Impact of Population Assistance to an Asian Country

ID-77-10: Published: Jul 12, 1977. Publicly Released: Jul 12, 1977.

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The population growth rate in Pakistan is one of the highest in the world and constitutes one of the country's most serious problems.

Although about $164 million has been spent on birth control programs since 1960, including about $59 million in U.S. assistance, Pakistan's rate of growth is still 3 percent. The social acceptability of large families as well as social and cultural norms of a largely subsistence-level society and the need for greater Government support were the chief program difficulties. Little attention was paid to the incentives necessary to cause couples to want smaller families. Further, the Agency for International Development (AID) mistakenly assumed that there was a latent demand in the society for family planning services.

Recommendation for Executive Action

  1. Status: Closed

    Comments: Please call 202/512-6100 for additional information.

    Recommendation: AID should reassess the advisability of continuing assistance to developing countries (1) which do not have a management system and an information system in existence (or under development) sufficient to reasonably assure that program objectives are being met or (2) whose government and institutions have not demonstrated a willingness to carry out the program. AID should develop and implement additional and innovative approaches to population problems in all the developing countries through such measures as the AID-sponsored research planned on the determinants of fertility in Pakistan. The contractor's evaluation of the Pakistan program should be disseminated to all contraceptive program officers and used to formulate any program to lower fertility. Greater coordination among volunteer organizations and donors of population assistance should be encouraged.

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