Contraception is a unique family planning medical intervention which has successfully resulted into the decline of fertility and maternal death. The decline of fertility rate has impacted positively among women as it has improvised their fundamental human rights especially by relieving them from an incessant cycle of pregnancy and child care. I find the contribution of the two scholars on this topic interesting. Cleland et al. (154) note that the increased use of contraceptives has been widely contributed by the need to reduce the number of pregnancies in order to create a proportionality link for children who are first born to their last born counterpart. It is essential for social and economic growth as families with fewer children have more potential of investing on more resources.
Why have the attempts by most developing countries in trying to incorporate the use of contraceptive on the health and survival of women been ineffective? As pointed out by Gertler and Molyneaux (33), the government’s intrusion and advocacy on contraceptive use has been widely linked to population control which has become unfashionable. While population control is essential for maintaining and improving a country’s economic and social welfare, these authors have faulted the strategic use of this policy framework in reducing population growth. They note that population control has made family planning programs become an axiom of which population policies are not effective, especially for developing countries in sub-Sahara with poor health facilities.
According to Gertler and Molyneaux (34), the frequent reduction of fertility, especially through the use of contraceptives can only be achieved with effective family planning programs. They point out that these programs should incorporate effective institutional settings and organization structure that improve women’s general education and economic opportunities. They note that Indonesia, the third world populated country, was able to reduce fertility by 75% through increased use of contraceptives by engaging effective education and economic opportunities for women.
In conclusion, the use of contraceptives in reducing fertility rate can only be achieved if the engaged family planning programs empowers women socially and economically. There is a need to educate women on the importance of using contraceptives, rather than incorporating the medical methodology as population control mechanism.