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Knowledge, Attitudes And Practice Of The Dmpa Injectable Contraceptive: Data From Focus Group Discussions, Maria Carmela Patron, Marilou P. Costello
Knowledge, Attitudes And Practice Of The Dmpa Injectable Contraceptive: Data From Focus Group Discussions, Maria Carmela Patron, Marilou P. Costello
Reproductive Health
This report is based on data from 12 focus group discussions conducted throughout the Philippines as part of the DMPA Monitoring and Follow-up Studies. The DMPA Monitoring and Follow-up Studies are part of a technical assistance project undertaken by the Population Council in support of the Department of Health’s DMPA Reintroduction Program. The project provides data on DMPA (depot-medroxyprogesterone acetate) acceptance and continuation rates as well profiles of DMPA users and dropouts to serve as bases for decisions and policies that will ensure quality services. The project draws information from several sources including a 15-month monitoring of DMPA acceptors; surveys …
Current Experiences With Community-Based Distribution Of Family Planning In Kenya: A Review Prepared For Usaid/Kenya, Population Council
Current Experiences With Community-Based Distribution Of Family Planning In Kenya: A Review Prepared For Usaid/Kenya, Population Council
Reproductive Health
Kenya has been one of the leading countries worldwide in developing and implementing community-based distribution (CBD) programs as part of the national family planning (FP) program. CBD activities in Kenya are coordinated by the National Council for Population and Development, with support from USAID and other donor agencies. Kenya’s CBD program has been widely publicized because of its success in improving access to FP information and services, and its diversity of organizational structures. USAID would like to review the current situation and possible future directions before designing its CBD strategy for the next five-year bilateral project. The Africa OR/TA II …
What We Do And Do Not Know About The Menstrual Cycle Or, Questions Scientists Could Be Asking, Sioban D. Harlow, Sara A. Ephross
What We Do And Do Not Know About The Menstrual Cycle Or, Questions Scientists Could Be Asking, Sioban D. Harlow, Sara A. Ephross
Reproductive Health
The objective of this paper is to consider from a public health perspective the types of questions researchers might be asking about the relationship between menstrual function and women’s health, and to evaluate to the extent to which these questions have or have not been addressed by the scientific community. Based on the findings in this report, it is obvious that a comprehensive program of research is needed in order to begin filling the myriad gaps in scientific knowledge about the menstrual cycle. Given the lack of knowledge about many fundamental aspects of menstrual function and about linkages between the …
Family Planning And Reproductive Health: Briefing Sheets For A Gender Analysis, Kirsten Moore, Debbie Rogow
Family Planning And Reproductive Health: Briefing Sheets For A Gender Analysis, Kirsten Moore, Debbie Rogow
Reproductive Health
This series of briefing sheets, developed by the Population Council, represents a starting point for the application of gender to the family planning (FP) and reproductive health (RH) arena. The information covers five key areas of RH: gender-based abuse, FP and gender issues among adolescents, sexuality and FP, men’s and women’s social and economic responsibilities for childrearing, and the complicated nexus between gender and FP/RH. In so doing, it provides a strong foundation for gender training. This concept was first developed to fulfill a need for gender training within the regional Operations Research/Technical Assistance Projects. To date, two such workshops …
Factors That Contribute To The Varying Performance Of Bspos And Bhws In The Delivery Of Family Planning Services In Iloilo City, Fely David, Fely Chin
Factors That Contribute To The Varying Performance Of Bspos And Bhws In The Delivery Of Family Planning Services In Iloilo City, Fely David, Fely Chin
Reproductive Health
In 1992, the Population Council established the Family Planning Operations Research and Training (FPORT) Program in the Philippines. It brought together program managers and regional researchers to identify problem areas that might benefit from operations research. From Western Visayas (Region VI), the City Population Office (CPO) of Iloilo City in collaboration with the Social Science Research Institute of the Central Philippine University, identified a problem concerning the poor performance of volunteer family planning (FP) workers and undertook to study it. The study focused on the Barangay Service Point Officers (BSPOs) who assist in the delivery of FP services under the …
