World Development Report 1984
World Development Report 1984
World Development Report 1984
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states of India, 35 percent of couples were using These survey-based estimates may underesticontraception<br />
in 1981-82, compared with only 11 mate contraceptive use because they do not<br />
percent of couples in the states of Uttar Pradesh include use among unmarried men or women and<br />
and Jammu and Kashmir. sometimes exclude use among couples in informal<br />
Among countries for which more than one sur- unions. There may also be underreporting by<br />
vey estimate is available, contraceptive use has some women of the use of contraception by husincreased<br />
fastest in East Asia and Latin America bands, and some respondents may be reluctant to<br />
(see Figure 7.1). In Thailand, for example, the pro- admit to using contraception themselves. At the<br />
portion of married women aged fifteen to forty- same time, these figures may overstate the number<br />
four using contraception rose from 15 percent in of people protected by contraception because not<br />
1970, the year the official family planning program all couples using a method are equally protected<br />
was launched, to 59 percent in 1981. Progress in from the risk of pregnancy. Some are using "effi-<br />
South Asia has been slower, with contraceptive cient" contraceptive methods such as sterilization,<br />
use increasing by about 1 percent of couples a year the pill, the IUD, injectable contraceptives, conin<br />
Nepal, more quickly in Bangladesh, but not at doms, spermicidal foam, and the diaphragm. But<br />
all in Pakistan. In Egypt and Kenya contraceptive others are using less effective methods, such as<br />
use has remained unchanged, despite longstand- douche, rhythm, and withdrawal, or are abstaining<br />
public programs. ing (see Box 7.2). In Peru, 53 percent of those using<br />
129