Academic journal article International Perspectives on Sexual and Reproductive Health

Changing China's Contraceptive Policy

Academic journal article International Perspectives on Sexual and Reproductive Health

Changing China's Contraceptive Policy

Article excerpt

An intervention launched by the Chinese government and the United Nations Population Fund that changed the contraceptive policy in 30 counties to allow local service providers to offer a wider range of contraceptives and individuals to make an informed choice of methods without coercion appears to have been successful in shifting away from the traditional "top-down" policy, under which service providers encouraged women to accept an IUD after first birth and sterilization after subsequent births. (1) According to a study of baseline (2003) and endline (2005) survey data from 980 married parous women aged 15-49 who lived in one of the intervention counties and had initiated use of a contraceptive method in the prior two years, the proportion of women who chose a method traditionally encouraged by the government decreased over the study period: In 2003, 57% of women used a policy-driven method (i.e., the IUD for women with one child and sterilization for those with more), compared with 51% in 2005-a 12% reduction. The proportion of women using a policy-driven method who reported that a family planning worker motivated their choice decreased by 39%, from 15% in 2003 to 9% in 2005. …

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