The Educational Philosophy Thread @Brett
Q: In Asia in the 1970s, many countries had strong population control programmes that provided family planning services. Didn’t women in these countries receive better care than women in countries where contraception was not supported by the government?
A: While contraception was an essential and desired service, too little attention was given to service quality because the goal was to promote acceptance of contraceptives. In India, for example, a lot of intrauterine devices (IUDs) inserted during periodic “camps” were not fitted properly and led to unwanted pregnancies. The women involved often ended up having unsafe abortions because abortions were rarely available in health-care facilities, especially in rural areas, even though it had been legalized in 1972 for pregnancies up to 10 weeks. This is still the case in rural areas. Although abortion services are now more widely available in urban areas, especially from private, for-profit providers, low-income urban women must still resort to unsafe procedures. IUDs remain unpopular in India. Other contraceptive choices were very limited and services then, as now, were often poor, yet women were blamed for not wanting to use them. In Indonesia, contraceptive services were often delivered to villages by the military. Women were given no choice in contraception-related matters; they were not offered support or information on dealing with its side-effects or guidance in choosing alternative methods. Again, the drive to increase acceptors trumped interest in service quality.
https://www.who.int/bulletin/volumes/90/2/12-040212/en/