National Research Utilization Conference, September 1994, Family Planning Operations Reserach And Training (Fport) Program
National Research Utilization Conference, September 1994, Family Planning Operations Reserach And Training (Fport) Program
Reproductive Health
The National Research Utilization Conference, held in Manila September 20, 1994, was the third conference convened by the Population Council's Family Planning Operations Research and Training (FPORT) Program in collaboration with the Department of Health. The FPORT program is being conducted under the Population Council's Asia and Near East Operations Research and Technical Assistance Project. This conference is the culmination of activities that started in October 1992 with a workshop on Introduction to Operations Research in Family Planning. The conference disseminated the results of five OR studies, discussed and evaluated policy and program implications, contributed to the legitimation of OR …
Acceptability Of First Trimester Medical Abortion, Beverly Winikoff
Acceptability Of First Trimester Medical Abortion, Beverly Winikoff
Reproductive Health
Unwanted pregnancy is a serious and stressful problem for women. As stated in this paper, technologies that afford safe and effective abortion are well accepted and provide relief from a great difficulty. Many women fear surgery and will go far to avoid it. There is substantial apprehension about general anesthesia during surgery and also fear that local anesthesia may not prevent pain. This leads to a high demand for a medical abortion alternative. Some women consider that the quick and definitive surgical alternative is easier; some find that swallowing a pill is easier. Privacy is greatly valued. Medical abortion technology …
Reproductive Health Approach To Family Planning, Population Council
Reproductive Health Approach To Family Planning, Population Council
Reproductive Health
This report collects presentations from a panel held on Professional Development Day at the USAID Cooperating Agencies meeting in November 1994. The panel was designed to review key reproductive health elements that relate to family planning, including: reproductive tract and sexually transmitted infections, including AIDS; the prevention and treatment of unsafe abortion; pregnancy, labor, and delivery care; and postpartum care. While there is increasing international consensus that family planning should be broadened to include reproductive health care, it is far from clear as to how this should be done, and which elements should be incorporated. This panel explored some of …
Planning Services In Iloilo City: A Diagnostic Study Of The Implementation Of The Department Of Health Training Courses For Family Planning Providers In Region Ii And Cordillera Administrative Region, Steven Rood, Marcelo Raquepo, Mary Ann Ladia
Planning Services In Iloilo City: A Diagnostic Study Of The Implementation Of The Department Of Health Training Courses For Family Planning Providers In Region Ii And Cordillera Administrative Region, Steven Rood, Marcelo Raquepo, Mary Ann Ladia
Reproductive Health
This research project is one of several being undertaken in the Philippines under the Family Planning Operations Research and Training (FPORT) Program of the Department of Health (DOH) and the Population Council. The general aim of FPORT is to train researchers to provide information to family planning (FP) practitioners that will be of value in the operation of FP programs. It was decided that researchers in northern Luzon would focus on FP trainings undertaken by the Department of Health. Several meetings among researchers and health personnel were held to shape research questions that would be of use to the DOH …
Factors Affecting The Family Planning Program Drop-Out Rate In Bukidnon, Philippines, Lita Sealza
Factors Affecting The Family Planning Program Drop-Out Rate In Bukidnon, Philippines, Lita Sealza
Reproductive Health
This study has involved interviews with a randomly selected sample of 389 family planning (FP) acceptors from 20 barangays in Bukidnon province, Philippines. Respondents were currently married women who had either continued to use family planning (FP) since their initial acceptance (current users) or who had stopped using FP altogether (dropouts). Findings from the present study are expected to shed light on several aspects of the dropout problem, namely: How extensive is this problem and how accurate are the DOH records in this regard? How do FP acceptors view their local FP clinic and the services offered? What reasons are …
