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State of World Population 2012 - Country Page List - UNFPA

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t<br />

Community<br />

education in<br />

Caracas, Venezuela.<br />

©Panos/Dermot Tatlow<br />

The health benefits <strong>of</strong> family planning are<br />

particularly significant for younger women and<br />

adolescents. Women ages 15 to 19 are twice<br />

as likely to die from maternal causes as older<br />

women as a consequence <strong>of</strong> their physical<br />

immaturity and increased risk <strong>of</strong> obstetric complications<br />

such as obstetric fistula (Miller et al.,<br />

2005; Raj et al., 2009).<br />

By averting early pregnancies, reducing risky<br />

pregnancies and reducing the risks <strong>of</strong> premature<br />

mortality or long-term morbidity, improved<br />

access to family planning can extend life spans,<br />

increase the time horizons for the returns to<br />

human capital investments and also enable<br />

women to reallocate their time towards other<br />

economic activities. One research study found<br />

that women in Europe and North America have<br />

gone from spending 70 per cent <strong>of</strong> their adult<br />

lives bearing and rearing children before the<br />

demographic transition, to spending about<br />

14 per cent <strong>of</strong> it more recently (Lee, 2003).<br />

Impact on schooling<br />

In Colombia, the drop in fertility induced by the<br />

Pr<strong>of</strong>amilia family planning programme was associated<br />

with nearly 0.15 more years <strong>of</strong> schooling<br />

(Miller, 2009). In Sri Lanka, the reduction in<br />

maternal mortality risk between 1946 and 1953<br />

increased female life expectancy by 1.5 years<br />

(approximately 4 per cent), and this increased<br />

female literacy among the affected cohorts by 2.5<br />

per cent (one percentage point) and increased<br />

years <strong>of</strong> schooling by 4 per cent (0.17 years)<br />

(Jayachandran and Lleras-Muney, 2009).<br />

The trade-<strong>of</strong>f between schooling and childbearing<br />

is particularly important for adolescents,<br />

since childbearing can disrupt education and<br />

preparation for the labour force. The relationship<br />

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

73

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