ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

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WORLD ECONOMY-Lessons of 1994

bring down fertility rates by resorting to terminal methods (which, it has always been assumed, do not require follow up); two, tubectomies have always formed a major proportion of sterilisation indicating a failure of the programme to persuade men to opt for it; and three, the National Family Health Survey data are showing that a large proportion of women who need contraception are those who have completed their childbearing, but are too young (or too aware of the ensuing problems) to opt for sterilisation (that is, if they are given a choice). Given this, the target groups will remain women in the younger age group. So while making gestures towards introducing male methods, the stress has to continue to be on long-term spacing methods. This inevitably means that availability and quality of services become important. The suggestion for including male methods is really a peg for suggesting the broadening of 'contraceptive choice' by, as the report strongly recommends, including highly controversial injectable, like Depo Provera. No mention is made of the substantial well documented worldwide opposition to it.

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