Islami'c Nations Tal<ing to
Female Sterilisation
Voluntary female sterilisation is
already widely used in some Islamic
countries, and recent policy pro-
nouncements viill help make the
method more available in a number of
others. In general, the opinion seems
to be spreading that the Islamic
religion accepts voluntary steriliza-
tion as a family planning method.
Vcluntary female stetilzation is a
major family planning method in
Bangladesh, Jordan, and Tunisia.
Tunisia in 1988 had the highest
reported prevalence of voluntary
female. sterilization among Islamic
countrIes, at 12 per cent of married
women of reproductive age, or about
one-sixth of all family planning users.
The most recent survey in BanlJla-
desh conducted in 1985, found that
8 per cent of married women of
reproductive age relied on voluntary
female sterilization. These wcmen
accounted for one-quarter of all
family planning users. In 1985
Jordan's 5 per cent prevalence rate
accounted for about one-sixth of all
contraceptors.
Bangladesh and
Tunisia have long offered voluntary
female sterilization in their national
family planning programmes. In
Jordan use increased in the mid-
198Qs when public sterilization
servIces became more available.
Pakistan, which has offered steriliza-
tion services sporadically since the
1970s, currently others voluntary
female sterilization on a small scale
in its ~ational programme. It is avail-
abl~ In most large cities through
varIous non-governmental organisa-
tions, however, and demand appears
to be increasing.
. Approval for voluntary steriliza-
tIon appears to be spreading in other
Islamic countries. In late 1990 the
government of Iran announced the
legalisation of voluntary sterilisation.
Furthermore, the government offered
sterilisation free on request to wcmen
who had at least three children and
their husbands' consent.
In Indonesia Islamic leaders re-
~ently agreed that female sterilisation
I~ an acceptable form of contracep-
tIon.
This announcement was made iust
before the International Congres; on
Islamic and Population Policy held in
1990 in Indonesia. At the Congress
representatives of 29 countries re-
commended that immediate action
be taken to eradicate misconceptions
ab~)Ut~slamic attitudes toward popu-
latIon Issues.
Population Reports (Series C, No. 10),
John Hopkins Sehool of Public Health
Mrs. Sheila Kaul, the Union Urban
Development Minister, in the first
meeting of the consultative commi-
ttee of her Ministry, sharing the
members' concern over unplanned
urbanisation and consequent de-
terioration in the quality of life in the
country's metropolitan cities, assured
the members that the Government
was taking a comprehensive look at
the problem of urbanisation. She
hoped to bring up a National Urban
Policy document for the considera-
tion of Parliament within the next six
months for coordinated action to
check unplanned urbanisation.
While conceding that the urban
areas had degenerated because of
lack of political will, defective plann-
ing, administrative failures and lack
of resources, she underlined that the
la~~ of data base regarding avail-
abIlIty of new urban land, housing
stock and vacant land, etc. has also
been a serious hampering factor and
this lacuna was now sought to be
removed in the Eighth Five Year Plan.
The National Commission on
Urbanisation had impressed upon
the need for acknowledging the
positive aspect of cities and urbani sa-
tion as a necessary concomitant of the
development process. The urban
centres and more EO the urban con-
glomerations with slu.m-like condi-
tions would require special health
and family welfare strategies since
aggravating population pressures will
produce maximum distress in these
areas. It has suggested a judi-
cious mix of positive development
action and preventive controls as
lhe strategy for future growth. These
measures range from giving necessary
back-up to districts which have al-
ready reached a relatively advanced
stage of industrialisation and urba-
ni.sation to providir:-g !nputs to dis-
trIcts where urbamsatIon waS low.
but migration high.
'
March of Urbanisation
The decennial growth of urban
population in India during the 1981-
91 period has been 36.19 per cent
compared to. 46.14 per cent in the
1971-81 decade. Does it imply that
'urbanisation has slowed down? Ex-
perts say this is a deceptive view as
the da~a available so far clearly points
to an Increase in the volume intensity
of urbanisation. Variations in the
growth in one inter-censal period is
not a reversal of an inexorable oro-
cess and should not lead us to com-
placency. Some facts about the
march of urbanisation in India:
1. According to 1991 Census figures,
India's urban population concen-
trated in 4,689 towns, stands at
217.18 million. It has more than
quadrupled from about 50 million
at the time of Independence.
2. For the 1981-91 decade, the de-
'\\ cennial urban growth rate has
been 36.19 per cent as compared'
to rural growth rate of 19.71
per cent.
3. Overall, the percentage of urban
population has increased from 15
per cent to 26 per cent of the
total population.
4. In some States, the level of
urbanisation is quite above the
national average such as Maha-
rashtra (38.73 per cent), Gujarat
(34.40 per cent), Tamil Nadu
(34.20 per cent), Karnataka (30.91
per cent), Punjab (29.72 per cent),
West Bengal (27.39 per cent),
Andhra Pradesh (26.84 per cent)
and Kerala (26.44 per cent).
5. Among the States, Kerala tops
the list with decada1 urban
growth rate of 61 per cent.
6. Even in Madhya Pradesh, Uttar
Pradesh and Orissa which in terms
of overall population, are re-
garded as predcminantly rural, the
decennial growth rates are about
45 per cent, 39 per cent and 36
per cent which are nearly double
the rural rates.