Supply and Demand Factors in the Fertility Decline in Matlab, Bangladesh in 1977–1999

  • Jeroen van Ginneken
  • Abdur Razzaque


A model family planningprogramme started as a component of areproductive and child health project in partof Matlab (the Intervention area), a rural areaof Bangladesh, in 1977 while another part ofMatlab served as a comparison area. Thepaper analyses data from a vital registrationsystem, censuses and sample surveys, and usesboth cross-sectional and longitudinaltechniques of analysis. The supply factoralone, i.e., the model family planningprogramme, contributes substantially to theobserved decline in fertility in theIntervention area. Of the several demandfactors (indicators of socio-economic status)studied, women's education has the largestimpact on the fertility decline. A veryimportant role in the fertility decline isplayed by changes in attitudes towardsfeasibility and acceptability of birth control.The overall conclusion is that not only thesupply factor, but also demand factorscontribute to the fertility decline observed inthe Intervention area. Due to limitations instudy design and data, we cannot provide aprecise, quantitative answer to the question onthe specific contributions of both types offactors.

Bangladesh education family planning programme fertility socioeconomic factors Bangladesh facteurs socio-économiques fécondité instruction programme de planning familial 


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Copyright information

© Kluwer Academic Publishers 2003

Authors and Affiliations

  • Jeroen van Ginneken
    • 1
  • Abdur Razzaque
    • 2
  1. 1.Netherlands Interdisciplinary Demographic Institute (NIDI)The Haguethe Netherlands
  2. 2.International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B)DhakaBangladesh

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