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The Long-term Demographic Role of Community-based Family Planning in Rural Bangladesh

James F. Phillips, Mian Bazle Hossain and Mary Arends-Kuenning
Studies in Family Planning
Vol. 27, No. 4 (Jul. - Aug., 1996), pp. 204-219
Published by: Population Council
DOI: 10.2307/2137954
Stable URL: http://www.jstor.org/stable/2137954
Page Count: 16
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The Long-term Demographic Role of Community-based Family Planning in Rural Bangladesh
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Abstract

Experimental studies demonstrating the effectiveness of nonclinical distribution of contraceptives are typically conducted in settings where contraceptive use is low and unmet need is extensive. Determining the long-term role of active outreach programs after initial demand is met represents an increasingly important policy issue in Asia, where contraceptive prevalence is high and fixed service points are conveniently available. This article examines the long-term rationale for household family planning in Bangladesh--where growing use of contraceptives, rapid fertility decline, and normative change in reproductive preferences are in progress, bringing into question the rationale for large-scale deployment of paid outreach workers. Longitudinal data are analyzed that record outreach encounters and contraceptive-use dynamics in a large rural population. Findings demonstrate that outreach has a continuing impact on program effectiveness, even after a decade of household visitation. The policy implications of this finding are reviewed.

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