Provider Training And Long-Term Client Outcomes: The Csi Experience, Social Planning, Analysis & Administration Consultants (Spaac)
Provider Training And Long-Term Client Outcomes: The Csi Experience, Social Planning, Analysis & Administration Consultants (Spaac)
Reproductive Health
The present study examined the impact of the Clinical Services Improvement (CSI) Project's provider training program on clients' long-term satisfaction and method use. A sample of 154 clients who received a family planning (FP) method in one of 30 CSI clinics were followed up over a period of 19 months through a series of home interviews. The interviews monitored clients' use of the FP method received at the clinic as well as their satisfaction with that method and the services at CSI. Results of the present study show that provider training on counseling and interpersonal communication has a positive impact …
Family Planning Studies In The Philippines: A Review And Synthesis, Virginia Miralao
Family Planning Studies In The Philippines: A Review And Synthesis, Virginia Miralao
Reproductive Health
This report, which summarizes the major study findings on population and family planning (FP) trends in the Philippines, was prepared for the Research Unit of the Family Planning Services (FPS) of the Department of Health (DOH). It was used by the FPS in its National Consultative Planning Workshop in early 1994 to formulate plans for the Philippine Family Planning Program for 1994–1995. Workshop participants included DOH Regional Family Planning Coordinators, representatives of local government offices engaged in population and health activities, and local NGOs and women's groups. The report alerted participants to population and FP issues and trends that could …
A Diagnostic Study Of The Implementation Of Department Of Health Volunteer Workers Program, Marlina Lacuesta, Segundina Sarangani, Napoleon Amoyen
A Diagnostic Study Of The Implementation Of Department Of Health Volunteer Workers Program, Marlina Lacuesta, Segundina Sarangani, Napoleon Amoyen
Reproductive Health
This report presents findings from a 1993 survey of 200 Barangay Health Workers (BHWs) from two Davao provinces and two Lanao Provinces in the Philippines. Premised on the belief that the BHWs are important in improving the delivery of health and family planning (FP) services in the countryside, the study examined the factors that affect the performance of these health workers. The study is basically descriptive in nature, with the view to diagnosing problems in the implementation and functioning of the program and suggesting appropriate solutions. The survey method was utilized as a main data collection tool. Beside the survey …
Profile Of Clients Of Different Providers Of Family Planning Services In Egypt, Social Planning, Analysis & Administration Consultants (Spaac)
Profile Of Clients Of Different Providers Of Family Planning Services In Egypt, Social Planning, Analysis & Administration Consultants (Spaac)
Reproductive Health
The Government of Egypt launched its national family planning (FP) program in 1966. The early phase was mainly supply oriented and aimed at ensuring wide distribution of contraceptives primarily through pharmacies to meet rising demand. Between 1988 and 1992 a number of additional sources of FP services appeared, with an increase in clinic-based services through both the private and public sectors. In 1992 about one-fourth of users relied on pharmacies to get their FP supplies compared to about one-half in 1988. This change evolved through the influence of two forces: the initiation of a number of FP projects, and expanded …
Partnership For Prevention: A Report Of A Meeting Between Women's Health Advocates, Program Planners, And Scientists, Population Council
Partnership For Prevention: A Report Of A Meeting Between Women's Health Advocates, Program Planners, And Scientists, Population Council
Reproductive Health
In May 1994, the Population Council, in conjunction with the Pacific Institute for Women's Health and the International Women's Health Coalition, hosted a meeting for women's health advocates from around the world to discuss the development of microbicides. This process was the first step in building greater understanding and mutual respect among women's health advocates and Population Council staff and scientists with regard to the technology of microbicides. Participants hoped that the recommendations resulting from this initiative would have a positive influence not only on the development of microbicides, but on all reproductive health technologies. This report aims to reproduce …
