The Health Blog

‘In general, Third World service programmes are primarily accountable to their governments and/or western donors who fund them.. They often have demographic rather than service priorities’ (International Women’s Health Coalition, 1986). Thus individual needs and the quality of the service are pushed down the list of priorities, and the acceptability of a method and greater security against pregnancy are considered more important. The service can become completely impersonal; for example, in Mexico it is policy that 90% of women who have a termination of pregnancy should have an IUD fitted. In Indonesia, poverty certificates have to be shown for access to some contraceptive services. Moroccan women queue in waiting halls without their underwear, to speed up throughput. It can be seen that the needs of women and the needs of the population can be at odds when resources are limited.

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