Inconsistencies in the Relationship between Contraception and Fertility in Bangladesh: How and Why?

Unnati Rani Saha, ICDDR,B: Centre for Health and Population Research
Radheshyam Bairagi, ICDDR,B: Centre for Health and Population Research

Although CPR increased by 9% from 1993 to 2000, there was almost no decline in TFR during this period in Bangladesh. The study investigated the reasons for the inconsistency in the relationship between CPR and TFR using data from a demographic surveillance area, and DHS 1999-2000. The results suggest that fertility converges to desired family size, which in turn depends on the development. A family planning program is expected to make the convergence quicker, and bring down not only fertility but also abortion. Son preference explains a small part, but infant and child mortality might have a bigger role in the difference between desired family size and TFR. Reduction in breastfeeding, and relatively more increase in less effective contraceptive methods might be responsible for the inconsistency in the relationship between CPR and TFR. Development and IEC along with family planning deserve importance to bring down fertility further.