World Development Report 1984

Box"7.1 Family planning for health
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being neglected in some countries and is making about 25 percent. Contraceptive use is lowest in
only slow progress in others. Aid donors have a sub-Saharan Africa, at less than 10 percent of marmajor
contribution to make in ensuring that family ried women, and this estimate excludes many
planning programs receive the money they need to countries in which use is negligible but data are
be effective, unavailable.
Contraceptive use varies widely within countries
The use of contraception as well. In most, a higher proportion of urban than
rural couples use contraception; the distinction is
Surveys of married women of reproductive age particularly stark in Syria, where 34 percent of -
(fifteen to forty-nine) show wide variations in con- urban, but only 5 percent of rural, women were
traceptive use among developing regions (see using contraception in 1978. In the Ivory Coast,
Table 7.1). In East Asia nearly two-thirds of the Kenya, and Mexico, contraceptive use in rural
married women in that age group use contracep- areas is roughly half the rate in urban areas, and in
tion; in China, Hong Kong, and Singapore the Egypt it is less than a third. Regional differences
proportion is 70 percent or more, as high as in the are also great: in Indonesia, contraceptive use
United States and western Europe. Latin America ranged from 53 percent of couples on the islands of
has reached about 40 percent, whereas the propor- Java and Bali to only 16 percent in some of the
tion in the Middle East and South Asia is only outer islands in 1983. In Maharashtra and Gujarat
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