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State of World Population 2012 - Country Page List - UNFPA

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CHAPTER<br />

FOUR<br />

The social and economic<br />

impact <strong>of</strong> family planning<br />

Being able to exercise the right to family planning—and more broadly the<br />

right to sexual and reproductive health—is instrumental for the realization <strong>of</strong><br />

other rights and also yields many economic benefits to individuals, households,<br />

communities and whole countries. Better reproductive health, including family<br />

planning, affects the economy—and therefore sustainable development—in<br />

numerous ways. Women who have fewer risky births, healthier pregnancies and<br />

t<br />

Eduardo Mondlane<br />

University.<br />

Geography class.<br />

©<strong>UNFPA</strong>/Pedro Sá da<br />

Bandeira<br />

safer deliveries face lower risks <strong>of</strong> mortality<br />

and improved overall health.Their babies are<br />

born healthier and their children’s health is<br />

better early in life. These improvements in<br />

health produce an array <strong>of</strong> economic benefits:<br />

greater investments in schooling, greater productivity,<br />

greater labour force participation<br />

and eventually increased income, savings,<br />

investment and asset accumulation. There<br />

is little evidence, however, about the impact<br />

on the lives <strong>of</strong> men.<br />

Researchers attempting to document the<br />

magnitude <strong>of</strong> these relationships face several<br />

hurdles, partly because the use <strong>of</strong> family planning<br />

depends on a variety <strong>of</strong> other variables,<br />

including income, education (particularly<br />

female education), opportunities for female<br />

employment, the pace <strong>of</strong> industrialization and<br />

urbanization, cultural and social norms and<br />

the cost <strong>of</strong> raising children. These variables are<br />

difficult to measure and have strong effects on<br />

each other.<br />

Family planning and the well-being<br />

<strong>of</strong> women<br />

Health impact<br />

The economic impact <strong>of</strong> improved reproductive<br />

health on women’s lives begins with improvements<br />

in their own health, in which access<br />

to family planning plays a key role. Access to<br />

family planning reduces overall fertility, the<br />

numbers <strong>of</strong> unintended pregnancies as well as<br />

the number <strong>of</strong> risky pregnancies, which then<br />

reduces the risks <strong>of</strong> maternal mortality and<br />

long-term morbidity (Maine et al., 1996).<br />

Access to family planning can also lead to more<br />

optimal birth spacing, which in turn improves<br />

overall maternal health by lowering maternal<br />

depletion syndrome and the risks <strong>of</strong> premature<br />

delivery and complications (Conde-Agudelo,<br />

Rosas-Bermudez and Kafury-Goeta, 2007).<br />

In Sri Lanka for example, the sharpest<br />

declines in maternal mortality occurred during<br />

its period <strong>of</strong> fertility decline. Today, Sri Lanka<br />

has one <strong>of</strong> the highest contraceptive prevalence<br />

THE STATE OF WORLD POPULATION <strong>2012</strong><br />

71

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