Restraining Population Growth The consequence is that the coverage of reproductive health services is limited. According to the PSLM survey, 68 percent of the deliveries are assisted by skilled health personnel. This compares with 81 percent in India and 100 percent in Sri Lanka. The contraceptive prevalence rate is very low at 37 percent, as compared to 48 percent in Bangladesh, 57 percent in India and 67 percent in Sri Lanka. Only 52 percent of the demand for family planning is satisfied by modern methods. Infant mortality remains high at 67 per 1000 live births. This creates pressure for more children to achieve the desired family size. Also, the demand for children is higher in lowincome families as child labor is seen as a potential source of income. 31.4. Population Policy Engagement of Religious Leaders: The Governments, both Federal and Provincial, need to act resolutely to engage religious leaders to endorse and advocate the national narrative on family planning. There should be learning from the experience of Bangladesh. Higher Priority to Family Planning: The Provincial Governments will need to increase the outlay on population planning and raise allocation for this purpose to at least 3 percent of the budgeted expenditure. This will involve the expansion of coverage and provision of integrated family planning services at all healthcare posts. Post-pregnancy family planning should be introduced in all clinics. Women must be given access at very low prices to modern methods of contraception. Expansion of Lady Health Workers: As emphasized earlier the number of Lady Health Workers needs to be doubled on a priority basis. Their role will be also to provide counselling and family planning services. Their employment status needs to be regularized and they should be absorbed in the appropriate BPS. The pre-dominant majority of LHWs must operate in the rural areas and suitable logistical arrangements made for this purpose. Civil Society Campaigns: The corporate sector in its role of social responsibility, academia, non-governmental organizations, and youth should participate more aggressively in family planning campaigns. In particular, the media must convey public messages on optimal family size and control. Conditional Cash Transfers: The EHSAAS program should include conditional cash transfers to women who do not get their child to work and or adequately space births. In conclusion, we quote the Federal Planning Minister who said recently, 327
Druckschrift
Charter of the economy : agenda for economic reforms in Pakistan
Einzelbild herunterladen
verfügbare Breiten