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Efforts to improve maternal and child health were coupled with education campaigns.Because of local mores concerning modesty, the government avoided explicit reference to contraceptive devices and instead focused its public education efforts on encouraging couples to limit their family size to two children.In an attempt to control the population problem, the government introduced several new programs.

Pakistan Table of Contents In early 1994, the population of Pakistan was estimated to be 126 million, making it the ninth most populous country in the world.Its land area, however, ranks thirty-second among nations.The 1991 census had still not been carried out as of early 1994. Pakistan's people are not evenly distributed throughout the country.There is an average of 146 persons per square kilometer, but the density varies dramatically, ranging from scarcely populated arid areas, especially in Balochistan, to some of the highest urban densities in the world in Karachi and Lahore.These figures are estimates, however, because ethnic unrest led the government to postpone its decennial census in 1991.

The government felt that tensions among Punjabis, Sindhis, (immigrants or descendants of immigrants from India), Pakhtuns, and religious minorities were such that taking the census might provoke violent reactions from groups who felt they had been undercounted.

Thus population planning was a dual effort led by the Family Planning Association and the public sector.

In the mid-1960s, the Ministry of Health initiated a program in which intrauterine devices (IUDs) were promoted.

This agency was charged with the delivery of both family planning services and maternal and child health care.

This reorganized structure corresponded with the new population planning strategy, which was based on a multifaceted community-based "cafeteria" approach, in cooperation with Family Welfare Centres (essentially clinics) and Reproductive Health Centres (mostly engaged in sterilizations).

More than half of Pakistan's population is below the age of fifteen; nearly a third is below the age of nine.