Rethinking Postpartum Health Care, Martha Brady, Beverly Winikoff
Rethinking Postpartum Health Care, Martha Brady, Beverly Winikoff
Reproductive Health
These proceedings come from papers and discussions as part of the Population Council invitational seminar entited "Rethinking Postpartum Health Care," in 1992. The seminar on postpartum reproductive health was the fifth in a series of seminars convened by the Population Council as part of its Robert H. Ebert Program on Critical Issues in Reproductive Health and Population. The program focuses on four topics: 1) improving and devising new approaches to postpartum care; 2) improving the quality of care in family planning and reproductive health services; 3) managing unwanted pregnancy and preventing the consequences of unsafe abortion; and 4) bringing attention …
The 1992 Indonesia Norplant® Use-Dynamics Diagnostic Study, Dinan S. Bratakoesoema, Abdul Rodjak, Sulaiman Sastrawinata, Faisal R. Djamal, Hafni Bachtiar, Dr. Masrul, Nadra B. Azwar
The 1992 Indonesia Norplant® Use-Dynamics Diagnostic Study, Dinan S. Bratakoesoema, Abdul Rodjak, Sulaiman Sastrawinata, Faisal R. Djamal, Hafni Bachtiar, Dr. Masrul, Nadra B. Azwar
Reproductive Health
Although the Indonesian Norplant® program is unique in terms of scale and pace of expansion, it also characterizes many of the operational problems that other developing countries are likely to confront as they expand their Norplant programs. Many of the concerns—such as screening and counseling, use-effectiveness, removal on demand, and tracking and notification systems for five-year removal—can only be answered through research on the Indonesian program. As this report states, operations research on issues related to Norplant within the Indonesian program will be of direct relevance to the growing number of Norplant programs in other developing countries. While the Indonesian …
Employment-Based Family Planning Services, Placide Tapsoba, Ian Askew, J. Tunde Taylor Thomas, Sering Falu Njie, Momodou Jasseh
Employment-Based Family Planning Services, Placide Tapsoba, Ian Askew, J. Tunde Taylor Thomas, Sering Falu Njie, Momodou Jasseh
Reproductive Health
Although The Gambia Family Planning Association (GFPA) has always been interested in promoting contraceptive use in the Greater Banjul Area (GBA), insufficient funds and the need to prioritize program expansion in rural areas hindered this. The GFPA operates two clinics in GBA, open to few workers. The government has three Family Planning and Maternal and Child Health clinics in Banjul, also used by few workers. Factory managers, trade union leaders, and the GFPA believe that a well-organized family planning (FP) education and service delivery program could benefit employees and employers. This operations research study tested the feasibility of a work-based …
Norplant® Use-Dynamics Diagnostic Study, 1991, Heru Kasidi, Peter C. Miller
Norplant® Use-Dynamics Diagnostic Study, 1991, Heru Kasidi, Peter C. Miller
Reproductive Health
After five years of national programmatic use of Norplant® contraceptive implants, in 1992 the National Population and Family Planning Board (BKKBN) plans to implement a follow-up Use-Dynamics Study of implant users in West Java and West Sumatra Provinces, Indonesia. A Diagnostic Study was implemented in 1991 to prepare for that study prior to final approval, and to get some early insights into implant program operations in advance of final results from the main study. This report is a summary of findings from the Diagnostic Study. The Diagnostic Study had two broad objectives: to obtain information to guide development of the …
Handbook For Family Planning Operations Research Design, Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend
Handbook For Family Planning Operations Research Design, Andrew A. Fisher, John E. Laing, John E. Stoeckel, John Townsend
Reproductive Health
The Handbook for Family Planning Operations Research Design, first published in English by the Population Council in 1983, was based on field research studies in Asia. This second edition contains revised and expanded sections. Where appropriate, examples from Latin America and Africa have been added. The introductory section contains a current statement on the process of health and family planning operations research (OR). New chapters have been included on selecting an appropriate intervention to test in an OR study, and on describing the main elements of the study intervention. The chapter on information dissemination has been expanded and a new …
