Control your population
There is something ironic about family planning initiatives funded/led by developed, affluent countries that are directed at less affluent, developing ones. Family planning is a worthy objective that is politically and culturally touchy, everywhere. In the United States, there was much controversy this year about whether President Obama's Patient Protection and Affordable Care Act involved forcing religious institutions to provide health care insurance that included coverage for contraception. There is the ongoing legal and ethical debate about whether pharmacists can refuse to dispense emergency contraception (Plan B) on religious grounds. Then there are the ongoing battles about the content of sex education in US schools. So one can hope that these large-scale family planning initiatives aiming at low-resource countries will go beyond the biomedical perspective, and develop creative, locally-driven, culturally sensitive, politically savvy and women-empowering ways to control the rate of births. One can also hope that if that happens, the lessons learned can be brought back to bear on the developed world, since it is a call for progressive social change.