family planning

PRELIMINARY AND INCOMPLETE DRAFT

How effective are family-planning programs at improving the lives of women? Some perspectives from a vast literature
Shareen Joshi
February, 2011
Abstract
In the past 50 years, family-planning programs have been heavily promoted across the developing world. A vast academic literature now tests both the intellectual rationale for these programs, as well as their impact on a wide range of demographic and economic outcomes. In recent years, the availability of new methods and new datasets from the developing world has intensified the academic research on these issues even though the support for family-programs themselves has diminished. This paper examines the economic and demographic literature on family planning programs and summarizes evidence of their impact on fertility as well as additional outcomes such as child mortality, investments in children’s human capital, the economic status of households and the macro-impacts on communities.
The goal is to provide policy-makers with an understanding of the strengths, limitations and points of agreement that emerge from this vast literature.

PRELIMINARY AND INCOMPLETE DRAFT

1. Introduction
In the past 50 years, family planning (FP) programs have been heavily promoted across the developing world as a means to reduce fertility rates and promote economic development. The central assumption behind such programs is that the decline in birth rates during the early stages of demographic transition can promote economic growth, reduce environmental pressures, reduce dependency ratios and strengthen a societies’ ability to invest in health and education (Coale, Hoover, and Press 1958). At the micro-level, it has been assumed that a decline in fertility would relieve women of the burden of repeated child-bearing and free up opportunities for them to increase schooling and participate in the labor-force. A significant literature – shaped by economists and

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