Prevention Of Morbidity And Mortality From Induced And Unsafe Abortion In Nigeria, Friday E. Okonofua, Toun Ilumoka
Prevention Of Morbidity And Mortality From Induced And Unsafe Abortion In Nigeria, Friday E. Okonofua, Toun Ilumoka
Reproductive Health
These proceedings are from a seminar organized by the Department of Obstetrics, Gynaecology, and Perinatology, Obafemi Awolowo University, Ile-Ife (Nigeria) in collaboration with the Population Council. The primary purpose of the multidisciplinary seminar was to identify the determinants of the high rate of mortality and morbidity from unsafe abortion in Nigeria. The specific objectives were: 1) to identify measures that could be undertaken on a short- and long-term basis to reduce the rate of abortion-related mortality, and 2) to set an agenda for research into abortion in Nigeria. The seminar consisted of oral presentations on related topics by researchers and …
Maternal Risk, Beverly Winikoff
Maternal Risk, Beverly Winikoff
Reproductive Health
This presentation to the 1991 Berzelius Symposium, Stockholm, Sweden, explores the issue of maternal risk—the probability or chance of dying or being seriously injured in pregnancy—as it is used in maternal health care. This concept of risk has been a useful tool for research and medical and epidemiological education, but its use as a tool for service delivery design has been more problematic. In order to construct a risk system, one has to have reliable data on the relationships between individual characteristics and the outcome being studied—something that is difficult to develop with regard to maternal health. Furthermore the system …
Limitations Of Maternal Care To Improve Maternal Health, Beverly Winikoff
Limitations Of Maternal Care To Improve Maternal Health, Beverly Winikoff
Reproductive Health
In a presentation at the 1991 Berzelius Symposium in Sweden, a Population Council researcher described the limitations of healthcare systems, specifically during pregnancy, in terms of their effect on maternal health status. These limitations stem from an inability to improve health because of social conditions—poverty and illiteracy, overwork, inequality in sexual relationships—that cannot be solved by medical interventions. Maternal ill health originates before pregnancy and endures beyond it, whereas the window of contact with women during pregnancy is small. Nevertheless, recent evaluations suggest that the impact of prenatal care is in the caring process more than any specific aspect of …
Strategies For Increasing Contraceptive Use In Factories In Barbados, Charles Alleyne, Elrene Sealy, Pauline Russell-Brown
Strategies For Increasing Contraceptive Use In Factories In Barbados, Charles Alleyne, Elrene Sealy, Pauline Russell-Brown
Reproductive Health
This report outlines results of a study on factory-based family planning operations. The 18-month study compared the relative effectiveness of two interventions: 1) ongoing contraceptive distribution by a trained factory employee supported by monthly education visits by the Barbados Family Planning Association (BFPA); and 2) monthly service and education visits by the BFPA. Service and survey data indicated that the education/information program component was stronger than the contraceptive delivery component. There were remarkable increases in the employees' knowledge of contraceptive methods, especially in factories with employee distributors.
A Reassessment Of The Concept Of Reproductive Risk In Maternity Care And Family Planning Services, Judith Rooks, Beverly Winikoff
A Reassessment Of The Concept Of Reproductive Risk In Maternity Care And Family Planning Services, Judith Rooks, Beverly Winikoff
Reproductive Health
No abstract provided.
Contraceptives And Common Sense: Conventional Methods Reconsidered, Judith Bruce, S. Bruce Schearer
Contraceptives And Common Sense: Conventional Methods Reconsidered, Judith Bruce, S. Bruce Schearer
Reproductive Health
Since the 1960s, the solution to contraception problems has been based increasingly on complexity, not simplicity. The oral contraceptive was developed in the late 1950s using newly discovered synthetic hormones that act in intricate ways on glands in the brain. Intrauterine devices were widely introduced in the 1960s in a host of scientifically engineered configurations that act inside a woman’s uterus. Nearly half of all married couples in the United States who use some method of contraception use either the pill or IUD. In examining emerging social trends and considering the special needs of some large groups for better contraceptives—adolescents, …