Abstract
Because there is growing evidence of interest in increasing the level and scope of activities in family planning programmes in sub-Saharan Africa, we believe that it is important to examine some of the assumptions under which these are being undertaken. In what is one of the poorest areas of the world, particularly in terms of health resources and educational facilities, with enormous gaps of trained personnel in both, the programmes already in existence have not been a notable success. Yet a rapidly expanding population quickly outpaces what efforts have been made in health and education, and there is now a growing concern that food supplies, particularly in West Africa, may soon enter a period of chronic shortage.
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