According to this statement presented to the Committee on Population of the UN Economic and Social Commission for Asia and the Pacific, Pakistan's crude birth rate at present is 40/1000. The Pakistan Fertility Survey (PFS) of 1974-75 showed a marital total fertility rate of 8 and marital gross reproduction rate of 3.9. The total fertility rate is estimated at around 6. Evaluation of past family planning activities indicates that the impact of the program on the birth rate has been minimal. Although a large majority of married women know about family planning methods, few fertile couples use a method. Of the 90% of respondents in the PFS who had never used a method, 57% indicated they intended to use a method at some point and 23% said they did not. The average age of all current users was 34 in 1975. Preliminary results of a contraceptive prevalence survey indicate that current use is 10%. The crude birth rate was 46 or 47/1000 in 1965 when an official population program was initiated. The gains from the reduction of the total fertility rate have been partly offset by change in the age structure. Pakistan's population policy was formulated in light of the recommendations of the 1974 World Population Plan of Action. The program approach is multidisciplinary and due consideration is given to the interrelationships between population, resources, environment, and development stratgey. The program relies primarily on community participation and involvement of local leadership to promote acceptability. At the federal level, the major focus of the program is on development of national policy, planning and coordination, funding, training, procurement of contraceptives and equipment, research and evaluation, monitoring, and statistics. The population welfare departments at the provincial level are responsible for the administration and supervision of all field activities relating to service delivery, motivation, training, coordination, monitoring, evaluation, and feedback. The primary objectives are to raise the level of family planning practice from 9.5% in 1982-83 to 18.6% by 1987-88, to raise the level of continuous practice from an estimated 6.8% to 13.0% by the end of the 6th Population Welfare Plan period, and to provide reproductive health services to mothers and child health services for children under 5. The demographic objectives are to reduce the crude birth rate from 40.3 to 36.2 and to prevent approximately 2 million births during the plan period from 1983-88. Private and public sector agencies are cooperating in an immunization program, a diarrheal disease control program based on oral rehydration therapy, training of traditional midwives, provision of family planning services, and encouragement of local women to participate in development activities.