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Social Factors
Pages 20-27

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From page 20...
... Indeed, the very fact of widespread abortion is itself an important argument for voluntary fertility regulation. (It is estimated that there are over six million induced abortions a year in the world, and quite possibly double that number.)
From page 21...
... The figures vary somewhat from one locality to another and, of course, the interview questions are varied, but there is an impressive body of favorable interview responses froth Mysore and Singur in India; from lowincome women in Pakistan; from Mexican factory workers; from Ceylon and Japan; from Jamaica and Puerto Rico; from the United States and Great Britain. Many persons of the world are now persuaded, at least in principle, of the desirability of limiting family size limiting the birth of children to the number wanted, when they are wanted.
From page 22...
... Such people are a small minority among the populations in less-developed areas, of course; even a large decrease in their birth rates would have little effect upon the total national figures. This quick review begins to suggest some of the social factors that in different areas stand in the way of family limitation in emerging nations.
From page 23...
... In some societies there may be little conversation Social support: about the subject because of its personal nature, and hence little opportunity for the development of necessary social rapport and support; the occasional practitioner of family planning may therefore fee! that he is an alien in his own community.
From page 24...
... because In short, a program for voluntary fertility control often faces an apparently insurmountable barrier of traditional behavior in traditional societies, reinforced by social customs and cultural arrangements of long standing. These are formidable obstacles to the success of any effort to promote voluntary fertility control in the type of society that needs it most.
From page 25...
... Such studies have been or are being made in India, Pakistan, Ceylon, Taiwan, Japan, Puerto Rico, Jamaica, and the United States. In spite of the critical importance of the problem, however, only about fifteen of these limited efforts have been made to find out whether and how voluntary regulation of fertility can-with presently available techniques-be implemented among populations that need it most.
From page 26...
... In a set of Indian villages, continuous personal contact by field workers providing information, support, and supplies led to a five-point reduction in the birth rate in a period of four years. In some villages in Ceylon a similar program has apparently produced a seven-point decrease within three years.
From page 27...
... The better the contraceptive-better in ease of use and in effectiveness the less the social resistance to the acceptance of family planning and the greater the efficiency of implementing voluntary fertility regulation where it is needed. Thus the two sets of factors, the social and the big-medical, are closely interwoven, and the social acceptability of family planning depends heavily on the development of applied knowledge in the big-medical field, to which we now turn.


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