Studies on China's birth planning programmes have elicited certain variations and themes of the First Campaign (1954–57) and the Second Campaign (1962–65). Birth planning activities have rarely been reported during the Great Leap Forward (1958–60) and the Cultural Revolution (1966–69). From my earlier analysis of China's health and population policy it is evident that both the First and the Second Campaigns coincided with the bureaucratic ascendance of the Ministry of Public Health and the dominance of the professional model of health system. However, inadequate organization and co-ordination was evidenced by the lack of one single central agency, either as a supra-agency above the Ministry of Public Health or as a bureau agency under the ministry for birth planning work. In addition, the rationale for birth planning, especially during the Second Campaign, was for maternal and child health alone. Thus, the impact of both campaigns, in demographic terms, was limited.