lower death rates will inevitably take place anywhere, even outside Europe along with modernization of society, which includes industrialization, urbanization, and improvements in the standard of living. Actually the transition from high birth and death rates to low birth and death rates has been completed in Japan and Asian NIEs. It is also noteworthy that the transition is coming to completion in ASEAN countries, Latin America, and the Caribbean islands. Truly, "development is the best contraceptive."
On the other hand, however, if it is so, those countries which are not experiencing modernization or development cannot attain low birth rates. For example, the declining of birth rate cannot be expected in Africa's Sub-Saharan countries for some time. However, according to the expert view by Freedman (Ronald Freedman) and associates at the University of Michigan, it is possible to expect a rising of the prevalence rate of family planning and a decline in birth rates in those areas where economic-social development is not fully progressed if there is a strong leadership spreading family planning among the people, with a large-scaled, effective organized efforts. Also there must be medical service centers available in individual regions where people can get the supply and services of modern contraceptive methods such as birth-control pills, IUD, and other implant able and injectable type of contraceptions.
It is interesting to see the remarkable birth rate decline in those regions which development is progressing slow and are not necessarily affluent, such as the Matlab region in Bangladesh and the Chegolia region in Kenya as a result of high quality medical services being made available and well-organized activities for spreading family planning. It suggests that there is a possibility of obtaining the similar result even in Africa's Sub-Saharan countries if a good quality of organized educational and medical activities is practiced.
According to the U.N. Fund for Population Activities, there are as many as 120 million couples in developing countries in the world today who are not practicing family planning, even though they wish to avoid unwanted births or postpone births, simply because they don't have knowledge of birth control or contraceptive pills or because devices which are safe, effective, comfortable,
