distribution of contraceptives in rural Egypt,” Studies in Family Planning 11: 105–113.
Goldscheider, C. (1971). Population, Modernization and Social Structure. Boston: Little, Brown.
Hasouna, M. (1980). “Assessment of family planning service delivery in Egypt,” Studies in Family Planning 11: 159–166.
Hernandez, D. (1981a). “The impact of family planning programs on fertility in developing countries: a critical evaluation,” Social Science Research 10: 32–66.
Hernandez, D. (1981b). “A note on measuring the independent impact of family planning programs on fertility declines,” Demography 18: 627–633.
Huber, D. and A.R. Kahn (1979). “Contraceptive distribution in Bangladesh villages: the initial impact,” Studies in Family Planning 10: 246–253.
Isaac, L. and W.R. Kelly (1981). “Racial insurgency, the state and welfare expansion: local and national level evidence from the postwar United States,” American Journal of Sociology 86: 1348–1386.
Kelly, W.R., D. Poston and P. Cutright (1983). “Determinants of fertility levels and change among developed countries,” Social Science Research 12: in press.
Kirk, D. (1966). “Factors affecting Moslem natality,” in B. Berelson et al., (eds.) Family Planning and Population Programs. Chicago: The University of Chicago Press.
Lapham, R. and W.P. Mauldin (1972). “National family planning programs: review and evaluation,” Studies in Family Planning 3: 29–52.
Muhua, C. (1979). “Birth planning in China,” International Family Planning Perspectives 5: 92–101.
Mauldin, W.P. and B. Berelson (1978). “Conditions of fertility decline in developing countries, 1965–75,” Studies in Family Planning 9: 89–148.
Murphy, F. (1981). “Catholic perspectives on population issues II,” Population Bulletin vol. 36(6), Washington, D.C.: Population Reference Bureau.
Nortman, D. (1971). Population and Family Planning Programs: A Factbook. New York: Population Council.
Nortman, D.L. and E. Hofstatter (1980). Population Policy and Family Planning Programs, A Compendium of Data Through 1978. New York: Population Council.
Office of Population Research (1969). “Table 1: Birth rates,” Population Index: 32.
Population Reference Bureau (1980). “Family planning and marriage 1980 data sheet,” Washington, D.C.: Population Reference Bureau.
Srikantan, K. (1977). The Family Planning Program in the Socioeconomic Context. New York: The Population Council.
Stycos, J. (1968). Human Fertility in Latin America. Ithaca, New York: Cornell University Press.
Taylor, C. and M. Hudson (1972). World Handbook of Political and Social Indicators. 2nd ed. New Haven: Yale University Press.
Teitelbaum, M. (1974). “Population and development: is a consensus possible?” Foreign Affairs 52: 742–760.
Tsui, A. and D. Bogue (1978). “Declining world fertility: trends, causes and implications,” Population Bulletin, vol. 33(4), Washington, D.C.: Population Reference Bureau.
U.S. Code (1980) (Supp. IV). Title 22.
Visaria, P. and L. Visaria (1981). “India's population: second and growing,” Population Bulletin, vol. 36(4), Washington, D.C.: Population Reference Bureau.
Williams, L.L. (1969). “Jamaica: crisis on a small island,” in B. Berelson (ed.) Family Planning Programs: An International Study. New York: Basic Books.
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Kelly, W.R., Cutright, P. Determinants of national family planning effort. Popul Res Policy Rev 2, 111–130 (1983). https://doi.org/10.1007/BF00141248
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DOI: https://doi.org/10.1007/BF00141248