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Executive Summary
Pages 1-4

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From page 1...
... The task of the working group was to examine the factors affecting contraceptive use, with special attention to why use has risen in some areas and not in others. KEY ISSUES To fulfill the task, the report focuses on identifying the key factors that affect the demand for children and the supply of contraception.
From page 2...
... The long-standing forms of African social organization-the high value attached to the perpetuation of the lineage; the importance of children as a means of gaining access to resources, particularly land; the use of kinship networks to share the costs and benefits of children, primarily through child fostering; and the weak nature of conjugal bonds-clearly inhibit contraceptive adoption and fertility decline. However, the working group believes that these features are not immutable and are being affected by changing economic conditions in some settings.
From page 3...
... However, those countries that show substantial increases in national prevalence all have well-developed public sector service delivery programs. In the empirical examination of the factors affecting modern contraceptive use, female education emerges as an important determinant of prevalence at the individual, regional, and national levels.


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