Asian Family Planning

Summary Rapid population growth in the Third World has been accompanied by the creation of national family planning programs, which attempt to slow growth rates through programs aimed at the prevention of births. These programs represent large scale, modern bureaucratic health delivery systems that are transplanted from the industrialized world. They raise the problem of whether such modern organizations can have an impact on reproductive behavior throughout the Third World. A large scale research program on Asian family planning programs provides some of the answers to these critical questions. First, pooled cross-national time series data indicate that as family planning programs grew and their inputs of staff and funds increased, both contraceptive and birth prevention increased. Further, multiple regression analyses indicate a positive impact of program inputs on both contraceptive use rates and birth prevention, even when levels of social and economic development are controlled. There is also, however, much variance among countries in their patterns of both program performance and birth prevention. Four country cases are examined-the Philippines, Malaysia, South Korea, and Indonesia-to show that the character of political organization has an impact on the performance of these modern bureaucratic birth prevention organizations.