PIP: Poverty, illiteracy, and lack of government commitment or ability to solve social ills translates into rapid population growth in central American isthmus countries: El Salvador, Guatemala, Honduras, Nicaragua, and even Costa Rica and Panama. The social conditions in Panama and Costa Rica lead to better family planning (FP). Educational and health resources are lacking for the rest of the countries. High birth and infant mortality rates and political unrest contribute to the total fertility rate in Honduras of 5.4 children/woman, the growth rate in Nicaragua of 3.4%, and the contraceptive use rate f 23% among married women in Guatemala and 27% in Nicaragua. The population of El Salvador is expected to double to 11 million in 25 years. FP efforts are being threatened in Costa Rica and Panama due to the doubling of the poor population since 1983 and the cutbacks in government spending for FP. For every North American woman who dies of maternal mortality, 134 die in Central America. Today the power of the Catholic Church is offset by the government population policy and programs of private organizations. Improvements have been made in Costa Rica in maternal and child health services and FP; life expectancy for children has increased 22 years in Honduras; and total fertility is under 3 children/woman in Panama. Private organizations have taken the lead in FP programs. Although population policy is part of development, national governments still lack the political will to solve the problems of access to basic health care and education, better water and sewers, and good food and jobs. The civil wars in Nicaragua and El Salvador and insurgency in Guatemala have diverted resources for health care, housing, and education. The gross national products in each of these countries is US$910/person/year. FP funds must compete with education, health care, and other basic services for government spending. The systems for FP have been established, but the political will is missing. In 1992, the isthmus countries participated in a Safe Motherhood Conference which adopted a Guatemala Declaration for reducing maternal morbidity and mortality, to prevent unwanted pregnancies, and to solve the problems of abortion complications. FP priorities were to link population with health and FP and the environment and education and woman's status, to expand FP, to provide sex education, and to involve men in FP.^ieng