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The global trend towards smaller families is a reflection of people making reproductive choices to have as few or as many children as they want, when they want. When people lack choice, it can have a long-term impact on fertility rates, often making them higher or lower than what most people desire.
The 2008 national Survey of Demography and Reproductive and Sexual Health, ENDSSR-2008, was conducted by the Paraguayan Center of Population Studies (CEPEP), with the cooperation of the United States Agency of International Development (USAID), the United Nations Children's Fund (UNICEF), and the International Planned Parenthood Federation (IPPF), and with the technical assistance of the Division of Reproductive Health of the Centers for Disease Control and Prevention (CDC) in Atlanta, Georgia USA. …
Human activity is altering the planet on an unprecedented scale, the report points out. More people are using more resources with more intensity and leaving a bigger "footprint" on the earth than ever before. The report examines the close links between environmental conditions, population trends, and prospects for alleviating poverty in developing countries. It finds that expanding women's opportunities and ensuring their reproductive health and rights are critically important, both to improve the well-being of growing human populations and to protect the natural world.