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Reversible contraception: issues faced by emerging countries

J Garza-Flores1

  • 1Department of Reproductive Biology, National Institute of Nutrition, Salvador Zubirán, Mexico City, Mexico.

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics
|November 7, 1998
PubMed
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Fertility regulation significantly improves reproductive health and reduces maternal mortality. Global demand for contraceptives, including sterilization, oral contraceptives, injectables, IUDs, and condoms, is rising, especially in developing nations.

Area of Science:

  • Reproductive Health
  • Global Health
  • Public Health Policy

Background:

  • Fertility regulation is crucial for reproductive health, with documented benefits in reducing maternal mortality.
  • Contraceptive use in developing countries was projected to increase significantly, highlighting a growing need.
  • The demand for various contraceptive methods, including surgical sterilization, oral contraceptives, injectables, IUDs, and condoms, was substantial.

Purpose of the Study:

  • To assess the projected increase in contraceptive use in developing countries.
  • To estimate the required volume of different contraceptive methods for developing nations.
  • To examine the landscape of contraceptive manufacturing in developing countries.

Main Methods:

  • Analysis of projected trends in contraceptive use from 1990 to 2000.

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  • Estimation of the quantities of various contraceptive methods needed.
  • Review of current contraceptive manufacturing capabilities and involvement of different entities.

    • Main Results:

    • Projected increase in contraceptive use from 51% (1990) to 59% by 2000 in developing countries.
    • Significant quantities of contraceptives required, including 151 million sterilization procedures, 8.7 billion oral contraceptive cycles, 663 million injectable doses, 310 million IUDs, and 44 billion condoms during the 1990s.
    • Contraceptive manufacturing was established in at least 27 developing countries, with multinational companies and local private firms playing key roles.

    Conclusions:

    • Fertility regulation is a vital component of reproductive health strategies.
    • The demand for contraceptives in developing countries necessitates robust local manufacturing and international support.
    • Continued investment and support for contraceptive production are essential to meet global reproductive health needs.