IT was once thought that fertility below a level could not be achieved without changes in the material conditions of the people.

In this report, we propose new measures of wanted and unwanted fertility based on actual and wanted parity progression ratios, and we apply these procedures to NFHS data for eight states in India.

An outline is given of progress made in understanding the causes of maternal mortality since the Safe Motherhood Initiative was launched a decade ago. It remains vital to analyze. why women are dying from pregnancy-related conditions and to identify the weak links in the chain of care.

In these words, Ayurved, the ancient Indian medical science, describes "safe motherhood" Thus, "Motherhood is the basis of family life which, in turn, is the backbone of all the orders of society. Hence, family life remains protected if the woman is safe and protected."

Every minute of every day a woman dies as a result of pregnancy or childbirth. The loss per annum of 500,000 women is mind boggling. A maternal death is the outcome of a chain of events and disadvantages throughout a woman's life.

In 1991, an article on the Maternity Care Program in Matlab, Bangladesh, reported a substantial decline in direct obstetric deaths in the intervention area, but not in the control area. The decline was attributed primarily to the posting of midwives at the village level.

On the World Population Day this year, there were two new features which are welcome: the first is the concern for environment in the context of population growth; and the second is the candid admission by the Union Minister of Health and Family Welfare that we must get rid of the tyranny of fami

The knowledge road to health has many pitfalls -and women in less developed countries and particularly those who are poor, illiterate and unemployed, face crucial tradeoffs when they attempt to fulfil their biological, social and other needs.

India has an extensive network of hospitals and health centres with a large field staff in the government sector, which has been providing primary health care. Of late this infrastructure has been effective in delivering immunization services to the community.

Every society has its own traditional beliefs and practices related to health care. Beliefs in supernatural powers, i.e.