title: Assessment of fertility control efforts in a selected area of Karachi, Pakistan.
abstract: OBJECTIVE
  To investigate the impact of fertility control efforts on reducing fertility and to study the contributory role of fertility inhibiting factors viz, age of the marriage, breast feeding and post-partum amenorrhea, abortion and use of contraceptives in selected area in Karachi, Pakistan. The aim was to estimate the gap between knowledge of contraceptives and its practice i.e. KAP-GAP as well as to determine the level of unmet need in the PIB colony in Karachi.
  
  
  METHODS
  A sample survey was conducted in PIB colony in Karachi from October 2005 to November 2005 by interviewing 340 married women in reproductive ages. The data was tabulated and John Bongaarts technique was used to analyse the success of fertility control efforts in the selected area.
  
  
  RESULTS
  Of the total of 340 respondents, 38% were currently using contraceptive methods with 26% using OCP's and 12% were condom users. A slight reduction in total fertility (TFR) was noticed.
  
  
  CONCLUSIONS
  The population policy of Pakistan envisages achieving population stabilization in 2020 by reducing the annual rate of population growth from 1.9% to 1.3% and TFR at 2.1. This target requires strenuous efforts to make the concept of small family an accepted milieu through an eagerly designed communication and education campaign. Concentration on proximate determinants of fertility particularly breast feeding and prolonging birth interval will not generate opposition from the community because these concepts are in accordance with Islamic injunctions and teachings.
authors.affiliation: Ulster Community Hospital Trust, Dundonald, United Kingdom. dr_amsh@hotmail.com
authors.forename: Amra
authors.initials: A
authors.lastname: Shirmeen
authors.forename: Muhammad F H
authors.initials: MF
authors.lastname: Khan
authors.forename: Khizer H
authors.initials: KH
authors.lastname: Khan
authors.forename: Khurum H
authors.initials: KH
authors.lastname: Khan
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception; D003270:Contraceptive Agents; D005193:Family Planning Services / Q000458:organization & administration*; D005260:Female; D005298:Fertility; D019538:Health Care Surveys; D006291:Health Policy; D006801:Humans; D008875:Middle Aged; D010154:Pakistan; D010865:Pilot Projects; D011155:Population Control; D011156:Population Density; D034121:Reproductive Health Services / Q000458:organization & administration*; D040241:Social Marketing
chemical_list: D003270:Contraceptive Agents