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Even today many are living on a sub-sustainable level, due in part to an uneven distribution of resources, but also because, in many regions, population has outgrown essential resources for that region.

When people feel threatened by a hand-to-mouth existence, they are more likely to look towards less-than democratic ways to reduce population, especially if they have the foresight to realize that population growth is like a run-away train, very difficult to slow and stop.

It is estimated that 215 million women in developing countries are sexually active, but don't want to become pregnant; in other words, they have an unmet need for family planning.

For various reasons they are not using contraception.

The key obstacles are religious, cultural, and political opposition to contraception or the possibility of population decline.

More research and a public better educated about sexuality and reproduction could engender a global social movement that would make possible a world of intended pregnancies and births.

The world's population is expected to grow by 39% over the next 45 years and births in the 50 poorest nations are estimated to rise by 228%.

However, more and more evidence is showing that the methods that work the best towards reducing population growth, are the methods established by the principles of the Cairo Conference in 1994 (United Nations International Conference on Population and Development (ICPD) September 1994, Cairo, Egypt), which include: a.

Empowering women and girls in the economic, political, and social arenas; b. Integrating family planning with related efforts to improve maternal and child health; and d. Increasing contraceptive use in developing countries over the past 20 years has, by reducing the number of unintended pregnancies, cut the number of maternal deaths by 40%.

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We are far from a world in which all births result from intended pregnancies.

The health of the children and mothers has improved, and so has the spacing of babies.

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