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Start point
death rate 1945 = 35 per 1000
birth rate 1969 = 6.5 per women
Finish point
death rate 1970 - under 10 per 1000
fertility rate 2023 - 1.5
How was the change achieved?
National family planning programme
radio broadcasts on benefits of two child policy
health centres established - improved maternal + infant healthcare to reduce insurance babies.
Free contraception + education
Successes
Use of local people to educate to educate their own communities - much more likely to trust them and give it a go
1967 16% used contraception - 1999 72%
Population growth 3% in 1969 - 0.8% in 1999
Challenges
ageing population - dependence on migration
withdrawal of family planning advice/free contraception due to success of scheme + cultural change has resulted in more teenage pregnancies
Thailand is now nearing sustained negative population growth
Overall evaluation
overall, the government’s intervention has made an impact and the community based, rather than coercive, strategy has proven popular and ensured its success
Managed to rapidly navigate through stage 3 of the DTM, avoiding the associated pressures of a rapidly growing population