NUR4827 Miami Dade College Reducing Fertility in Bangladesh SWOT Analysis SWOT Analysis – SWOT is an acronym that stands for Strengths, Weaknesses, Opportu

NUR4827 Miami Dade College Reducing Fertility in Bangladesh SWOT Analysis SWOT Analysis – SWOT is an acronym that stands for Strengths, Weaknesses, Opportunities, and Threats which is an analysis tool that assists organizations in strategic planning. Instructions:Read through Reducing Fertility in Bangladesh PPT that provides details of a successful program. Read until you feel comfortable with the explanation of the program.Write down aspects of the program that fits into each part of the SWOT analysis.Your paper should be: one (1) page / Typed according to APA style for margins, formatting and spacing standards Reducing Fertility in Bangladesh
Case 13.
HUMAN RIGHTS
We have come to realize that fertility and
family size involve two fundamental rights:
1. A woman’s right to limit or space her
children.
2. A family’s right to determine its size and
timing of children.
Modern contraception provides a way of
ensuring these rights.
1
Risks and Needs
• There are considerable health risks to women
who have had several pregnancies.
• Larger families have greater economic risks,
due to children to support and health issues.
• Modern contraceptive methods are very safe
for most women, but many women in
developing countries who would like to limit
their families do not use contraceptives. This
is known as the “unmet need.”
Bangladesh: Will It Work?
In the mid-1970’s, the birth rate in Bangladesh
would lead to a population doubling every 30
years, in one of the poorest countries that
ranked 7th in population. The first coercive
attempts at family planning failed miserably.
Then at that time, 1975, after a disastrous
famine, a new approach was taken. Challenges
were the low level of education and status of
women, the belief that large families were
best, and the lack of access to family planning.
2
Elements of a Successful Program
1. Young married women were deployed as
outreach workers. Known as Family Welfare
Assistants (FWAs), there number eventually
reached about 40,000. They were to visit 3-5
villages over a two month period & became well
recognized and received by rural women.
2. As wide a range of methods as possible were
made available to meet most reproductive
needs. This “cafeteria approach” was supported
by a well-managed distribution system.
Elements of Success (cont.)
3. Over 4,000 family planning clinics were
established in rural areas. These could deal
with difficulties and provide long term or
even permanent contraceptive methods.
4. Information and education were employed
to change cultural norms about family size, to
provide information about contraception and
encourage spousal communication.
3
Program Impact
The programs objectives were fundamentally
realized. A) The number of women who had
used contraceptive rose from 14% to 70% over
a 20 year period. B) The provision of a wide
range of methods made contraception more
acceptable. C) And fertility declined from
about 6.3 children in the1970’s to 3 in 2005.
Other contributing factors were an increase in
secondary school enrollment, especially of
girls, and the new employment opportunities
for women.
Remaining Tasks
• Costs for outreach workers (FWAs) is relatively
high, and a fixed site approach has been
adopted, with FWAs going to remote areas.
• Declines in the fertility rate have slowed. So
the best outreach strategy is not yet decided .
• Initial attention to contraceptive advances
may have led to a slight increase in deaths due
to pregnancy complications.
4
Outcomes and Lessons
There is now seems to be greater
communication between husbands and wives
about family planning and family size.
There has been a cultural change about the
optimal family size.
A dramatic decrease in fertility was achieved,
beyond any other country of comparable GNP.
Coercion has been avoided and couples needs
have been considered as paramount.
5

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