Family planning program under low fertility:where to go

This commentary is intended to take China as a case to discuss the mission of the family planning program under low fertility scenario.After a brief review of the initiation of family planning program in the 1970s,as well as the reorientation of family planning program since ICPD in 1994,it will focus on the new mission for the family planning program under low fertility scenario in the twenty-first century,in particular concerning the issue of induced abortion among the others.Given the enormous evidence of unmet needs in reproductive health as identified in the discussion,it is argued that family planning programmes are in fact even more needed than ever before under low-fertility scenario,and should not be abandoned but strengthened,which clearly has nothing to do to call back to the program for population control in the 1970s-1980s,and nor even go back to the program for“two reorientations”in the 1990s,but to aim to serving the people to fulfill their reproductive health and reproductive rights in light of ICPD and SDGs,and to become truly integral component of“Healthy China 2030”Strategy.

Logical framework of quality of care in family planning in China:client-centered approach

The year 2018 marks the 40th anniversary of China’s reforms and opening to the world.As an important part of the overall reform effort,reform of the national family planning program,begun in the 1990s as a pilot project focused on quality of care,has achieved historic and significant results.The pilot project,conducted by the State Family Planning Commission of China in a few select areas,was a response to the 1994 International Conference on Population and Development in Cairo,as well as to a range of social and economic changes in China.To achieve quality of care,the pilot project adopted a client-centered approach to refocus China’s family planning efforts on client needs and rights,informed choice of contraceptives and the provision of better quality services.After nearly 10 years of trials,the successful experiences of the pilot project served as the basis of a family planning program reform rolled out nationwide.This paper uses a logic framework approach to review the main activities,outputs,and impacts of the pilot project.The paper argues that the quality of care project not only developed a model that facilitated reorientation of China’s earlier family planning efforts,but has also provided experiences and lessons that can serve as references for the implementation of“Healthy China 2030”in the future.

Implications of an Unlimited Fertility Policy in China:Lessons from Low Fertility and Population Aging in Japan and Korea

In 2016 China began implementing a new population strategy after having maintained a one-child policy for 35 years.This paper draws on the lessons we can learn about low fertility and population aging in Japan and South Korea to consider the implications of the newly announced'universal two-child'policy in China.Japan,Korea and China share many socio-cultural characteristics and have undergone similar processes with respect to low fertility and population aging at different periods of time.Many scholars argue that China's family planning program has greatly reduced China's fertility level,but the effects of other socioeconomic factors have,in fact,had a greater impact on the reduction of the fertility rate than the one-child policy had.Considering the effects of the fertility policy that limits the number of births in China and the lessons we can get from unsuccessful fertility boosting measures in Japan and Korea,this paper suggests that a fertility policy that puts no limits on births should be adopted in China.

Factors contributing to unmet need for contraception in Nusa Tenggara Barat, Indonesia

Objective To calculate unmet need for contraception according to revised definition, mapping the contraception service needs and analyze factors related to the unmet need for contraception in Nusa Tenggara Barat （NTB）. Methods This research design was cross sectional, using data from Indonesia Demographic and Health Survey 2012. Subjects were from 1 362 household, and were married women aged 15-49 years in NTB Province （685 women）. Calculating method of unmet need for contraception used revised version, and analysis method was univariate, bivariate, and multivariate （Logistic regression）. Results Majority of married women aged 15-49 years in NTB need contraception service （73.1%）. However, it was known that met need for contraception was only 56.0%. Meanwhile, unmet need rate for contraception in NTB was 17.1%, specifically 11.5% for spacing and 5.6% for limiting. Factors contributing to unmet need for contraception in NTB were： household assets at above average （OR=O. 77）, parity of 2-3 children （OR=0. 73）, women with junior high school education level （0R=0.68）, never be visited by health workers （OR=O. 68）. Conclusions Factors that contribute to unmet need for contraception in NTB are household assets, parity, education level and visited by health workers. Government has to prioritize those f our factors in policy intervention and promotion of family planning participation program in NTB.