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Related Experiment Videos

What does the Matlab fertility experience really show?

J C Caldwell1, P Caldwell

  • 1Health Transition Centre, Australian National University, Canberra ACT.

Studies in Family Planning
|September 1, 1992
PubMed
Summary
This summary is machine-generated.

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The Matlab family planning program

Area of Science:

  • Public Health
  • Demography
  • Reproductive Health

Background:

  • The Matlab family planning program in Bangladesh is a long-standing model for developing countries.
  • Previous analyses emphasized program management and specific personnel selection, deeming saturation approaches ineffective.

Purpose of the Study:

  • To reanalyze the Matlab family planning program's effectiveness.
  • To evaluate the impact of contraceptive choice and accessibility, particularly for secluded women.

Main Methods:

  • Reanalysis of existing data from the Matlab District program.
  • Qualitative assessment of program management and supply-side factors.

Main Results:

  • Inadequate evidence exists to fully judge the saturation experiment or less-selected family planning workers.

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  • The role of contraceptive choice, accessibility (especially injectables), and client demand was underestimated.
  • Conclusions:

    • The Matlab program demonstrated fertility reduction is possible in Bangladesh.
    • Developing countries can implement less costly, demand-driven family planning programs, moving away from solely top-down management.